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
$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
$22.5 - $31 per hour
...performing day-to-day non-clinical pharmacy operations, administrative... ..., coaching, and performance management of pharmacy technicians.... ...independent judgment to ensure compliance and execution of all business... ...accurate processing of insurance claims to resolve customer issues...SuggestedHourly payFull timeWork experience placementLocal areaFlexible hoursAfternoon shift$67.05 - $90.55 per hour
Walgreens in Vancouver, WA is seeking a Pharmacy Manager to provide empathetic consulting on medications and oversee pharmacy operations. You will manage staff performance and ensure compliance with regulations while enhancing patient experiences through excellent service...Suggested$59.92k - $74.9k
...based in Portland . The Pharmacy Project Manager serves as a central point... ...technology, vendor partners, compliance, and other internal and... ...administration, pharmacy operations, claims adjudication, and... ..., benefit configuration, reimbursement methodologies, and pharmacy...ReimbursementWork at officeRemote workAfternoon shift- Albertsons Companies in Portland, OR is seeking a Pharmacy Manager to lead the pharmacy team and deliver high-quality patient care. You will oversee operations, maintain compliance, and drive initiatives to improve profitability while upholding service standards. As a...
- CVS Health is seeking a Pharmacy Manager to lead a retail pharmacy team, ensure high-quality patient care, and oversee dispensing, immunizations and compliance. The role focuses on coaching staff, onboarding new members, and maintaining regulatory standards across daily...
$83.92 - $134.17 per hour
Description Pharmacy Program Manager - Medication Safety and Compliance at Providence St Vincent Medical Center in Portland, OR. and Providence Seaside Hospital in Seaside, OR. Full-Time/Day Shift The Program Manager, Medication Safety coordinates all medication safety...Minimum wageFull timeLocal areaShift workDay shift- CVS Health is seeking a Pharmacy Manager in the United States to lead a pharmacy team, ensure safe dispensing, counseling, and immunization... ...and develop staff, manage schedules, and ensure regulatory compliance across pharmacy operations while delivering high-quality...
$120 per hour
...Workers that simplifies taking insurance, leading to higher reimbursement rates and fast credentialing. Our free, all-in-one HIPAA-... ...templates, secure messaging, and automated billing. Full Compliance: Stay protected with built-in audit support and ongoing compliance...ReimbursementBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceRemote workFlexible hours$120 per hour
...Workers that simplifies taking insurance, leading to higher reimbursement rates and fast credentialing. Our free, all-in-one HIPAA-... ...templates, secure messaging, and automated billing. Full Compliance: Stay protected with built-in audit support and ongoing compliance...ReimbursementBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceRemote workFlexible hours- ...Occupational Therapy Assistant: LTC/SNFClient in OR seeking Occupational Therapy Assistant: LTC/SNF for the following shift(s): Days... ..., and vision insurance, employer paid life insurance, a health reimbursement account, and more!Weekly paychecks with competitive pay...ReimbursementHourly payWeekly payContract workShift work
- ...Occupational Therapy Assistant: LTC/SNF Client in OR seeking Occupational Therapy Assistant: LTC/SNF for the following shift(s... ..., and vision insurance, employer paid life insurance, a health reimbursement account, and more! Weekly paychecks with competitive pay packages...ReimbursementHourly payWeekly payContract workShift work
$18 - $32 per hour
...Pharmacy Technician - Clinic Pharmacy Liaison (Medication... ..., medication management and more - are leading... ...information Ensure compliance with HIPAA and regulations... ...Purchase Plan ~ Education Reimbursement ~ Employee Discounts... ..., legal insurance, LTC Insurance, etc.)...ReimbursementHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area- Responsibilities Department Management - Overseeing workflows, developing policies and procedures, and ensuring compliance with regulations. Team Leadership - Managing, training,... ...particularly those who may not have prior claims experience. Cross-functional Collaboration...Full time
- Casualty Senior Claims Manager - Casualty Specialized Claims We are seeking a Senior Claims Manager with at least 10+ years of relevant experience to join our Casualty Specialized Claims team. This leadership role is responsible to guide, plan, and lead the strategic direction...Work experience placementWork at officeLocal area
- ...Supportive and responsive environment Smooth onboarding and compliance Quick feedback throughout the hiring process A team... ...on Clinical Assessment Tests (Relias) Licensure and other reimbursements, when applicable. Referral Bonus of $250 for each professional...ReimbursementFlexible hours
$2,000 per month
...Supportive and responsive environment Smooth onboarding and compliance Quick feedback throughout the hiring process A team... ...on Clinical Assessment Tests (Relias) • Licensure and other reimbursements, when applicable. • Referral Bonus of up to $2000.00 • Licensing...ReimbursementFlexible hours- ...must have 3 years of experience or a demonstrated interest in health law in areas that may include healthcare regulatory matters, reimbursement, fraud and abuse, healthcare contracting, HIPAA or telemedicine. Strong legal writing, contract drafting, and oral communication...ReimbursementContract workWork at office
- ...system-wide processes. You will collaborate with Revenue Cycle teams, clinical departments, and vendors to optimize reimbursement and ensure regulatory compliance. The role emphasizes advanced reporting, data integrity, and cross-functional teamwork to drive financial...Reimbursement
- ...quality review of OASIS admission documents and Plans of Care to maintain CMS compliance in home health settings, collaborating with management to optimize patient outcomes and reimbursement. The position requires an active RN license, home health experience, and proficiency...ReimbursementRemote jobWeekday work
- ...Vision) ~ Life Insurance ~401(k) ~ Referral Bonus ~ Reimbursement for Licensure & CEU's ~ Refer-a-Friend Bonus Program ~ EAP... ...operating departmental equipment. Cognitive Demands – capable of managing frequent interactions with the public and customers and...ReimbursementWeekly pay
- ...maintains charge integrity, and performs routine assignments within established guidelines to ensure accurate billing, reimbursement, and compliance with organizational standards. Job Requirements Education & Experience High School Diploma/GED: Preferred Associate...Reimbursement
$65 - $85 per hour
...locations, we bring this promise to life with heart every day. Our Pharmacy Managers play a critical role in cultivating a culture of excellence... ...but not limited to workflow, service, patient care, and compliance Establishing a culture of safety, empowerment, and...Hourly payFull timeTemporary workTraineeshipWork experience placementLocal areaWork from homeFlexible hoursShift workNight shift- ...Accountable for all aspects of pharmacy practice, within the limits of state and federal laws and corporate policies. Manage and maximize the financial performance of the pharmacy... ...more. Up to $21,000 in tuition reimbursement over your career, through our industry-...Full timePart timeLocal areaFlexible hours
- ...Pharmacy Manager We're building a world of health around every individual — shaping a more connected, convenient and compassionate health... ...but not limited to workflow, service, patient care, and compliance Establishing a culture of safety, empowerment, and inclusion...TraineeshipWork experience placementFlexible hoursShift workNight shift
$67.05 - $90.55 per hour
...Summary: Provides empathetic pharmacy consulting services to... ...company policies and procedures. Manages an efficient pharmacy workflow... ...Ensures insurance claims are processed accurately to prevent... ...termination, as necessary, and ensures compliance with employment laws....Local areaShift work- ...Description Accountable for all aspects of pharmacy practice, within the limits of state and federal laws and corporate policies. Manage and maximize the financial performance... ...more. Up to $21,000 in tuition reimbursement over your career, through our industry-...Full timePart timeWork experience placementLocal areaFlexible hours
$160k - $220k
...take on meaningful client-facing work, manage complex cases, and play a key role in a... ...provide strategic legal guidance Ensure compliance with court deadlines and procedural... ...bar dues, and professional development reimbursement ~ Partnership-track potential and...Reimbursement$75k - $100k
...secure communications tools, ensuring client confidentiality and compliance with HIPAA regulations. Key Responsibilities\n \n... ...holiday pay, and opportunities for annual bonuses. \n Mileage reimbursement for client-related travel when necessary. \n Pay on demand...ReimbursementFull timeRemote workFlexible hours
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