Job Description Role Purpose The purpose of this role to deliver great customer service/experience by effectively acknowledging, tracking, and prioritizing all client cases as per the regulatory guidelines, and ensuring resolution as pe...
Description & Requirements Maximus is seeking a highly skilled and knowledgeable Pharmacy Claims Subject Matter... in managing pharmacy claim adjudication, resolving complex claim disputes, and providing expert guidance on pharmacy claims...
and projects. Serve as a subject matter expert on health data analytics and contribute expertise to interdisciplinary teams... sources, including electronic health records (EHRs), claims data, surveys, and registries. Ensure data quality, consistency...
, and deployment of new solutions. Remain current on trends and industry knowledge establishing self as subject matter expert... employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party...
when appropriate in accordance with document control process. - Subject matter expert (SME) in preliminary review..., Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...