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...
of related professional experience. - Experience with pharmacy claims/reimbursements required. - Experience using health care... to resolve any dispute raised by carrier or pharmacy. This includes but is not limited to client communication, quality control...
individual and departmental standards Researches and resolves complex pharmacy issues utilizing the Reclaims system and the HNE... Pharmacy Services Department Performs New Member Outreach Calls Processes member transactions, including but not limited...
as pharmacy staff. Seeks new and better ways to further promote productivity. Ensures the accurate processing of insurance claims...Job Description Job Objectives Provides pharmacy consulting services with empathy to patients regarding the...