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Pharmacy Claims Remote Jobs

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10 fresh jobs found
Senior Actuarial Analyst
Remote-IL, United States Centene Corporation logo Centene Corporation
Health care claims Pharmacy Claims Probability Data Sources Actuarial Financial SAS Data Security Claims +33
Senior Full Time
USD 68K+
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Clinical Account Executive (RPh)
United States Navitus Health Solutions, LLC logo Navitus Health Solutions, LLC
Drug Literature Interpretation Clinical Trial Evaluation Pharmacy Claims Formulary management Clinical Strategy Clinical programs Prior authorization MS PowerPoint Client Services +15
Exec Mid Full Time
USD 112K+
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Senior Analyst, Finance Operations - Pharmacy Claims
OH-Ohio-FIELD, United States Cardinal Health logo Cardinal Health  Remote-first
Pricing administration Rebates Employee travel Chargebacks Fiscal Controls Cash application Finance operations Pharmacy Claims Financial processes +17
Senior Mid Full Time
USD 56K+
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Pharmacist, Clinical Grievance and Appeals
United States Navitus Health Solutions, LLC logo Navitus Health Solutions, LLC
Evidence-based documentation Drug Utilization Review Formulary Development Pharmacy Practice Pharmacy Claims Formulary management Data evaluation Quality review Grievance and appeals +20
Mid Full Time
USD 98K+
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Tester, Benefit Configuration
United States Navitus Health Solutions, LLC logo Navitus Health Solutions, LLC
Benefit configuration NCPDP Claim adjudication Pharmacy Claims Claims Adjudication Workflow Management Issue Resolution Claims processing Health +15
Entry Mid Full Time
USD 42K+
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Healthcare Analyst II
Dayton WFH, United States CareSource logo CareSource
HIE data EMR data Longitudinal trend analysis Demographic data UM data Market performance Transact-SQL Pharmacy Claims Cluster analysis +28
Entry Mid Full Time
USD 70K+
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Pharmacy Prior Authorization Representative - Remote CT
Any city, CT, US, 99999 Gainwell Technologies logo Gainwell Technologies
Pharmacy claims processing Pharmacy Claims Prior authorizations Accuracy Prior authorization Efficiency Claims processing Claims Call Center +29
Entry Mid Full Time
USD 33K+
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Pharmacy Claims Representative
Remote US, United States Humana logo Humana
Drug knowledge Dispensing systems Pbm systems Electronic claims submissions Pharmacy Claims PBM Prescription Pharmacy Technician Claims Adjudication +37
Entry Mid Full Time
USD 40K+
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Specialist II, Pharmacy Relations
United States Navitus Health Solutions, LLC logo Navitus Health Solutions, LLC
Pharmacy relations Pharmacy audits Pharmacy Claims Pharmacy Technician Claims processing Health Contract management Creativity Quality Assurance +9
Mid Full Time
USD 47K+
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Specialist, Formulary Operations
Madison, WI, United States Navitus Health Solutions, LLC logo Navitus Health Solutions, LLC
Pharmacy claims software Pharmacy Practice Pharmacy Claims Formulary management Prior authorization Client Services Claims processing Health Utilization management +10
Entry Full Time
USD 46K+
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