Pharmacy Claims Manager - LTC Reimbursement & Compliance
Consonus Pharmacy Services, LLC
Consonus Pharmacy, a closed‑door long‑term care pharmacy, is hiring a Pharmacy Claims Manager to oversee all claims processing operations, including adjudication, third‑party billing, and reimbursement optimization. You will lead a team to ensure timely submissions, resolve claim exceptions, and maintain compliance with PBM, Medicare Part D, Medicaid, and commercial payer requirements. The role partners with Billing, Customer Accounts, and Pharmacy Operations to maximize reimbursement, minimize #J-18808-Ljbffr Consonus Pharmacy Services, LLC
Vacancy posted 5 days ago
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$25k
Overview Pharmacy Claims Manager Consonus Pharmacy is a closed‑door long‑term... ...rejection management, and reimbursement optimization. This position... ...resolution of claim exceptions, compliance with PBM, Medicare Part D,... ...issues, and management of LTC‑specific reject queues...ReimbursementCurrently hiringFlexible hours- Consonus Pharmacy is seeking a Pharmacy Claims Manager to oversee claims processing, adjudication, third‑party billing, and reimbursement optimization for long‑term care environments. The role... ...claim exceptions, and maintain compliance with PBMs and government programs...Reimbursement
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