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  • Virtual
    Req #702
    Thursday, November 4, 2021
    Summary Under the supervision of the Manager of Pharmacy Benefits, the Pharmacy Benefits Advocate is responsible for answering calls from our clients and providing timely and accurate responses in a professional and courteous manner.  This position works with internal and external clients which include: members, clinicians, pharmacies, plan sponsors and other departments within the company.   This position also assists with various internal tasks that ensure a high level of overall cl ... More
  • Virtual
    Req #700
    Thursday, November 4, 2021
    Job Description:                       Claims Examiner                     Summary: Under the supervision of an assigned Claims Supervisor, the Claims Examiner is responsible for processing claims and meeting defined quality and productivity standards.   Essential Functions:   Claims Processing and Payment Evaluates claims for completeness and validity to determine payment/denial according to provider contracts, authorizations, and Medicare processing guidelines Process ... More
  • Virtual
    Req #701
    Thursday, November 4, 2021
    Job Description:                       Claims Examiner                     Summary: Under the supervision of an assigned Claims Supervisor, the Claims Examiner is responsible for processing claims and meeting defined quality and productivity standards.   Essential Functions:   Claims Processing and Payment Evaluates claims for completeness and validity to determine payment/denial according to provider contracts, authorizations, and Medicare processing guidelines Process ... More
  • Virtual
    Req #692
    Wednesday, November 3, 2021
    We are seeking a Professional Remote Medical Coder who will apply his or her technical and specialized expertise to help healthcare programs remain compliant with government regulations while identifying opportunities for increased financial success. The Professional Medical Coder will work from his or her home office to review, analyze, and code diagnostic and procedural information from medical records that determine payments to our clients. The primary function of this position is to perform ... More
  • Virtual
    Req #678
    Wednesday, November 3, 2021
    The Scrum Master is responsible for serving team(s) by providing leadership and guidance in the application of Scrum and helping team(s) improve their effectiveness in delivering valuable software or services for our customers. The Scrum Master understands Scrum theory and framework and how to create or tune practices that support and guide self-management, continuous improvement and collaboration. We are looking for a Scrum Master that can provide strong leadership to our team(s) to support agi ... More
  • Moorestown, NJ 08057, USA
    Req #506
    Tuesday, November 2, 2021
    The HR Business Partner (HRBP) position is responsible for aligning business objectives with employees and management in designated business units. The position formulates partnerships across the HR function to deliver value-added service to management and employees that reflects the business objectives of the organization. The HRBP maintains an effective level of business literacy about the business unit's financial position, its midrange plans, its culture and its competition. ESSENTIA ... More
  • Virtual
    Req #698
    Wednesday, October 27, 2021
    Medical Auditor   CareVention Health Care, a division of TRHC is seeking a Medical Auditor, who will apply his or her technical and specialized expertise to help risk adjusted organizations remain compliant while identifying opportunities for increased financial success.  This Remote position performs highly technical and specialized functions for CareVention Health Care. The primary function of the Medical Auditor is to perform a review of patient encounters to assess for completeness ... More
  • Moorestown, NJ 08057, USA
    Req #675
    Tuesday, October 26, 2021
    Dispensary - Pharmacist Ensures accurate, efficient, timely and compliant medication distribution and fulfillment for patients. Provides timely final approval for dispensed prescriptions assuring the correct drug, dosage form, quantity, days’ supply, number of refills and packaging is dispensed to the correct patient and within guidelines. Responsible for proper labeling and warnings as well as verifying appropriate directions for use per prescription. O ... More
  • Virtual
    Req #693
    Monday, October 25, 2021
    We are seeking a Medical Coding Quality Assurance Specialist. This position performs highly technical and specialized functions for Capstone. The Medical Coding Quality Assurance Specialist performs quality audits for coding data to ensure compliance with Coding guidelines, as well as departmental policies and procedures. The primary function of this position is to ensure compliance in maintaining 95% coding accuracy for all coding staff. Additionally, this position analyzes findings and provi ... More
  • Virtual
    Req #694
    Thursday, October 21, 2021
    BI ENGINEER ESSENTIAL DUTIES AND RESPONSIBILITIES Under general direction, specific duties include the following. Other duties may be assigned.   Develop and maintain python scripts for exporting via Looker API Build and maintain Looker dashboards and scorecards Utilize SQL and stored procedures to support and create reporting datasets Contribute qualitative and quantitative analysis to product enhancement requests and product requiremen ... More
  • Virtual
    Req #670
    Tuesday, October 19, 2021
      PeakTPA offers a full suite of health plan management and back-office services that maximize efficiencies, fulfill regulatory requirements, and assure accurate reimbursement. Our extensive expertise in TPA means your organization can focus on delivering care to your participants, instead of on the technicalities of a health plan.   Job Description:                    Configuration Analyst                   Summary: Under the supervision of the Assistant Dire ... More
  • Virtual
    Req #671
    Tuesday, October 19, 2021
    PeakTPA offers a full suite of health plan management and back-office services that maximize efficiencies, fulfill regulatory requirements, and assure accurate reimbursement. Our extensive expertise in TPA means your organization can focus on delivering care to your participants, instead of on the technicalities of a health plan.     Job Description:                    EDI Data Specialist                   Summary: Under the supervision of the Assistant Direct ... More
  • Virtual
    Req #672
    Tuesday, October 19, 2021
    PeakTPA offers a full suite of health plan management and back-office services that maximize efficiencies, fulfill regulatory requirements, and assure accurate reimbursement. Our extensive expertise in TPA means your organization can focus on delivering care to your participants, instead of on the technicalities of a health plan.       Job Description:                    Provider Network Specialist                     Summary: Under the supervision of th ... More
  • Virtual
    Req #649
    Thursday, October 14, 2021
    Summary: The Operations Trainer is well versed in the various operational teams and products for which PEAK TPA supports, including the system functionality for the various software programs used. The Operations Trainer will be required to support operational functions including, but not limited to, claims adjudication, call center, provider network, client services, and support functions.This position monitors evolving information as it pertains to operations for PEAK’s contracted clients, in ... More
  • Moorestown, NJ 08057, USA
    Req #676
    Wednesday, October 13, 2021
    The OPM Project Manager is to drive delivery of high impact projects across the enterprise as part of a newly established Office of Project Management. The OPM PM will be responsible for all aspects of project management, as defined by in the Project Management Institute Project Management Book of Knowledge, for projects that are selected by the Office of Project Management. Projects will all have significant strategic importance to TRHC. This position requires that the PM be a strong project ... More
  • Irvine, CA, USA ● Virtual
    Req #573
    Tuesday, October 12, 2021
    JOB SUMMARY We are looking for an ambitious and talented Client Success Specialist to join our team. The Client Success Specialist works as an account manager for our high-value customers to provide legendary service. The Client Success Specialist helps community pharmacies deliver exceptional patient care, improve their clinical workflow, and better understand their business. This is a highly client-facing role, with most time spent interfacing with clients over the phone. This position reports ... More
  • Moorestown, NJ 08057, USA
    Req #667
    Monday, October 11, 2021
    TRHC is offering a $1,250 Sign-on bonus to new employees that join our team. In addition to this bonus, you will receive competitive pay, benefits, set schedule with better hours, 401K, PTO & career growth while working in a professional environment.   Under the direction of the COO or Pharmacist in Charge, the distribution Pharmacy Technician is responsible for preparing, filling and distributing prescriptions according to client orders/specifications, maintaining equipment and inventory i ... More
  • Des Moines, IA, USA
    Req #554
    Friday, October 8, 2021
    Our seasonal Pharmacy Technicians are generally scheduled to work at least 10 - 29 hours per week. Flexible scheduling with Monday -Saturday hours available!    Though candidates near our local Clinical Call Centers are preferred, we may consider remote employees for this opportunity. REMOTE WORK REQUIREMENTS Ability to commit to a minimum of 10 hours per week. A quiet workspace A computer A reliable high-speed internet connection A landline o ... More
  • Phoenix, AZ, USA
    Req #556
    Friday, October 8, 2021
    Our seasonal Pharmacy Technicians are generally scheduled to work at least 10 - 29 hours per week. Flexible scheduling with Monday -Saturday hours available!   Though candidates near our local Clinical Call Centers are preferred, we may consider remote employees for this opportunity.   REMOTE WORK REQUIREMENTS Ability to commit to a minimum of 10 hours per week. A quiet workspace A computer A reliable high-speed internet connection ... More
  • Phoenix, AZ, USA
    Req #561
    Friday, October 8, 2021
    If you are seeking the opportunity to be part of a dynamic, innovative team made up of people who are passionate about their mission - come to MedwiseRx and help us make a difference in our community!    As a Pharmacy Technician, you will perform administrative duties, tasks, and assignments supporting both MedwiseRx Medication Therapy Management (MTM) programs and services and MedwiseRX, administrative operations. The assigned responsibilities primarily focus on providing medication ... More
  • Tucson, AZ, USA
    Req #557
    Friday, October 8, 2021
    Our seasonal Pharmacy Technicians are generally scheduled to work at least 10 - 29 hours per week. Flexible scheduling with Monday -Saturday hours available!    Though candidates near our local Clinical Call Centers are preferred, we may consider remote employees for this opportunity.   REMOTE WORK REQUIREMENTS Ability to commit to a minimum of 10 hours per week. A quiet workspace A computer A reliable high-speed internet connection ... More
  • Tucson, AZ, USA
    Req #540
    Friday, October 8, 2021
    If you are seeking the opportunity to be part of a dynamic, innovative team made up of people who are passionate about their mission - come to MedwiseRx and help us make a difference in our community!    As a Pharmacy Technician, you will perform administrative duties, tasks, and assignments supporting both MedwiseRx Medication Therapy Management (MTM) programs and services and MedwiseRX, administrative operations. The assigned responsibilities primarily focus on providing medication ... More
  • Boulder, CO, USA
    Req #660
    Friday, October 8, 2021
    CareKinesis - PACE organizations nationwide rely on CareKinesis pharmacy for medication risk mitigation services. CareKinesis increases medication adherence and reduces hospitalizations through expert consultation services, the EireneRx medication management platform, custom adherence packaging, and flexible medication access and delivery options. We consistently strive to reduce medication-related risk while documenting improved economic, clinical, and humanistic outcomes.   We are seeking Clin ... More
  • Gainesville, FL, USA
    Req #555
    Friday, October 8, 2021
    Our seasonal Pharmacy Technicians are generally scheduled to work at least 10 - 29 hours per week. Flexible scheduling with Monday -Saturday hours available!   Though candidates near our local Clinical Call Centers are preferred, we may consider remote employees for this opportunity.   REMOTE WORK REQUIREMENTS Ability to commit to a minimum of 10 hours per week. A quiet workspace A computer A reliable high-speed internet connection ... More
  • Moorestown, NJ 08057, USA
    Req #613
    Thursday, October 7, 2021
    TRHC is offering a $1,250 Sign-on bonus to new employees that join our team. In addition to this bonus, you will receive competitive pay, benefits, set schedule with better hours, 401K, PTO & career growth while working in a professional environment.    PACE organizations nationwide rely on CareKinesis pharmacy for medication risk mitigation services. CareKinesis increases medication adherence and reduces hospitalizations through expert consultation services, the EireneRx medicati ... More