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Associate, Member Contact Center
NRECA - Lincoln, NE
Job Description Job Title: Associate, Member Contact Center Work Location: Lincoln, NE Work Schedule: Hybrid Schedule, 3-days in office; 2 days out of office Work Hours: Monday – Friday, 10:15 – 7:00 p.m. Join a Mission-Driven Organization We're seeking someone who is passionate about service excellence and telephone customer service to join our Me...
Sr Specialist, Pharmacy Claims
NRECA - Lincoln, NE
Job Description Sr. Specialist, Pharmacy Claims Includes Hybrid Work Schedule - must work close enough to commute to the Lincoln, NE location 3 days per week. Join a Mission-Driven Organization We're seeking a problem-solver who enjoys tackling complex challenges, investigating and resolving pharmacy claim issues, and delivering exceptional service to ou...
Medical Claims Associate
NRECA - Lincoln, NE
Job Description Medical Claims Associate Work Location : Lincoln, NE Hybrid Schedule : The position is eligible for NRECA's hybrid schedule which allows flexibility to work from home up to 2 days per/week. Work Hours: Monday – Friday, 8:15 a.m. – 5:00 p.m. Join a Mission-Driven Organization We're seeking someo...
Clinical Review Unit - Physician
Washington Permanente Medical Group - Renton, WA
JOB SUMMARY Clinical Reviewer Unit Physicians ensure that requests for coverage are adjudicated using professionally recognized standards and criteria. Requests are reviewed for clinical indications, appropriateness, and compliance with contract language. This is achieved through well documented case review, the consistent application of decision tools...
