Talent.com
serp_jobs.error_messages.no_longer_accepting
Payer EDI Pharmacy Specialist

Payer EDI Pharmacy Specialist

VirtualVocationsVisalia, California, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Payer EDI Pharmacy Subject Matter Expert (SME).

Key Responsibilities

Serve as the primary subject matter expert on NCPDP standards within the payer EDI business product team

Provide strategic and technical guidance to project teams for healthcare data exchange initiatives

Collaborate with cross-functional stakeholders to develop and refine VHA Payer EDI pharmacy data exchange standards

Required Qualifications

Bachelor's degree in healthcare administration, information technology, pharmacy, or a related field, or equivalent professional experience

Extensive experience (7+ years) in healthcare data exchange, payer systems, or pharmacy benefit management focused on EDI integration

Proven expertise in NCPDP standards and their application in payer and pharmacy data exchange

Strong understanding of healthcare interoperability, data governance, and regulatory compliance requirements

Demonstrated ability to provide technical and functional guidance in a cross-functional team environment

serp_jobs.job_alerts.create_a_job

Edi Specialist • Visalia, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist

VirtualVocationsFresno, California, United States
serp_jobs.job_card.full_time
A company is looking for a Prior Authorization Specialist to manage the initiation and submission of prior authorizations for medications and supplies. Key Responsibilities Initiate, process, and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Prior Authorization Specialist

Prior Authorization Specialist

VirtualVocationsFresno, California, United States
serp_jobs.job_card.full_time
A company is looking for a Prior Authorization Specialist to manage the initiation and processing of prior authorization requests. Key Responsibilities Initiate, process, and oversee clinical revi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Payor Credentialing Specialist

Payor Credentialing Specialist

VirtualVocationsFresno, California, United States
serp_jobs.job_card.full_time
A company is looking for a Payor Credentialing Specialist.Key Responsibilities Verify the credentials of healthcare providers, including education, training, licensure, and certifications Commun...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Enrollments Specialist

Enrollments Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for an Enrollments Specialist to join their RCM Operations team.Key Responsibilities Perform electronic EDI payer enrollment tasks for practices on the O360 system Complete ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Intake Coordinator

Patient Intake Coordinator

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Intake Coordinator - Specialty Pharmacy.Key Responsibilities Support patients and providers in navigating insurance benefits for prescribed injectable therapies...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Travel Pharmacy Tech - $878 per week in Corcoran, CA

Travel Pharmacy Tech - $878 per week in Corcoran, CA

AlliedTravelCareersCorcoran, CA, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with Care Career to find a qualified Pharmacy Tech in Corcoran, California, 93212!.Duties / Responsibilities shall include, but are not limited to : Pharmacy Technician....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Clearance Specialist

Clearance Specialist

VirtualVocationsFresno, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clearance Specialist to support their Specialty Infusion Pharmacy remotely.Key Responsibilities Process new referrals, including verifying patient eligibility and coord...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Provider Contracting Specialist

Provider Contracting Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Provider Contracting & Negotiating Specialist.Key Responsibilities Initiate contact with provider offices for out-of-network services and negotiate fees and rates Perf...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Insurance Claims Specialist

Insurance Claims Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Claims Specialist PB.Key Responsibilities Submits accurate and timely claims to third party payers Resolves claim edits and account errors prior to claim su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Remote Pharmacy Insurance Specialist

Remote Pharmacy Insurance Specialist

VirtualVocationsFresno, California, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Remote Pharmacy Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Pharmacy Benefits Specialist

Pharmacy Benefits Specialist

VirtualVocationsFresno, California, United States
serp_jobs.job_card.full_time
A company is looking for a Benefits Investigation Specialist to verify patient medical and pharmacy coverage and facilitate copay assistance. Key Responsibilities Verifies patient prescription ben...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Payment Assistance Specialist

Payment Assistance Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Payment Assistance Specialist who will communicate with borrowers regarding payment collection and assistance programs. Key Responsibilities Communicate with borrowers t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Analyst for Specialty Pharmacy

Claims Analyst for Specialty Pharmacy

VirtualVocationsFresno, California, United States
serp_jobs.job_card.full_time
A company is looking for a Specialty & Home Delivery Program Claims Analyst - Remote.Key Responsibilities Serve as a subject matter expert on Home Delivery and Specialty pharmacy partners and Pha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Provider Data Services Specialist

Provider Data Services Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Provider Data Services Specialist (Remote).Key Responsibilities Conduct proactive outreach to provider offices to confirm demographic information and participation in t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Pharmacy Manager

Texas Licensed Clinical Pharmacy Manager

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Manager of Clinical Pharmacy Programs to join their Pharmacy team.Key Responsibilities Oversee clinical pharmacy programs and manage affordability projects Collaborate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Physician Payment Reviewer

Physician Payment Reviewer

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a CP-A / P Phys Payment Reviewer responsible for reviewing payment requests for physicians and physician-owned companies. Key Responsibilities Ensures accurate invoice routi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
AR Specialist II

AR Specialist II

VirtualVocationsFresno, California, United States
serp_jobs.job_card.full_time
A company is looking for an AR Specialist II - REMOTE.Key Responsibilities Contact insurance companies to secure outstanding payments and analyze claims and rejections Review complex rejections ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
ESOP Payment Specialist

ESOP Payment Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for an ESOP Payment Specialist II.Key Responsibilities Manage the end-to-end distribution process for ESOP plans, including participant communications and processing check re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Pharmacy Revenue Cycle Analyst

Pharmacy Revenue Cycle Analyst

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Analyst, Pharmacy Revenue Cycle.Key Responsibilities Research, resolve, and prepare claims that have not passed payer edits and initiate action to resolve...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Advocate Specialist

Patient Advocate Specialist

VirtualVocationsVisalia, California, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Advocate Specialist to assist patients in resolving account balances for medical services by determining their eligibility for assistance programs.Key Responsibil...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30