Claim jobs in Mesquite, TX

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AdvisorProject Management
Knowledge of Pharmacy Benefits Management, Claim Adjudication, Specialty, HIPAA and NCPDP standards a plus. Join Fortune 7 CVS Health as an Advisor of Project...
Desired Experience: PMP, Project Management, Project Planning, Software Development, PMI Certification
Clinical Client Operations - Consultant
Other duties will include RxClaim query, data analysis, manual updates to RxClaim, testing changes using EZ Test and macros and reviewing test claims for...
Desired Experience: Excel, Microsoft Office, Certified Pharmacy Technician
Benefits Setup Representative II
Managed care experience such as PBM, health insurance or healthcare claims processing is a plus; This position is actively involved in the deployment of the...

Rep II Benefits Setup

Irving, TX
Previous work experience in a PBM, Medical Claims, Health Insurance, Pharmacy, or Benefits highly preferred. As a Benefits Quality Analysis Rep II, you will be...

Benefits Setup Representative II

Irving, TX
2+ years of Claims experience. Knowledge of healthcare industry, Medical Claims, Health Insurance, Retail or Pharmacy highly preferred....

Data Strategy- Advisor

Irving, TX
In this role, you will design a process that combine both medical and pharmacy claims and deliver analytical datasets....

AdvisorProject Management

Richardson, TX
Knowledge of Pharmacy Benefits Management, Claim Adjudication, Specialty, HIPAA and NCPDP standards a plus. Join Fortune 7 CVS Health as an Advisor of Project...
Desired Experience: PMP, Project Management, Project Planning, Software Development, PMI Certification

Testing Advisor- Client Benefits

Irving, TX
Working knowledge of SQL queries and Claim testing tool. The Benefits Testing Advisor will be responsible for following:....

Enrollment Consultant

Irving, TX
Prior experience with RX Claim (AS400), SalesForce. As an Enrollment Consultant, you will be responsible for resolving enrollment discrepancies and performing...

AS/400 Production Support Analyst

Richardson, TX
Functional knowledge of RxClaim or Pharmacy Benefits Management / Claims processing. As an AS/400 Production Support Analyst you will be responsible for provide...
Desired Experience: COBOL, SQL

Specialty Adjudication Advisor

Irving, TX
Experience with RX Claim Query/EZ Query. At least 3 years of expert level RX Claim Experience. As the Specialty Adjudication Advisor you will be consulting with...
Desired Experience: Certified Pharmacy Technician

AS400 - Application Development Advisor

Richardson, TX
As part of the Rx Claim Adjudication team, you will be expected to be proficient in all critical functions of the application development and will champion SDLC...
Desired Experience: COBOL, SDLC, SQL

Application Development - Manager

Richardson, TX
Join CVS Health as an Application Development Manager for Rx Claim Adjudication. You will be responsible for supervising a team of Junior and Senior developers,...
Desired Experience: Software Development, Project Management, SDLC, Leadership Experience
Analytics Manager: Senior Manager
Experience with administrative claims data such as pharmacy or medical claims, experience with transactional data;...
Desired Experience: Hadoop, SAS, SQL
Benefit Relationship Manager
Expert level experience in RX Claim. Your healthcare industry knowledge in the areas of Formulary Management, Drug Utilization Management, and Reimbursement and...
Desired Experience: Leadership Experience
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