RemoteOtterRemoteOtterExplore 9 Remote Claim Adjudication Jobs
Rising Medical Solutions
The Lead Legal Nurse evaluates medical necessity and cost within claims while leading program direction.
Rising Medical Solutions
The Legal Nurse evaluates medical necessity and appropriateness of services within claims, combining clinical expertise with analytical review.
A.R
Aetna Resources
The Senior Claim Benefit Specialist at CVS Health reviews and adjudicates complex claims while providing training and support to junior staff.
Pie Insurance
The Claims Adjuster will manage workers’ compensation claims with a focus on delivering excellent customer service and ensuring compliance with regulations.
Gravie
Gravie is seeking a Senior Systems Analyst to lead complex projects and optimize the Javelina claims processing system.
Rightway
Join Rightway as a Pharmacy Customer Service Representative to assist members and providers with pharmacy benefit inquiries and enhance the healthcare experience.
Wellpartner
The Claims Data Reporting Analyst will manage and ensure the accuracy of client and pharmacy claim data reporting at CVS Health.
CGC Group
The Pharmacy Operations Manager oversees pharmacy benefits management and serves as a key liaison between health plans and pharmacy benefit managers.
E.P
ExactCare Pharmacy
Join AnewHealth as an MD Call Specialist to provide exceptional customer service in a remote pharmacy environment.
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