Lead Pharmacy Adjudication - Specialty Claims & Ops
JobRx, Inc.
JobRx, Inc. is seeking a Pharmacy Adjudication Supervisor to lead the Specialty Pharmacy program, focusing on staff supervision, claim adjudication, and daily operations management. This full-time position requires 4+ years of pharmacy experience, with a strong emphasis on leadership and knowledge of healthcare regulations. Benefits include medical, dental, life insurance, and a sign-on bonus of $5,000. #J-18808-Ljbffr JobRx, Inc.
- Onco360 Oncology Pharmacy in Louisville, KY is seeking a Pharmacy Adjudication Supervisor. This full-time role is crucial for overseeing pharmacy claims adjudication and ensuring accurate medication delivery amidst claims processes. The ideal candidate will have a minimum...ClaimsFull timeRelocation package
$21 per hour
W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Louisville, KY. This will be a Full-Time position. This position must be located... ...Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription...ClaimsFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work$46k
Pharmacy Adjudication Supervisor Onco360 Pharmacy is seeking a qualified Pharmacy Adjudication Supervisor to lead our expanding Specialty Pharmacy program. This is a full-time position (Monday - Friday... ...escalations for difficult claim rejection resolution cases to ensure...ClaimsFull timeTemporary workWork experience placementRelocation packageMonday to Friday$46k
..., KY Job Id: 5277 # of Openings: 1 Pharmacy Adjudication Supervisor This is a full‑time position... ...for all aspects of pharmacy claims adjudication, accuracy of pharmacy claims... ...Degree, Certified Pharmacy Technician, Specialty pharmacy experience. Work Experience...ClaimsFull timeTemporary workWork experience placementRelocation packageMonday to FridayFlexible hours$21 per hour
Position: Pharmacy Claims Adjudication Specialist Location: Louisville, KY Job Id: 5090 # of Openings: 1 We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Louisville, KY. This will be a Full-Time position. This position must be located within...ClaimsFull timeTemporary workWork experience placementFlexible hours$21 per hour
Onco360 Oncology Pharmacy seeks a Pharmacy Claims Adjudication Specialist in Louisville, KY. This full-time role requires experience in pharmacy claims and involves ensuring accurate adjudication of claims, resolving rejections, and maintaining patient records. The position...ClaimsFull time$21 per hour
Onco360 in Louisville, KY is seeking a Full-Time Pharmacy Claims Adjudication Specialist. This role involves adjudicating pharmacy claims, managing funding-related adjudications, and ensuring delivery of medications while maintaining compliance with professional standards...ClaimsHourly payFull timeRelocation package- Summary The Specialty Pharmacy Care Coordinator acts as an extension of the ambulatory clinic teams to support patient access to high touch,... ...to complete prescription refills, delivery coordination, and claim processing on time. Minimum Qualifications High school diploma...ClaimsFull time
- ...direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance... ...(corrects and resubmits) manual claims for third party program prescription services... ...Title: Certified Pharmacy Technician - Specialty Company Indicator: Walgreens Employment...ClaimsHourly payFull timeWork experience placementWork at officeLocal areaImmediate startFlexible hoursShift workAfternoon shift
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Louisville, KY | Full-Time... ..., addressing and rectifying rejected claims and conducting necessary third party authorization... ...pharmacy or prior authorizations ~ Specialty pharmacy experience Ready to...ClaimsFull timeTemporary workLocal areaRemote workRelocation package- ...Patient Engagement Pharmacy Technician The Patient Engagement... ...a large volume centralized specialty and mail order pharmacy call... ...prescription order entry and adjudication for centralized specialty and... ..., and resolving issues with claims. Resolves insurance issues...ClaimsWork experience placementShift work
$135k - $150k
...HR Site Lead - Manufacturing - Louisville, KY Our client, a global leader in food manufacturing, is seeking a strategic Human Resources... ...positive labor-management relations; handle unemployment claims, investigations, and policy enforcement. Safety & Wellbeing — Support...ClaimsFull timeLocal area- ...Pharmacy Technician As a family company, we serve people and communities. When you work at Meijer, you're provided with... ...pharmacy dispensing system. Creating prescription labels and adjudicating insurance claims. Completing paperwork related to filling prescriptions...Weekly pay
- Gallagher Bassett is seeking a Claims Supervisor in Louisville, KY. The ideal candidate will possess a robust background in Workers Compensation claims, coupled with a minimum of ten years of related experience and appropriate licenses for KY, TN, and AL. This remote role...ClaimsRemote job
- ...to helping manage chronic and specialty conditions. As a Non-US Accredited... ...that will utilize your pharmacy knowledge and skills. Non-US Accredited... ...Additionally, you will: Lead with Heart – display empathy... ...and complete any manual claim forms Perform all...ClaimsWork experience placementInternshipNight shift
- BrightSpring Health Services is seeking a Senior Pharmacy Technician. This traveling role requires collaboration with pharmacy staff and leadership to ensure pharmacy success. Candidates should possess at least 5 years of LTC Technician experience and be prepared for 7...
- Cencora is looking for a Pharmacy Manager to lead their mail order pharmacy operations in Brooks, Kentucky. This full-time position involves overseeing the pharmacist team, ensuring regulatory compliance, and managing service quality. The successful candidate will possess...Full time
- ...apply today! The position must practice the profession of pharmacy in an environment that by philosophy and policy promotes... ...dispensing system. Creating prescription labels and adjudicating insurance claims. Completing paperwork related to filling prescriptions...Weekly pay
- Intuitive Health is seeking a Patient Access Supervisor in Louisville, KY. This leadership role is responsible for the operational oversight of the Patient Access team, ensuring effective workflows and compliance. Duties include supervising staff, performance management...Work at office
$110k - $140k
...responsible for the safe and efficient methods for coordination of specialty pharmacy policy concerning medication patient care and provides... ...practice area Understanding or knowledge of medication claims processing systems and/or medical information systems Unrestricted...ClaimsFull timeWork at officeLocal areaRelocation package$24 - $32 per hour
...accordance with company policies and procedures by properly handling claims and returns; zoning the area; stocking, arranging and organizing... ...categories; and stocking, zoning, and cleaning all departments. Leads and participates in teams by using and sharing resources,...ClaimsHourly payMinimum wageFull timeTemporary workPart time$25 - $33 per hour
...accordance with company policies and procedures by properly handling claims and returns; zoning the area; stocking, arranging and organizing... ...categories; and stocking, zoning, and cleaning all departments. Leads and participates in teams by using and sharing resources,...ClaimsHourly payMinimum wageFull timeTemporary workPart time$15.25 per hour
...Pharmacy Alternative Team PharMerica is a closed-door pharmacy where you can focus on... ...to complete either approval for pharmacy claims requiring prior authorization or by coordinating... ...Support for Pharmacy Operations Adjudicates and resolution of claim rejections as...ClaimsLive inWork at officeHome officeMonday to FridayFlexible hoursShift work- ...Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and... ...including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals,... ...: Coding for Emergency Department claims Complete responsibilities with fast approaching...ClaimsPrivate practiceMonday to Friday
- ...Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and... ...including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals,... ...first tier accuracy of original claim allowance utilizing client’s base rates,...ClaimsPrivate practiceMonday to Friday
$142.3k - $195.7k
...Become a part of our caring community Humana is looking for a Lead Solutions Architect to join our Fortune #40, Best Places to Work... ...data Good understanding of healthcare data e.g., member, provider, claims and clinical data Experience and understanding of data...ClaimsBi-weekly payFull timeTemporary workWork at officeWork from homeHome office- Position Details Job Title: Pharmacy manager Location: Louisville, KY Rate: DOE $/hr. Position Type: Contract Interview Process: Phone... ...plus). Understanding of overall process flow among eligibility, claims, and benefit systems. Understanding of needs and challenges in...ClaimsContract work
- ...Amerita Overview The Finance Manager of Pharmacy Margin & Unit Economics will lead margin analytics across the... ...infusion pharmacy reimbursement and claim-level profitability, this position... ...experience Pharmacy, infusion pharmacy, specialty pharmacy, healthcare reimbursement,...ClaimsTemporary workShift work
- A leading investigation firm located in Louisville, Kentucky, is seeking candidates for an investigative role focusing on workers compensation and liability claims. The position involves performing surveillance and aiding other investigators. Ideal candidates should have...ClaimsFlexible hours
- ...Maintenance Manager for its Louisville, KY Fulfillment Center and Pharmacy. In this leadership role, you'll enhance equipment reliability... ...skills. This position includes responsibilities such as leading maintenance technicians for the reliability of warehouse assets...
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