Ohio Licensed Pre-Payment Claims AnalystVirtualVocations • Newark, New Jersey, United States
Ohio Licensed Pre-Payment Claims Analyst
VirtualVocations • Newark, New Jersey, United States
job_description.job_card.variable_hours_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 Pre-Payment Claims Analyst to analyze pharmacy claim data and identify overpayments.
Key Responsibilities
Research and analyze pre-payment pharmacy claim data to identify overpayments and errors
Develop and update educational materials, workflows, and operational reports
Review and audit pharmacy claims for accuracy and compliance, and resolve related concerns
Required Qualifications, Training, and Education
National Pharmacy Technician Certification (CPhT) required
Bachelor's or Master's degree in a related field preferred, or equivalent work experience
Minimum of 2 years of experience in claim analytics or related healthcare fields
Proficient in Microsoft Office, especially Excel and Access
Working knowledge of pharmacy claims payment processes and systems
serp_jobs.job_alerts.create_a_job
Claim • Newark, New Jersey, United States
Job_description.internal_linking.related_jobs A company is looking for a Senior Claims Analyst - Workers Compensation.Key Responsibilities Handle medical only Workers Compensation claims ensuring timely and accurate processing Conduct inves...serp_jobs.internal_linking.show_more 
Reinsurance Accounting & Claims Handling Analyst.We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of inno...serp_jobs.internal_linking.show_more A company is looking for an Insurance Agent - Sales who will report to the Supervisor, Sales.Key Responsibilities Guide customers through products and services, answering questions and resolving ...serp_jobs.internal_linking.show_more 
This is your opportunity to join AXIS Capital - a trusted.We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders.We also ...serp_jobs.internal_linking.show_more
At Selective, we don't just insure uniquely, we employ uniqueness.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards a...serp_jobs.internal_linking.show_more A company is looking for a Senior Product Claims Analyst.Key Responsibilities : Conduct reviews of data integrations and audit system reports to ensure data accuracy Participate in customer calls...serp_jobs.internal_linking.show_more A company is looking for a California Licensed EPIC Reporting Analyst.Key Responsibilities Analyzes and provides guidance in support of hospital integration initiatives Develops and tests high-a...serp_jobs.internal_linking.show_more At Selective, we don't just insure uniquely, we employ uniqueness.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards a...serp_jobs.internal_linking.show_more At Selective, we don't just insure uniquely, we employ uniqueness.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards a...serp_jobs.internal_linking.show_more A company is looking for a Senior Claims Data Analyst to enhance the efficiency and scalability of claims operations through advanced analytics and reporting.
Key Responsibilities Collaborate with...serp_jobs.internal_linking.show_more This is your opportunity to join AXIS Capital - a trusted.We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders.We also ...serp_jobs.internal_linking.show_more A company is looking for a Pre-Payment Claims Analyst to analyze pharmacy claim data and identify overpayments.Key Responsibilities Research and analyze pre-payment pharmacy claim data to identif...serp_jobs.internal_linking.show_more At Selective, we don't just insure uniquely, we employ uniqueness.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards a...serp_jobs.internal_linking.show_more A company is looking for a Claims Supervisor - Commercial Property.Key Responsibilities Supervise and lead a liability claims team to ensure high-quality service Promote best practices in claims...serp_jobs.internal_linking.show_more A company is looking for a Contract Analyst to work from home.Key Responsibilities Develop, review, and maintain contracts ensuring compliance with regulations and policies Identify potential op...serp_jobs.internal_linking.show_more The Company is open to considering candidates in Princeton, NJ.Exciting opportunity for candidates with a broad variety of experience.
Have you worked in a legal role for a few years and want a new ...serp_jobs.internal_linking.show_more At Selective, we don't just insure uniquely, we employ uniqueness.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards a...serp_jobs.internal_linking.show_more A company is looking for a Senior Clinical Analyst to combine clinical data expertise with relationship management to ensure accurate claims processing and optimize carrier performance.Key Responsi...serp_jobs.internal_linking.show_more This is your opportunity to join AXIS Capital - a trusted.We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders.We also ...serp_jobs.internal_linking.show_more A company is looking for a Claims Adjuster Workers Compensation.Key Responsibilities Execute claims management decisions to analyze and resolve claims effectively Interact with various parties i...serp_jobs.internal_linking.show_more
Wisconsin Licensed Claims Analyst
VirtualVocations • Elizabeth, New Jersey, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RI Accounting & Claims Handling Analyst
Munich RE • Princeton, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Illinois Licensed Insurance Agent
VirtualVocations • Yonkers, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Business Analyst
Axis Capital • Princeton, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Specialist- E&S (Remote)
Selective Insurance • Branchville, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Senior Product Claims Analyst
VirtualVocations • Paterson, New Jersey, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
California Licensed EPIC Analyst
VirtualVocations • Elizabeth, New Jersey, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Property Field Claims Specialist - Central / Northern, NJ (Remote)
Selective Insurance • Branchville, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Property Field Claims Specialist - Chicago (Remote)
Selective Insurance • Branchville, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Senior Claims Data Analyst
VirtualVocations • Yonkers, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Claims Specialist - Management Liability
Axis Capital • Princeton, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Ohio Licensed Pre-Payment Claims Analyst
VirtualVocations • Bronx, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Complex Claims Specialist (Remote)
Selective Insurance • Branchville, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Supervisor - Illinois Licensed
VirtualVocations • Hamilton, New Jersey, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Contract Analyst - Pennsylvania Licensed
VirtualVocations • Hamilton, New Jersey, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Reinsurance Casualty Claims Specialist
Munich RE • Princeton, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Property Claims Specialist-Mobile - Remote
Selective Insurance • Branchville, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
State Licensed Clinical Analyst
VirtualVocations • Yonkers, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Claims Specialist - EPL / Fiduciary
Axis Capital • Short Hills, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Florida Licensed Claims Adjuster
VirtualVocations • Hamilton, New Jersey, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted