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... broad understanding of managed care, medical billing and clinical program development to ... for Medicare Trend, Formulary and Medical Strategies, Clinical Program Operations and ... trend analysis Previous experience..
... LTC hospice patients; reconcile historic billing issues. Essential Duties and Responsibilities: ... but are not limited to): Billing: Assist pharmacies with claims adjudication ... standard/custom formularies Understand formulary and..
Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer ..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Tampa Florida Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
