Ohio Licensed Pre-Payment Claims AnalystVirtualVocations • Fontana, California, United States
Ohio Licensed Pre-Payment Claims Analyst
VirtualVocations • Fontana, California, United States
job_description.job_card.1_day_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 • Fontana, California, United States
Job_description.internal_linking.related_jobs
Allied Universal, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose.
While working in a dynamic, welcoming, and collaborati...serp_jobs.internal_linking.show_more
Sompo has a unique opportunity for a Claims Tpa Business Analyst in our Claim Operations team.This role will serve as a critical liaison between business stakeholders, Third Party Administrators (T...serp_jobs.internal_linking.show_more
DIME is a rapidly growing cannabis company scaling across CA, AZ, OK, NM, NV, MT, MA, NY and Canada.We build premium products, move fast, and keep operations tight so Sales, partners, and customers...serp_jobs.internal_linking.show_more)
Inbound branded live calls, exclusive leads Pay : Advances paid twice weekly, earned commission paid once weekly, multiple bonuses, exotic vacations Growth : You choose to work locally, statewide, mu...serp_jobs.internal_linking.show_more
At QBE, we are always looking to connect with top talent for current vacancies as well as for future opportunities.It is our aim to continuously build a strong candidate pipeline across all our bu...serp_jobs.internal_linking.show_more
Workers Compensation Claims Examiner | Dedicated Account | Ontario, CA (3 Days Remote).By joining Sedgwick, you'll be part of something truly meaningful.
It's what our 33,000 colleagues do every day...serp_jobs.internal_linking.show_more
Pricing Configuration Specialist.Position Summary : Responsible for pricing configurations in our proprietary Product and Pricing Engine (PPE).
Ensures the performance of all duties in accordance wit...serp_jobs.internal_linking.show_more
Cut N Dry Restoration is on the lookout for a detail-driven, negotiation-savvy professional to join our fast-paced, mission-focused team as a.
If you're someone who thrives on turning challenges int...serp_jobs.internal_linking.show_more
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,.
UCI Health Community Network in Orange and Los Angeles count...serp_jobs.internal_linking.show_more
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country.
The actual salary for this position wi...serp_jobs.internal_linking.show_more
Bottler Claims Representative (Temp To Hire).We're the risk-takers, the trailblazers, the game-changers.We're not perfect, and we don't pretend to be.
We're raw, unfiltered, and a bit unconventional...serp_jobs.internal_linking.show_more
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...serp_jobs.internal_linking.show_more
Golden State Foods is a distinguished leader in the foodservice industry, offering an extensive array of products and services to a diverse clientele.
Rooted in the values of quality service and int...serp_jobs.internal_linking.show_more Workers Compensation Claims Team Lead (Supervisor).By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are...serp_jobs.internal_linking.show_more CA WC Senior Claims Specialist (SIP) 4850.Claims Specialist for our Southern California Team.Claims Specialist manages within company standards and best practices complex and problematic, high visi...serp_jobs.internal_linking.show_more 
Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished.Resolute Professional Bil...serp_jobs.internal_linking.show_more
Pavement Recycling Systems is the Western United States premier provider of Recycling Solutions to reclaim, preserve, and rehabilitate pavement at any stage.
Becoming a team member of PRS introduces...serp_jobs.internal_linking.show_more
Pavement Recycling Systems is the Western United States premier provider of Recycling Solutions to reclaim, preserve, and rehabilitate pavement at any stage.
Becoming a team member of PRS introduces...serp_jobs.internal_linking.show_more The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country.
The actual salary for this position wi...serp_jobs.internal_linking.show_more 
Workers' Compensation Claim Specialist (Mid to Senior Level).At CCMSI, we don't just process claimswe support people.As a leading Third Party Administrator and a certified Great Place to Work, we o...serp_jobs.internal_linking.show_more
Benefits Billing Analyst
Allied Universal • Irvine, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Claims TPA Business Analyst
Sompo International • Irvine, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Sales Analyst
Dime Industries • Irvine, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Licensed Insurance Agent
HealthMarkets (A UnitedHealthcare Company) • San Bernardino, CA, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Claims Specialist - Crop
QBE Insurance • Irvine, CA, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Workers Compensation Claims Examiner | Dedicated Account | Ontario, CA (3 days remote)
Sedgwick • Ontario, CA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Pricing Analyst
loanDepot • Irvine, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Insurance Claims Advocate
Cut N Dry Restoration • Upland, CA, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Revenue Integrity Service Line Analyst - Revenue Integrity - FT Days HYBRID
University of California - Irvine Health • Irvine, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Sr. Claim Representative Construction Liability
Travelers • Diamond Bar, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Bottler Claims Representative (Temp to Hire)
Monster Beverage • Corona, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
CA Claims Specialist
CorVel • Rancho Cucamonga, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Sr. Corporate Claims Specialist
Golden State Foods • Irvine, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Workers Compensation Claims Team Lead (Supervisor) | Riverside, CA | SIP Required
Sedgwick • Riverside, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
CA WC Senior Claims Specialist (SIP) 4850
CorVel • Rancho Cucamonga, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Epic Resolute Professional Billing Analyst (100% REMOTE)
Amerit Consulting • Riverside, CA, United States
serp_jobs.filters.remote
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Claims Specialist - Construction
Pavement Recycling Systems • Jurupa Valley, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Claims Specialist
PRS Holdings Inc. • Jurupa Valley, CA, United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_variable_days
General Liability Claim Representative
Travelers • Diamond Bar, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Workers Compensation Claim Specialist Remote | Mid to Senior Level | California Jurisdiction
CCMSI • Irvine, CA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted