ProCare Rx Career

PRINCIPLE RESPONSIBILITIES include but are not limited to:Support multiple client program offeringsHandling general client inquiries service calls and problem resolution meeting EHIMs performance standardsEffectively communicate with multiple parties to complete tasks from beginning t

PRINCIPLE RESPONSIBILITIES include but are not limited to:Support multiple client program offeringsHandling general client inquiries service calls and problem resolution meeting EHIMs performance standardsEffectively communicate with multiple parties to complete tasks from beginning t

PRINCIPLE RESPONSIBILITIESProvide review and evaluation of utilization data for areas of improvement for both clinical impact and cost effectiveness of the pharmacy program for renewals.Analyze monthly claims data and provide client feedback to Client Services/Sales as needed.Ensure a

PRINCIPLE RESPONSIBILITIESProvide review and evaluation of utilization data for areas of improvement for both clinical impact and cost effectiveness of the pharmacy program for renewals.Analyze monthly claims data and provide client feedback to Client Services/Sales as needed.Ensure a

Locations: Onsite - Gainesville GA Schedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Hand

Locations: Onsite - Gainesville GA Schedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Hand

Locations: Miramar FLSchedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters fro

Locations: Miramar FLSchedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters fro

PRINCIPLE RESPONSIBILITIESAssist in designing and maintaining databases to support contract management and recordkeeping.Assist with administrative aspects and filings related to licensure and certification.Prepare documentation and reports related to business licensure and regulatory

PRINCIPLE RESPONSIBILITIESAssist in designing and maintaining databases to support contract management and recordkeeping.Assist with administrative aspects and filings related to licensure and certification.Prepare documentation and reports related to business licensure and regulatory

PRINCIPLE RESPONSIBILITIES (include but are not limited to):Invest a significant portion of time on the phone qualifying opportunities and traveling to meet with decision makers.Responsible for gathering the pertinent information for analyzing requests for proposals creating presentat

PRINCIPLE RESPONSIBILITIES (include but are not limited to):Invest a significant portion of time on the phone qualifying opportunities and traveling to meet with decision makers.Responsible for gathering the pertinent information for analyzing requests for proposals creating presentat

PRINCIPLE RESPONSIBILITIES (include but are not limited to):Analyze pharmacy claims data utilization to identify financial trends opportunities and potential risks including changes to profit margins.Work with Pharmacy Network to identify new contract requirements and methods to valid

PRINCIPLE RESPONSIBILITIES (include but are not limited to):Analyze pharmacy claims data utilization to identify financial trends opportunities and potential risks including changes to profit margins.Work with Pharmacy Network to identify new contract requirements and methods to valid

Primary Duties:Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations.Evaluate underpayments resolve non-payments and rejected claims. Follow through until the clai

Primary Duties:Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations.Evaluate underpayments resolve non-payments and rejected claims. Follow through until the clai

Duties include but are not limited to:Establish and maintain professional relationships with clients across multiple levels of client organizations while serving as the primary contact for selected clients and providing support of accounts (secondary) to the Strategic Account Manager.

Duties include but are not limited to:Establish and maintain professional relationships with clients across multiple levels of client organizations while serving as the primary contact for selected clients and providing support of accounts (secondary) to the Strategic Account Manager.

SUMMARY:We at ProCare Rx are looking for a passionate and experienced Wellness Coordinator to join our team. Our ideal candidate will be a motivated and detail-oriented individual with a strong desire to promote health and wellness initiatives within our organization. The Wellness Coo

SUMMARY:We at ProCare Rx are looking for a passionate and experienced Wellness Coordinator to join our team. Our ideal candidate will be a motivated and detail-oriented individual with a strong desire to promote health and wellness initiatives within our organization. The Wellness Coo

Duties include but are not limited to:Establish and maintain professional relationships with clients across multiple levels of client organizations while serving as the primary contact for selected clients and providing support of accounts (secondary) to the Strategic Account Manager.

Duties include but are not limited to:Establish and maintain professional relationships with clients across multiple levels of client organizations while serving as the primary contact for selected clients and providing support of accounts (secondary) to the Strategic Account Manager.

Primary Duties:Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations.Evaluate underpayments resolve non-payments and rejected claims. Follow through until the clai

Primary Duties:Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations.Evaluate underpayments resolve non-payments and rejected claims. Follow through until the clai

**This is an onsite position** You must be a Georgia Resident**PRINCIPLE RESPONSIBILITIES (include but are not limited to)â Manage a staff of up to 5 IT professionals. Includes performance management and employeedevelopment.â Support infrastructure of an online real-time transaction p

**This is an onsite position** You must be a Georgia Resident**PRINCIPLE RESPONSIBILITIES (include but are not limited to)â Manage a staff of up to 5 IT professionals. Includes performance management and employeedevelopment.â Support infrastructure of an online real-time transaction p

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:ï Candidate must be able to logically evaluate claims for proper payment and make sure the desired benefits goals are met.ï Candidate must be willing to think outside box to provide solutions to complex

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:ï Candidate must be able to logically evaluate claims for proper payment and make sure the desired benefits goals are met.ï Candidate must be willing to think outside box to provide solutions to complex

ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:â Ensure pharmacy networks comply with state-specific pharmacy regulations and communicate the regulatory changes tointernal & external stakeholdersâ Assist with the implementation of new requirement

ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:â Ensure pharmacy networks comply with state-specific pharmacy regulations and communicate the regulatory changes tointernal & external stakeholdersâ Assist with the implementation of new requirement

ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:Manage relationships with rebate aggregator partners related to any data transferred between the entitiesProvide account management support services to rebate-only clients as well as assist Companys acco

ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:Manage relationships with rebate aggregator partners related to any data transferred between the entitiesProvide account management support services to rebate-only clients as well as assist Companys acco

ESSENTIAL DUTIES AND RESPONSIBILITIES Included but not limited to the following:ï Execute QA-related tasks and processes in the Business QA department.ï Provide Specific attention to clinical changes for government programs.ï Review and validate that rules and utilization management a

ESSENTIAL DUTIES AND RESPONSIBILITIES Included but not limited to the following:ï Execute QA-related tasks and processes in the Business QA department.ï Provide Specific attention to clinical changes for government programs.ï Review and validate that rules and utilization management a

ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:Promptly and courteously answer inbound telephone callsAssess prioritize and resolve client issues using good listening and comprehension skillsEscalate issues to management as appropriateDocument and re

ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:Promptly and courteously answer inbound telephone callsAssess prioritize and resolve client issues using good listening and comprehension skillsEscalate issues to management as appropriateDocument and re

SHIFT: 10am - 7pm Monday - FridayHOURLY RATE: $16.00The Patient Services Representative (PSR) is responsible for inbound and outbound calls/emails/text for a variety of activities related to patients enrollment and refills for Mail Order programs. The PSR will verify information and e

SHIFT: 10am - 7pm Monday - FridayHOURLY RATE: $16.00The Patient Services Representative (PSR) is responsible for inbound and outbound calls/emails/text for a variety of activities related to patients enrollment and refills for Mail Order programs. The PSR will verify information and e

Status: Hourly Non-ExemptHourly Rate: $21.00 - $23.00Location: Onsite Gainesville GAJOB RESPONSIBILITIESProcess authorizations electronically utilizing PA and payer portals fax or telephone working with payers to secure authorizations.Process fax queues emails answer incoming calls an

Status: Hourly Non-ExemptHourly Rate: $21.00 - $23.00Location: Onsite Gainesville GAJOB RESPONSIBILITIESProcess authorizations electronically utilizing PA and payer portals fax or telephone working with payers to secure authorizations.Process fax queues emails answer incoming calls an