ProCare Rx Career

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

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.

**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

Status: Salaried ExemptSalary Range: $45000 - $50000.00 annuallyLocation: Onsite Southfield MIESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:Identify daily activity in bank accounts.Reconcile the bank accounts for several different corporate entities

Status: Salaried ExemptSalary Range: $45000 - $50000.00 annuallyLocation: Onsite Southfield MIESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:Identify daily activity in bank accounts.Reconcile the bank accounts for several different corporate entities

SUMMARY: The Corporate Wellness Program Coordinator is responsible for assisting in all aspects of the corporate wellness program for all corporate locations. Must be passionate about wellness and have the ability to inspire participation and create trust with others. This position re

SUMMARY: The Corporate Wellness Program Coordinator is responsible for assisting in all aspects of the corporate wellness program for all corporate locations. Must be passionate about wellness and have the ability to inspire participation and create trust with others. This position re

Schedule: Full-Time Monday Friday 9am - 6pmPay Scale: $19 - $21 per hourLocation: Gainesville GA: In-Person (this position is not remote or hybrid)SUMMARYAs a Pharmacy Patient Advocate you will be a crucial link between patients medical providers and our pharmacy. You will make a dir

Schedule: Full-Time Monday Friday 9am - 6pmPay Scale: $19 - $21 per hourLocation: Gainesville GA: In-Person (this position is not remote or hybrid)SUMMARYAs a Pharmacy Patient Advocate you will be a crucial link between patients medical providers and our pharmacy. You will make a dir

ESSENTIAL DUTIES AND RESPONSIBILITIES:Create patient specific appeal letters by incorporating the reason of medical necessity for why the denial should be overturned.Coordinate prescriber review and signature of completed letters.Prepare and submit appeal documentation to insurance co

ESSENTIAL DUTIES AND RESPONSIBILITIES:Create patient specific appeal letters by incorporating the reason of medical necessity for why the denial should be overturned.Coordinate prescriber review and signature of completed letters.Prepare and submit appeal documentation to insurance co

Location: Onsite Gainesville GAPay Range: $18 - $20 per hourESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:Address plan-related inquiries and complaints recommending appropriate resolutions.Communicate new plan information and updates to agents in a

Location: Onsite Gainesville GAPay Range: $18 - $20 per hourESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:Address plan-related inquiries and complaints recommending appropriate resolutions.Communicate new plan information and updates to agents in a

SUMMARY: The Corporate Wellness Program Coordinator is responsible for assisting in all aspects of the corporate wellness program for all corporate locations. Must be passionate about wellness and have the ability to inspire participation and create trust with others. This position re

SUMMARY: The Corporate Wellness Program Coordinator is responsible for assisting in all aspects of the corporate wellness program for all corporate locations. Must be passionate about wellness and have the ability to inspire participation and create trust with others. This position re

PRINCIPLE RESPONSIBILITIESHigh-volume system architecture design.Multi-threading socket programming distributed transaction processing.Ability to work effectively on tight deadlines as necessary.Design and implement Microsoft technology solutions.Web architecture design and implementa

PRINCIPLE RESPONSIBILITIESHigh-volume system architecture design.Multi-threading socket programming distributed transaction processing.Ability to work effectively on tight deadlines as necessary.Design and implement Microsoft technology solutions.Web architecture design and implementa

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

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