America's Pharmacy Group, LLCPawtucket
Whether you are working in a Pharmacy looking for additional income, an established healthcare sales professional, or looking to break into Medical Sales, Healthcare Marketing Group, LLC is a great opportunity for you.
As a Pharmacy Relationship...
Capleo GlobalWoonsocket (RI)
Position Title: Pharmacy Technician
Duration: 12 Months with possibility of extension
Location: Remote
Shift hours: Work hours vary from 8am to 8:30pm CT. Training hours 8am - 430pm CT. Mandatory OT.
Job requirements:
This position takes...
CTTX HealthNorth Smithfield
CTTX Health is seeking a dynamic and experienced Pharmacy Director to lead our pharmacy department. As the Pharmacy Director, you will be responsible for overseeing all aspects of pharmacy operations, including strategic planning, financial...
SoliantProvidence
Soliant Health has partnered with a leader in healthcare services and seeking a Staff Pharmacist. Staff Pharmacist Job Overview:. ...
SoliantEast Providence
Soliant Health is seeking to hire an Infusion Pharmacist to work a Contract to Hire position at one of ourpartnering Infusion Centers in East Providence, RI. ...
Army National GuardProvidence
JOINT Automated Systems are tools that help provide strategic coordination and situational awareness at the tactical levels of combat.As a Fire Control Specialist, your primary responsibility will be to integrate and process information from multiple users by utilizing the JOINT system and other aut...
Prospect Medical Holdings, Coordinated Regional CareJohnston (RI)
by collaborating with patients, pharmacies, and providers to resolve gaps in care. Track KPIs for care gap measures. Participate in clinical payer-provider meetings.
• Provide comprehensive medication reviews and targeted interventions for eligible patients...
US Tech SolutionsWoonsocket (RI)
Duration: 12 months
Employment Type: W-2
Position Summary:
As a Pharmacy Insurance Specialist, you will be responsible for ensuring that all required third party insurance settings are coded and maintained appropriately within the pharmacy...
Get new jobs by email!
Get email updates for the latest Pharmacy jobs in Rhode Island
It's free, and you can cancel email updates at any time
Billing Specialist I - Pharmacy Insurance Specialist
Woonsocket (RI) | www.resume-library.com |
Position Summary:
As a Pharmacy Insurance Specialist, you will be responsible for ensuring that all required third party insurance settings are coded and maintained appropriately within the pharmacy adjudication system. The Pharmacy Insurance Specialist will perform extensive testing and documentation to ensure accurate prescription claims processing while remaining in compliance with pharmacy standards and payer requirements.
As a part of the Network Operations team, this role allows you to analyze third party programs, and investigate and resolve systemic issues relative to prescription claims processing that interfaces with stores, providers, patients, pricing and financial impacts to the company.
Responsibilities:
Additional responsibilities of the Pharmacy Insurance Specialist include:
• Receiving third party program contract updates and creating or modifying third party plan configurations necessary to comply with industry standards, contract agreements and state and federal regulations
• Working with Pharmacy Application Development teams in Information Systems (IS) to provide prescription claims processing support for all system related issues or enhancements including defining business scenarios and testing procedures, analyzing production issues for any potential causes and recreating all known defects in test environments to assist development
-Working cross-functionally within the department to provide quality assurance within Pharmacy Operations by executing various scenarios affecting data quality, prescription claim processing and providing in-depth analysis of the results
Experience
• 1+ year related experience in a pharmacy, PBM, or insurance position
• 1+ years of experience using Microsoft Word and Excel
Preferred Qualifications :
• Pharmacy Technician Experience within the past 5 years
• Previous experience with business-to-business, interdepartmental, or customer interactions
• Retail Pharmacy help desk experience
• Experience with SQL or Access
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
As a Pharmacy Insurance Specialist, you will be responsible for ensuring that all required third party insurance settings are coded and maintained appropriately within the pharmacy adjudication system. The Pharmacy Insurance Specialist will perform extensive testing and documentation to ensure accurate prescription claims processing while remaining in compliance with pharmacy standards and payer requirements.
As a part of the Network Operations team, this role allows you to analyze third party programs, and investigate and resolve systemic issues relative to prescription claims processing that interfaces with stores, providers, patients, pricing and financial impacts to the company.
Responsibilities:
Additional responsibilities of the Pharmacy Insurance Specialist include:
• Receiving third party program contract updates and creating or modifying third party plan configurations necessary to comply with industry standards, contract agreements and state and federal regulations
• Working with Pharmacy Application Development teams in Information Systems (IS) to provide prescription claims processing support for all system related issues or enhancements including defining business scenarios and testing procedures, analyzing production issues for any potential causes and recreating all known defects in test environments to assist development
-Working cross-functionally within the department to provide quality assurance within Pharmacy Operations by executing various scenarios affecting data quality, prescription claim processing and providing in-depth analysis of the results
Experience
• 1+ year related experience in a pharmacy, PBM, or insurance position
• 1+ years of experience using Microsoft Word and Excel
Preferred Qualifications :
• Pharmacy Technician Experience within the past 5 years
• Previous experience with business-to-business, interdepartmental, or customer interactions
• Retail Pharmacy help desk experience
• Experience with SQL or Access
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Best jobs you don't want to miss: