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Specialty Claims Associate

NRECA - Lincoln, NE

Job Description Specialty Claims Associate Location: Lincoln, Nebraska Join a Mission-Driven Organization Are you detail-oriented, customer-focused, and passionate about helping people navigate their specialty benefit accounts? NRECA is seeking a Specialty Claims Associate to join our Insurance & Financial Services team in Lincoln, Nebraska. Join a team that's proud to b...

Dental Claims Associate

NRECA - Lincoln, NE

Job Description Dental Claims Associate Location: Lincoln, Nebraska Join a Mission-Driven Organization We're seeking someone who is detail-oriented, adaptable, and passionate about customer service to join our Medical and Dental Claims Department team in Lincoln, NE. We're proud to be named one of Lincoln's Best Places to Work —and we're looking for pe...

Analyst, Quality & Training

NRECA - Lincoln, NE

Job Description Analyst, Quality & Training (2 openings) Location: Lincoln, Nebraska Join a Mission-Driven Organization Are you detail-oriented, customer-focused, and passionate about helping people navigate their specialty benefit accounts? NRECA is seeking a Quality & Training Analyst to join our Insurance & Financial Services team in Lincoln, Nebraska. In this role, y...

Specialty Pharmacy Case Reviewer

Washington Permanente Medical Group - Renton, WA

Kaiser Permanente Washington Permanente Medical Group is seeking a part-time provider (0.1 FTE) to support the Specialty & High-Cost Medication Advanced Review Partnership (SHARP), Peer Review and Medication Safety. JOB SUMMARY In partnership with specific Kaiser Permanente Washington (KPWA) Pharmacy staff, this individual reviews select, new dru...

Physician-Clinic Review Unit

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...