Pharmacy Determinations Supervisor - Molenbeek-Saint-Jean - Sint-Jans-Molenbeek

Responsible for executing and reviewing quality controls for monitoring the operational processes established in the Unit to process claims and benefit configuration, seeking continuous improvement and quality. · ...

The position is largely governed by standardized processes. Situations outside the received instructions or procedures are consulted with the supervisor to determine or seek a solution.This role involves performing routine tasks that support office administrative processes under ...

+Job summary · The Condado Vanderbilt is the standard of excellence and luxury resort hotels in San Juan and The Caribbean. · +ResponsibilitiesWelcome and acknowledge all guests according to company standards, anticipate and address guests' service needs, and thank guests with ge ...

The Condado Collection is a collection of hospitality properties in Puerto Rico ranging from classic and modern luxury full-service hotels to fine dining and entertainment. · Key Responsibilities:Welcome and acknowledge all guests according to company standards. · Deliver any gue ...

+Responsible for receiving and responding to calls from clients related to the medication management process. · +Evaluate requests for coverage determinations, re-determinations, and reimbursements · Communicates with call centers of pharmacy management medical offices or infusio ...

FirstBank PR seeks a Centralized Operations Analyst to perform various tasks of potential high risk including reviewing and analyzing potential fraudulent accounts. · ...

Responsible for receiving and responding to calls from clients related to medication management. · Evaluate requests for coverage determinations, re-determinations, and reimbursements · Communicates with Call Centers of pharmacy management medical offices to resolve situations · ...

The Pharmacy Technician is responsible for receiving and responding to calls from clients (insured parties, suppliers, pharmacies) related to the medication management process. · ...

The pharmacy technician will receive and respond to calls related to medication management. They will participate in tasks such as validating drug coverage and searching for clinical information. · Receive calls and faxes from Pharmacy Providers and Physicians. · Evaluate request ...

Independently performs non-routine tasks in support of health services underwriting, renewal and claims processes applying various operational procedures and guidelines under general supervision. · ...

The Employee Relations Consultant is the first point of contact to provide advice and support on all employees relations matters to managers and supervisors. · We are proud of our team because they are continuously surpassing our client's expectations. · A passionate customer ser ...

The Mortgage Account Executive provides support and information to new prospects and customers regarding mortgage products and financial alternatives available at FirstBank. · ...

Analyzes investigates supports and answers Grievances Dental Pre-Service Payment Appeals filed by members insureds Providers within time stipulated contractually for both Lines Business LOB following term stated contracts established MCS rights Patients Providers. · ...

Analyzes and supports Grievances filed by members within the time stipulated contractually for both Lines of Business (LOB) following established contracts. · ...

Analyze and resolve grievances filed by members within the time stipulated contractually. Investigate and answer appeals related to dental pre-service and payment. · Analyzes, investigates, resolves, and answers Grievances. · Consults other MCS Departments or Units as part of the ...

+Job summary · This position serves as manager for SUD/IOP program in VACHCS responsible for direct supervision of all professional behavioral health staff assigned to SUD/IOP program +United States citizenshipEnglish language proficiencyMasters degree in social work from school ...

Bureau Veritas Commodities is op zoek naar gepassioneerde Surveyor Liquid Cargo in Antwerpen en Gent. · ...

The Condado Collection is a collection of hospitality properties in Puerto Rico ranging from classic and modern luxury full-service hotels... · We aim to create experiences and inspire journeys not only for our guests, but also our workforce. · Welcome and acknowledge all guests ...

The Accountant will support accounting staff by reviewing processes, providing training, and assisting supervisors with special reports and variance analyses. This role contributes to special projects such as system implementations, audits, · new products, · and regulatory initia ...

The Associate Payment Systems (Fraud Detection) is responsible for identifying and investigating instances of fraud activities related to the debit and credit card portfolio as well as digital payments by monitoring alerts and contacting customers to mitigate the risk of financia ...