Healthcare Claim Analyst Jobs in Arizona

Actuarial Analyst II,III - Any Anthem Office ... filled as either an Actuarial Analyst II or an Actuarial Analyst III depending on experience and ... at the managers discretion. Actuarial..

Description The Mail Operations Pharmacy Technician 2 accurately fills and counts medications. The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Job Information Humana Senior Financial Analyst - Remote Nationwide in Phoenix ... Arizona Description The Senior Financial Analyst for Humana's Direct Contracting Entity, ... operational effectiveness. The Senior Financial Analyst..

Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business ... decision-makers. The Senior Business Intelligence Analyst work assignments involve moderately complex ... In The Senior Business Intelligence Analyst..

Job Information Humana Senior Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in Phoenix Arizona Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

... aspects related to reviewing pharmacy claim submissions for accuracy and appropriateness. ... tone and standard for pharmacy claim review. The Pharmacy Claims Professional ... pharmacies, make determination of appropriate..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Phoenix Arizona Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Job Information Humana Call Center Pharmacy Claims Technician in Phoenix Arizona Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy ..

u003cpu003eu003cstrongu003eWho We Areu003c/strongu003eu003c/pu003enu003cpu003eu003ca href=u0022https://www.wpshealthsolutions.com/about/index.shtmlu0022 target=u0022_blanku0022 rel=u0022noopeneru0022u003eWPS Health Solutionsu003c/au003e is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small ..

Job Description The Manager, Business Analysis (Individual Contributor) is the CSS Plan Lead who oversees the implementation of QNXT configuration requirements through strategy and development of information solutions to ensure operational ..

Description The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities The Mail Operations Pharmacy Technician 2 ensures ..

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..

Senior Compliance Analyst The candidate will assist in maintaining Centene Corporation’s Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies. ..

u003cpu003eu003cstrongu003eRole Summary:u0026nbsp; u0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eu003cemu003eAre you considering a career move away from direct patient care and want to use your nursing knowledge in a new and different way? If you desire a remote ..

Job Description At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans, and community pharmacists, we're pioneering a bold new ..

Job Information Humana Call Center Pharmacy Claims Technician, Remote in Phoenix Arizona Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..

Job Information Humana Senior Financial Analyst - Remote in Tucson Arizona ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..

Job Information Humana Pharmacy Claims Specialist, Remote in Phoenix Arizona Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. ..

... Humana Lead Product Manager - Healthcare API in Phoenix Arizona Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

... our team as a Sr Analyst, where you will be developing ... knowledge of the rapidly changing healthcare marketplace, pharmacy benefits management industry, ... Health is expanding in the..

Description The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities The Failed Claims Pharmacy Technician 2 ensures ..