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Health Claims Jobs in Pittsburgh

1 - 15 of 83
1 - 15 of 83
Search Results - Health Claims Jobs in Pittsburgh
TEKsystems-Pittsburgh
Overview In this role, you will support a healthcare/PBM organization by researching, auditing, and remediating pharmacy claims affected by RxClaim system issues. You will work remotely with a cross-functional team to identify root causes...
Insight Global-Pittsburgh
party claims  •  Healthcare industry experience with claims background  •  Strong technical aptitude and ability to learn complex new software A closed door pharmacy is looking to hire a Pharmacy Benefits Specialist. This role will include processing...
RAND Corporation-Pittsburgh
Overview In this role, you will conduct rigorous health policy research to inform policymakers and stakeholders. You join a multidisciplinary team applying advanced quantitative methods to large datasets to analyze Medicare, insurance markets...
Cencora Global Consulting Services US Corporation-Pittsburgh
ABOUT THE ROLE At Cencora, we are passionate about helping our clients anticipate reimbursement challenges and creating targeted health policy solutions that maximize patient access at every stage of the product life cycle. As Senior Director...
appcast.io -
CorVel-Pittsburgh
Overview As Vice President of Claims, you will steer strategic claims operations to meet revenue and profit goals while developing staff and driving customer satisfaction and retention. You’ll lead cross-functional collaboration to enhance...
LHH-Pittsburgh
disability programs, COBRA, unemployment claims, and leave administration.  •  Coordinate annual open enrollment activities and work closely with benefit vendors.  •  Support onboarding, offboarding, terminations, and employee lifecycle processes.  •  Assist...
VytlOne-Pittsburgh
PHARMACY INTERN VytlOne is currently recruiting for a Pharmacist Intern for The Pharmacy at Allies for Health+ Wellbeing Pharmacy in Pittsburgh, PA. This opportunity is perfect for a Pharmacy student with a PA board of pharmacy Intern license, who...
ProClinical-Pittsburgh
Overview As Product Owner, you will drive enhancements to a healthcare payments and reimbursement platform, working with cross-functional teams to deliver value for patients, providers, and businesses. You’ll shape product requirements, prioritise...
Korn Ferry-Pittsburgh
Medical & Occupational Health Leadership  •  Medical Governance, Regulatory & Compliance  •  Labor Relations & Cross-Functional Partnership  •  Safety, Workforce Health & Claims Management  •  Clinical Operations, Shared Services & Vendor Management  •  Financial...
UnitedHealth Group-Pittsburgh
collaboration experience  •  Bachelor’s degree in finance, Healthcare Administration, Economics, Statistics, Mathematics, Business Analytics, or related fields  •  Experience with claims systems, contract modeling software, or reimbursement configuration platforms...
VytlOne-Pittsburgh
PHARMACY INTERN VytlOne is currently recruiting for a Pharmacist Intern for The Pharmacy at Allies for Health+ Wellbeing Pharmacy in Pittsburgh, PA. This opportunity is perfect for a Pharmacy student with a PA board of pharmacy Intern license, who...
Pittsburgh
and SOP execution.  •  Healthcare industry experience in claims processing, contact centers, benefit verification, or related areas is required.  •  Call center and/or claims processing experience is a plus. Skills  •  Proficiency with Microsoft Office Suite...
icims.com -
National Coalition Of Healthcare Recruiters-Pittsburgh
for final determination on all disability claims.  •  Prior to the exam, the practitioner reviews a Veteran’s medical or mental health history, using electronic bookmarks that highlight the portions applicable to the Veteran’s claimed condition...
nchcr.com -
Peak Performance Team-Pittsburgh
to work independently What you should expect:  •  Guaranteed income while training  •  $120,000 - $150,000 PLUS as a realistic year one.  •  Expense reimbursement  •  Full benefits package including health care, 401K, paid time off and more  •  A family-first...
talentnest.com -
PwC-Pittsburgh
against aging/DAR, cash collection, denial, write-off, self-pay, and other key operational metrics through inventory health management and targeted improvement initiatives - Leading root-cause analysis of denials, rejections, and claim edits, implementing...
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