Ohio Licensed Pre-Payment Claims AnalystVirtualVocations • Yonkers, New York, United States
Ohio Licensed Pre-Payment Claims Analyst
VirtualVocations • Yonkers, New York, 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 • Yonkers, New York, United States
Job_description.internal_linking.related_jobs 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 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 A company is looking for an Insurance Specialist to manage patient insurance information and ensure compliance with established policies.
Key Responsibilities Verify and ensure the accuracy of fin...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 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 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 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 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 A company is looking for a Senior Claims Specialist to adjust complex construction defect claims.Key Responsibilities Adjust complex or high exposure construction defect claims Build and maintai...serp_jobs.internal_linking.show_more 
Claims Analyst III Employment Practices Liability.At AIG, we are reimagining the way we help customers to manage risk.Join us as a Claims Analyst III Employment Practices Liability to play your p...serp_jobs.internal_linking.show_more A company is looking for an Epic Ambulatory Analyst for a 3-month remote contract position.Key Responsibilities Support the Ambulatory module by managing tickets and providing on-call support Co...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 
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc.
Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...serp_jobs.internal_linking.show_more 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 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 Mortgage Loan Processor to manage mortgage loan files from application to closing.Key Responsibilities : Compile and review financial documentation to ensure complete lo...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 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 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 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
California Licensed EPIC Analyst
VirtualVocations • Paterson, New Jersey, 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 • Jackson Heights, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Michigan Licensed Insurance Specialist
VirtualVocations • Bronx, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Specialist - Management Liability
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
State Licensed Clinical Analyst
VirtualVocations • Bronx, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Senior Product Claims Analyst
VirtualVocations • Flushing, 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
Contract Analyst - Pennsylvania Licensed
VirtualVocations • Bronx, New York, 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 • Bronx, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
State Licensed Senior Claims Specialist
VirtualVocations • New York, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Claims Analyst III - Employment Practices Liability
AIG • New York, NY, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
North Carolina Licensed Epic Analyst
VirtualVocations • Yonkers, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Claims Data Analyst
VirtualVocations • Newark, 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
Sr Field Claims Specialist
Argonaut Management Services, Inc • Newark, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Wisconsin Licensed Claims Analyst
VirtualVocations • New York, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Supervisor - Illinois Licensed
VirtualVocations • Astoria, New York, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Ohio Licensed Loan Processor
VirtualVocations • Elizabeth, 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
Ohio Licensed Pre-Payment Claims Analyst
VirtualVocations • Newark, 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
Claims Business Analyst
Axis Capital • New York, NY, 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
US Healthcare Reinsurance Underwriting Lead
Axis Capital • Short Hills, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted