Hybrid Pharmacy Claims Auditor - CPhT
Conduent
A leading service provider in Miami, FL is seeking a Pharmacy Claims Auditor CPhT to ensure accuracy in pharmacy claims. This role involves examining pharmacy records, conducting audits, and requires a National CPhT Certification. The position offers a hybrid work model, allowing 25% remote work and includes comprehensive benefits from the first day. Ideal candidates have extensive retail pharmacy experience and are proficient with Microsoft Office. Join a diverse organization making an impact daily. #J-18808-Ljbffr Conduent
- JobRx, Inc. is seeking a Pharmacy Claims Auditor CPhT based in Miami, FL. In this role, you will conduct pharmacy audits for accuracy and compliance... ...and a valid CPhT certification. The position supports a hybrid work model, working 25% from home and conducting audits at...ClaimsRemote jobWork from home
$57k
...Pharmacy Claims Auditor CPhT Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune... ...role, you can expect the following working conditions: ~ Hybrid work: Will be working from home 25% of the month and will...ClaimsWork at officeLocal areaWork from homeFlexible hoursNight shift- ...Pharmacy Technician Position Position is onsite in Coral Gables, FL. As a Certified... ...Pharmacy-related projects Review pharmacy claims for appropriateness Perform Quality... ...Florida Certified Pharmacy Technician License (CPhT) required Managed Care Pharmacy...ClaimsContract workRemote workMonday to FridayShift workWeekend work
- A leading financial services firm in Miami seeks a Temporary Accounts Payable Assistant for the LATAM region. This hybrid role involves performing payment reviews and maintaining compliance with corporate processes. Candidates should have 3+ years of relevant experience...SuggestedPermanent employmentTemporary work
- ...Senior Auditor Employment Type: Full Time, Mid-level CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses...ClaimsFull timeRemote workFlexible hours
$50k - $100k
...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general auditing... ...of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary evidence...ClaimsFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours- ...Claims Auditor Position We are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and...ClaimsWork at office
- ...background in auto and home insurance is preferred but not required.Key Responsibilities:1. Perform audits on internal processes, claims, and transactions to ensure compliance with legal, regulatory, and company standards.2. Analyze data, reports, and workflows to identify...ClaimsWork at office
- ...government services organization in Miami is seeking a Senior Auditor to conduct essential financial analyses and support legal investigations... ...role includes creating financial models, analyzing healthcare claims, and communicating findings effectively. Competitive...Claims
$80k - $150k
Contact Government Services, LLC in Miami is looking for a Senior Auditor to assist in medical claims data analysis and financial investigations. The role involves analyzing complex financial records, conducting forensic investigations, and reporting findings to legal staff...ClaimsFull time- ..., based in Miami, Florida, is seeking an experienced Litigation Claims Adjuster. This role involves effective management of Bodily Injury... ...adjusting. We prioritize integrity and excellence, offering a hybrid work schedule after a 90-day probationary period. Join our team...Claims
- ...support decision making. Responsibilities include creating dashboards, analyzing claims/provider/utilization data, and delivering ad hoc analyses while partnering with teams. The role supports a hybrid work model with periodic time onsite. #J-18808-Ljbffr Elevance HealthClaims
- ...Job Description Job Description We are seeking a Pharmacy Benefits Coordinator to join our team at Independent Living Systems (ILS... ...Strong understanding of pharmacy benefit management, insurance claims processing, and healthcare regulations. Preferred Qualifications...Claims
- Gallagher Bassett in Miami, FL is seeking an Entry-Level Claims Assistant who thrives on administrative support and customer service in a hybrid setting. This role blends office duties with claim-related tasks, offering growth within a leading claims organization. You will...ClaimsWork at office
- Univista Holdings is searching for a SIU Investigator in Miami, FL. The role involves investigating potential fraudulent claims and offers a hybrid work schedule after the probation period. The ideal candidate will possess strong investigative skills, a high school diploma...ClaimsTrial period
- ...punctuality. The team is an extension of our customers' supply chain and pharmacy operations team. Compliance with our customers' requirements is... ...requirements to include inoculations and periodic testing. Auditors will work in warehouses, storerooms, clean rooms, and sterile...
- ...Pharmacy Address-7900 NW 27th Avenue, Suite E-12, Miami Florida This position requires the candidate to be bilingual, must be fluent... ...accurate. Resolve issues when they arise (e.g., rejected insurance claims). Select the appropriate medicine and measure dosages to...ClaimsMonday to FridayWeekend work
- ...including general liability and high-exposure product liability claims. Responsibilities include conducting legal research, preparing legal... ...documents, and significant client interaction. Benefits include hybrid work flexibility, performance bonuses, and comprehensive health...Claims
- ...healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery... ...into a long-lasting and rewarding career! Job Description Claims Processing: investigate insurance claims; properly resolve by follow...ClaimsPrivate practice
- ...coverage practice group. The role involves analyzing insurance policies, conducting legal research, drafting claims, and attending legal proceedings. Benefits include hybrid work flexibility, performance bonuses, paid time off, student debt repayment options, mentorship...Claims
- Arthur J. Gallagher & Co. (AJG) in Miami, FL seeks an Entry-Level Claims Assistant to provide administrative, claim and customer support.... ...will handle data entry, report requests and forms filing, in a hybrid work setting. This role emphasizes teamwork, organization, and a...ClaimsWork at office
- Uloop Inc. is seeking a Claims Coordinator in Miami, FL, to efficiently handle inquiries regarding claims and provide exceptional customer... ...skills, and have a high school diploma. This role includes a hybrid work model, competitive benefits such as medical and dental insurance...Claims
- Dormont Manufacturing Co is seeking a Senior Auditor in Miami, Florida to analyze complex financial data, including medical claims and forensic investigations. This full-time position requires a minimum of 5 years in financial accounting and litigation consulting. Candidates...ClaimsFull time
- CGS is seeking a Senior Auditor to support government investigations through forensic financial analysis, claims data review, and complex economic modeling. The role involves working with district legal staff on prosecutions, settlements, and recovery in high-volume matters...Claims
- Auditor Employment Type: Full-Time, Mid-Level Department: Financial Job Overview CGS is seeking a highly skilled Auditor to provide... ...volume of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, and other documentary...ClaimsFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
$100k
...financial services. NEIS, LLC a leader in the insurance audit and loss control prevention industry since 1945 is seeking a Premium Auditor to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers...Hourly payWeekly payLocal areaWork from homeFlexible hours- ...Molina Healthcare is hiring for several Pharmacy Customer Service Representatives. These positions... .../or appeals. Explains point-of-sale claims adjudication, state, NCQA and CMS... ...Required) Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license...ClaimsRemote jobWork at officeMonday to FridayShift work
$19 - $22 per hour
...Answer inbound and/or outbound patient and pharmacy calls • Call patients to schedule and... ...• Help process prescriptions and resolve claim issues • Check prescription status and... ...where applicable) • National certification (CPhT/PTCB) required • Knowledge of...ClaimsWork at officeLocal areaRemote workMonday to Friday- ...Accounting. FLSA Status: Exempt. Location: Hybrid schedule but must commute weekly to Miami... ...liabilities, unearned premiums, and claims payable. Support statutory reporting requirements... ...requirements. Support external auditors and examiners by preparing work papers, schedules...Claims
$2,126.58 - $2,252.49 per month
...7.016, F.A.C., with the Florida Department of Veterans’ Affairs. The Department of Veterans’ Affairs also has an email address for claims or questions: ****@*****.***. The Department of Business and Professional Regulation will only hire U.S. citizens...ClaimsWork at officeMonday to Friday
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