Pharmacy Claims Quality Assurance Specialist

About the RoleAbarca Health is seeking a skilled Pharmacy Claims Quality Assurance Specialist to join our team. As a key member of our Quality Oversight Department, you will play a critical role in ensuring the quality and integrity of our pharmacy claims testing and adjudication processes.Key ResponsibilitiesOptimize testing and monitoring activities to...

Product Quality Assurance Specialist Job DescriptionAt Abarca Health, we are igniting a revolution in healthcare by redefining pharmacy benefits. We are seeking a Product Quality Assurance Specialist to join our team. This role will ensure that business requirements are developed accurately and configured into our claims adjudication platform.Key...

About Abarca HealthAbarca Health is a pioneering company in the healthcare industry, revolutionizing pharmacy benefits with cutting-edge technology. Our mission is to redefine the standards of pharmacy management, and we're just getting started.Job DescriptionWe're seeking an experienced Product Quality Analyst to join our team. As a key member of our...

In a few words...Abarca Health is revolutionizing pharmacy benefits. Our Operational Performance team is dedicated to centralizing data to drive improvements.As an Issue Management Analyst, you will collaborate with key functional areas to ensure the quality and integrity of the claims processing system.Contribute to the definition of tactical and strategic...

Job Title: Senior Quality Assurance Manager 2nd ShiftJob Summary:We are seeking a highly skilled and experienced Senior Quality Assurance Manager to lead our quality operations team in delivering high-quality products and ensuring compliance with regulatory requirements. This is a challenging opportunity for a seasoned professional who can provide...

Overview of SOL Engineering Services, LLCSOL Engineering Services, LLC is a leading engineering and technical services provider with over 20 years of experience. Our company's viability stems from the diverse backgrounds of our owners and the experiences of our team of approximately 100 engineers, scientists, and technical experts.Job DescriptionWe are...

Job Title: Claims Adjuster SpecialistFirma de Reclutamiento en PR is seeking a highly skilled Claims Adjuster Specialist to join our team. This role plays a crucial part in handling claims and ensuring that customers receive fair compensation for their losses.About the Role:This position involves reviewing and evaluating insurance claims to determine their...

About SOL Engineering Services">SOL Engineering Services, LLC is an engineering and technical services provider with over 20 years of experience. Our success stems from utilizing diverse backgrounds of our owners and the expertise of our team of engineers, scientists, and project managers.">We offer a competitive salary and comprehensive benefits package to...

About the Role:As a Financial Claims Specialist at AIG, you will be responsible for assessing and managing complex liability claims within authority limits. You will perform coverage and quantum analysis throughout the claims' lifecycles, ensuring timely and accurate resolutions for our customers.What You'll Do:Proactively assess and manage complex liability...

Company OverviewOptum, a global organization, delivers care aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.We have a culture guided by diversity and inclusion,...

A career with Abarca Health awaits!Company OverviewAbarca Health is a revolutionary force in healthcare, igniting a wave of smarter technology to redefine pharmacy benefits.We're not just changing the game - we're redefining it. Our passion for innovation and customer satisfaction drives us to excel every day.Job SummaryWe're seeking an experienced Coverage...

Company OverviewManpower Inc. is a global leader in the staffing industry, providing workforce solutions to meet the needs of clients worldwide. Job SummaryWe are seeking a Medical Claims Specialist to join our team in [location]. This role will be responsible for processing medical claims efficiently and effectively, ensuring timely payment and compliance...

We are seeking a highly skilled Auto Bodily Injury Claims Specialist to join our team at First Chicago Insurance Company. Our new office in Oak Brook is now open and we are looking for an experienced professional to support our growth.Key Responsibilities:Investigate and settle automobile bodily injury claimsReview and determine course of action on each file...

About the Role: CVS Health is seeking a highly skilled Pharmacy Manager to lead our pharmacy operations. As a Pharmacy Manager, you will be responsible for the management, oversight, and operation of all aspects within your pharmacy. This includes patient safety, pharmacy professional practice, regulatory requirements, quality assurance, customer service,...

Channel Quality Assurance AssociateThe Channel Quality Assurance Associate at Oriental is responsible for ensuring the quality of service across our retail channels. This includes assessing and monitoring performance to ensure compliance with our brand standards.Main Responsibilities:Perform quality assurance reviews to assess and measure performance and...

At Popular, we strive to deliver exceptional financial solutions to our customers in Puerto Rico, the United States, and the Virgin Islands. As a dedicated team, we aim to make our customers' dreams a reality by providing tailored financial services throughout their lives.We take pride in our extensive experience, which showcases our employees' resilience...

At Buscojobs Puerto Rico, we pride ourselves on offering a wide array of services and financial solutions to cater to our communities in Puerto Rico, United States, and Virgin Islands. As part of our team, you will be dedicated to making our customers' dreams come true by providing innovative financial solutions at every stage of their life. Our extensive...

Join Our Team as a Pharmacy Operations ManagerWe are seeking an experienced and skilled Pharmacy Operations Manager to join our team at Walgreens.About the RoleThis is a full-time position responsible for overseeing the daily operations of our pharmacy, ensuring efficient workflow and a positive customer experience. As a key member of our team, you will be...

Job DescriptionWe are seeking a highly skilled Financial Lines Claims Specialist to join our team. In this role, you will be responsible for assessing and managing complex liability claims within authority limits from the first notification of loss to a timely, accurate and customer-focused resolution.The ideal candidate will have a strong understanding of...

At UnitedHealth Group, our mission is to provide quality healthcare services to millions of people worldwide. We believe that everyone deserves access to healthcare, and we strive to make the health system work better for everyone.We are seeking a skilled Claims Representative to join our team. In this role, you will be responsible for authorizing payments...