. Dispute Management: Professionally and promptly investigate and resolve customer discrepancies, billing issues, and payment... forecasts to various stakeholders. Process Optimization: Collaborate with Business Development, Alliance Management...
or providers as needed. Work closely with pharmacists and pharmacy teams to ensure timely fulfillment of patient and provider... is an advantage. Experience with non-commercial pharmacy settings. Strong time management and organizational skills. Adaptability...
provider agreements, including reimbursement provisions (e.g., percentage of Medicaid, percentage of Medicare, DRG, APC... and ancillary network adequacy in partnership with the Director and Provider Recruitment and Maintenance staff identifying gaps...
to confirm accuracy and adherence to provider instructions. Clinical & Legal Verification: Assess prescriptions for safety... or discrepancies according to policy. Patient & Provider Support: Serve as a resource for patients, nurses, physicians...
Management (MDM) tools (e.g., Manage Engine, Jamf). Ability to work onsite Mon-Sat (specific shift hours can be defined, e.g..., Python, Bash) to automate tasks. Additional information: Contractors may be hired through a third-party provider...
. The ideal candidate will have experience with Splunk, Python, Infrastructure as Code, AWS, Configuration Management (Salt... solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems...
or providers as needed. Work closely with pharmacists and pharmacy teams to ensure timely fulfillment of patient and provider... is an advantage. Experience with non-commercial pharmacy settings. Strong time management and organizational skills. Adaptability...
or providers as needed. Work closely with pharmacists and pharmacy teams to ensure timely fulfillment of patient and provider... is an advantage. Experience with non-commercial pharmacy settings. Strong time management and organizational skills. Adaptability...
Expert to lead the design, deployment, and management of our enterprise compliance monitoring program. This role will focus... compliance ticketing and exception handling. Collaborate with Security Architecture, Risk Management, and IT Operations teams...
terms, reimbursement provisions, or related requirements. Negotiates professional provider agreements, including.... Assesses professional network adequacy in partnership with the Director and Provider Recruitment and Maintenance staff...