Results, order, filter

82 Jobs

  • Compliance Manager (US)

    MASON, Ohio
    ... Compliance Manager Location: Must be within a 50 mile radius of a Pulse Point ... virtual work and 1-2 days in office per week. The Compliance Manager is responsible for ...
  • Compliance Manager (US)

    INDIANAPOLIS, Indiana
    ... Compliance Manager Location: Must be within a 50 mile radius of a Pulse Point ... virtual work and 1-2 days in office per week. The Compliance Manager is responsible for ...
  • Compliance Manager (US)

    ATLANTA, Georgia
    ... Compliance Manager Location: Must be within a 50 mile radius of a Pulse Point ... virtual work and 1-2 days in office per week. The Compliance Manager is responsible for ...
  • Compliance Manager (US)

    CHESAPEAKE, Virginia
    ... Compliance Manager Location: Must be within a 50 mile radius of a Pulse Point ... virtual work and 1-2 days in office per week. The Compliance Manager is responsible for ...
  • Compliance Manager (US)

    MENDOTA HEIGHTS, Minnesota
    ... Compliance Manager Location: Must be within a 50 mile radius of a Pulse Point ... virtual work and 1-2 days in office per week. The Compliance Manager is responsible for ...
  • Manager II Grievance/Appeals (RN)

    CERRITOS, California
    ... Manager II Grievance/Appeals – Claims Support **Location: *CA Residential Requirement ... California within 50 miles of one of our PulsePoint locations. The **Manager II Grievance/Appeals ...
  • Manager II Grievance/Appeals (RN)

    WOODLAND HILLS, California
    ... Manager II Grievance/Appeals – Claims Support **Location: *CA Residential Requirement ... California within 50 miles of one of our PulsePoint locations. The **Manager II Grievance/Appeals ...
  • Manager II Grievance/Appeals (RN)

    COSTA MESA, California
    ... Manager II Grievance/Appeals – Claims Support **Location: *CA Residential Requirement ... California within 50 miles of one of our PulsePoint locations. The **Manager II Grievance/Appeals ...
  • Manager II Grievance/Appeals (RN)

    RANCHO CORDOVA, California
    ... Manager II Grievance/Appeals – Claims Support **Location: *CA Residential Requirement ... California within 50 miles of one of our PulsePoint locations. The **Manager II Grievance/Appeals ...
  • Manager II Grievance/Appeals (RN)

    LOS ANGELES, California
    ... Manager II Grievance/Appeals – Claims Support **Location: *CA Residential Requirement ... California within 50 miles of one of our PulsePoint locations. The **Manager II Grievance/Appeals ...
  • Rating/Claims System Senior Advisor

    COLUMBUS, Ohio
    ... Rating/Claims System Senior Advisor Location: This position will work a hybrid ... , MA.** The Rating/Claims System Senior Advisor leads the activities for India based ...
  • Rating/Claims System Senior Advisor

    Mason, Ohio
    ... Rating/Claims System Senior Advisor Location: This position will work a hybrid ... , MA.** The Rating/Claims System Senior Advisor leads the activities for India based ...
  • Rating/Claims System Senior Advisor

    BOSTON, Massachusetts
    ... Rating/Claims System Senior Advisor Location: This position will work a hybrid ... , MA.** The Rating/Claims System Senior Advisor leads the activities for India based ...
  • Rating/Claims System Senior Advisor

    Indianapolis, Indiana
    ... Rating/Claims System Senior Advisor Location: This position will work a hybrid ... , MA.** The Rating/Claims System Senior Advisor leads the activities for India based ...
  • Rating/Claims System Senior Advisor

    Manchester, New Hampshire
    ... Rating/Claims System Senior Advisor Location: This position will work a hybrid ... , MA.** The Rating/Claims System Senior Advisor leads the activities for India based ...
  • LTSS Provider Auditor

    INDIANAPOLIS, Indiana
    ... for quality oversight and ensuring LTSS Providers are in compliance with federal state laws, and ... :** Leads day-to-day activities related to LTSS provider performance and compliance monitoring, ensuring ...
  • LTSS Provider Auditor

    INDIANAPOLIS, Indiana
    ... for quality oversight and ensuring LTSS Providers are in compliance with federal state laws, and ... :** Leads day-to-day activities related to LTSS provider performance and compliance monitoring, ensuring ...
  • Business Analyst III (Pharmaceutical Claims Audit)

    INDIANAPOLIS, Indiana
    ... claims issues from junior team to ensure claims are being resolved and reported in a timely manner. How You Will Make an Impact: Reviews and Audits Pharmaceutical claims processed by vendors ...
  • Business Analyst III (Pharmaceutical Claims Audit)

    NORFOLK, Virginia
    ... claims issues from junior team to ensure claims are being resolved and reported in a timely manner. How You Will Make an Impact: Reviews and Audits Pharmaceutical claims processed by vendors ...
  • Business Analyst III (Pharmaceutical Claims Audit)

    TAMPA, Florida
    ... claims issues from junior team to ensure claims are being resolved and reported in a timely manner. How You Will Make an Impact: Reviews and Audits Pharmaceutical claims processed by vendors ...
  • Business Analyst III (Pharmaceutical Claims Audit)

    MASON, Ohio
    ... claims issues from junior team to ensure claims are being resolved and reported in a timely manner. How You Will Make an Impact: Reviews and Audits Pharmaceutical claims processed by vendors ...
  • Business Analyst III (Pharmaceutical Claims Audit)

    ATLANTA, Georgia
    ... claims issues from junior team to ensure claims are being resolved and reported in a timely manner. How You Will Make an Impact: Reviews and Audits Pharmaceutical claims processed by vendors ...
  • Pharmacy Technician III - Resolutions

    GRAND PRAIRIE, Texas
    ... . Processes prior authorization requests from physicians and ensures compliance with all regulatory ... United States. Experience with PBM/Plan insurance setup and processing and claims adjudication and ...
  • Pharmacy Technician III - Resolutions

    MASON, Ohio
    ... . Processes prior authorization requests from physicians and ensures compliance with all regulatory ... United States. Experience with PBM/Plan insurance setup and processing and claims adjudication and ...
  • Government Benefits State Operations Director- Mid Atlantic

    NORFOLK, Virginia
    ... include: Claims, Enrollment, NCC, PDM/PDQ, configuration; Quality, Regulatory Compliance, IT ... : Resolves programmatic challenges related to operations including member issues, provider claims issues ...
  • Government Benefits State Operations Director- Midwest

    Waukesha, Wisconsin
    ... including member issues, provider claims issues, contract configuration issues, etc. Serves as liaison to Health Plan support services, which could include: Claims, Enrollment, NCC, PDM/PDQ, configuration ...
  • Government Benefits State Operations Director- Midwest

    ST LOUIS, Missouri
    ... including member issues, provider claims issues, contract configuration issues, etc. Serves as liaison to Health Plan support services, which could include: Claims, Enrollment, NCC, PDM/PDQ, configuration ...
  • Government Benefits State Operations Director- Mid Atlantic

    RICHMOND, Virginia
    ... include: Claims, Enrollment, NCC, PDM/PDQ, configuration; Quality, Regulatory Compliance, IT ... : Resolves programmatic challenges related to operations including member issues, provider claims issues ...
  • Government Benefits State Operations Director - Ohio

    COLUMBUS, Ohio
    ... operations including member issues, provider claims issues, contract configuration issues, etc. Serves as liaison to Health Plan support services, which could include: Claims, Enrollment, NCC, PDM/PDQ ...
  • Government Benefits State Operations Director- Midwest

    W DES MOINES, Iowa
    ... including member issues, provider claims issues, contract configuration issues, etc. Serves as liaison to Health Plan support services, which could include: Claims, Enrollment, NCC, PDM/PDQ, configuration ...
More