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Lead Claims Strategist - TRICARE/USFHP Expert

Pacific Medical Centers Corp

Pacific Medical Centers is seeking a Lead Claims Specialist to oversee adjudication of purchased services claims for the USFHP enrolled population. You will resolve complex claim issues, manage advanced processing, and respond to customer requests with precision. The role requires a Bachelor’s in a related field or equivalent experience, 4 years in managed care operations with 3+ years in claims processing, and lead capacity experience. Knowledge of IDX and CHAMPUS/Medicare/Medicaid is preferred. #J-18808-Ljbffr Pacific Medical Centers Corp

Vacancy posted 1 day ago
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