54 billing services representative jobs found

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to evaluate, educate and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL RESPONSIBILITIES Communicate effectively with physician and pharmacy network providers to ensure that the needs of the...

Calling all innovators – find your future at Fiserv. We’re Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants, and consumers to one another millions of times a day – quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we’re involved. If you want to make an impact on a global scale, come make a difference at Fiserv. Job Title Director, Account Management What does a successful Director, Account Manager do at Fiserv? As a successful Director, Account Manager, you will be the point of contact for one of Fiserv's leading clients. You will act as an extension of our client’s business representing Fiserv. You will be accountable for a client segment’s strategic and operational outcomes. What You Will Do Provide consultation, cross-functional leadership and management for the...

Calling all innovators – find your future at Fiserv. We’re Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants, and consumers to one another millions of times a day – quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we’re involved. If you want to make an impact on a global scale, come make a difference at Fiserv. Job Title Implementation Professional As an Implementations Professional, you will be a key contributor in the Conversions and Implementations organization, working directly with clients, managing all or part of conversion and startup projects. Conversion projects involve migrating an existing portfolio from another processor to the Fiserv credit processing system. Conversions can be for new Fiserv client, or for an existing client that is adding...

Senior Principal Relationship and Business Development Manager (Remote-Eligible) We are currently looking for a Senior Principal Relationship and Business Development Manager to join our International Markets team. This strategic role will focus on business development for our international clients, managing a robust pipeline of new sales opportunities, and cultivating complex external relationships. The Senior Manager will act as the lead representative to identify and drive opportunities to expand business targets within the portfolio. This role is key to increasing network transaction volume and revenue generation by selling new programs, projects, and promotions, and requires actively managing and escalating risk and customer-impacting issues. Responsibilities *: * Strategic Growth: Strategically identifying leads, developing proposals and negotiating agreements to maximize network growth Business Development: Identifying and creating business cases for new...

Calling all innovators – find your future at Fiserv. We’re Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants, and consumers to one another millions of times a day – quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we’re involved. If you want to make an impact on a global scale, come make a difference at Fiserv. Job Title Kubernetes Container Platform Engineer What does a successful Kubernetes Container Platform Engineer do at Fiserv? You will play a pivotal role in designing, implementing, and operating container services platforms across on-premises and cloud environments. Your focus will be on seamless integration with other tools through robust Continuous Integration (CI) and Continuous Delivery (CD) pipelines. What You Will Do Architect, implement, and operate...

Job Description Data Platform Sales Representative, Higher Education - Florida Overview: Are you a creative problem solver who thrives on challenges? Do you have a passion for technology innovation and driving customer success? Join Oracle as a Software Data Platform Sales Executive and help transform Higher Education institutions across Florida with industry-leading data platform solutions. Oracle is a global technology leader changing the way the world does business. We're seeking an experienced, self-motivated sales professional with a drive for results and a passion for building trusted customer relationships. If you want to make an impact in the Higher Education sector with transformative cloud and data platform solutions, we encourage you to apply! Role Summary: As a Software Data Platform Sales Representative dedicated to the Higher Education market in Florida, you will identify, qualify, and close new business for Oracle's data platform offerings,...

Calling all innovators – find your future at Fiserv. We’re Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants, and consumers to one another millions of times a day – quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we’re involved. If you want to make an impact on a global scale, come make a difference at Fiserv. Job Title Implementations Technician Job Description * What does a successful Implementations Professional do at Fiserv? As an Implementations Professional, you will be a key contributor in the Conversions and Implementations organization, working directly with clients, managing all or part of conversion and startup projects. Conversion projects involve migrating an existing portfolio from another processor to the Fiserv credit processing system. Conversions can...

Calling all innovators - find your future at Fiserv. We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants and consumers to one another millions of times a day - quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we're involved. If you want to make an impact on a global scale, come make a difference at Fiserv. Job Title Contact Center DevOps Engineer About Your Role: You will play a critical role in designing, developing, and maintaining high-quality software applications. You will work with cross-functional teams to deliver solutions that align with our business goals and client needs. You'll be a key contributor in building and supporting the core Contact Center applications, leveraging modern technologies and automation to power exceptional customer...

Job Summary The Associate Director, R&D HCP Engagement CoE is a critical change agent and system implementer responsible for designing the operating model and overseeing the execution of a unified, compliant, and exceptional service model for all Healthcare Professional (HCP) engagement and contracting within R&D. This role will seek to transform an inconsistent process into an audit-ready, "white glove" service, providing necessary direction to a direct report responsible for day-to-day execution. While initially focusing on Medical Affairs, the vision is to cover all R&D HCP engagement over time. This position reports into the Medical Excellence & Operations Vendor and Contracts Management Lead and directly manages the Manager, HCP Engagement Lead. This position will lead the transformation of how Otsuka plans, governs, and executes interactions with healthcare professionals; ensuring all engagements are conducted with the highest standards of integrity,...

The Manager, Contracts (Non-HCP SOWs) is an important role within the Medical Excellence & Operations team within Global Medical Affairs. This role is responsible for end-to-end management of contracts that support Global Medical Affairs operations, excluding those with healthcare professionals or organizations. This includes agreements with vendors, consultants, technology platforms, contract research organizations (CROs), publication and medical education vendors, and other third-party service providers. This role will support the Global Medical Affairs team to ensure efficient operations, compliant contracting that align with global and regional regulations, Otsuka policies and GMA goals. This role reports directly into the Vendor Contracts and Management Lead who reports into the Executive Director, Medical Excellence and Operations. Job Description Key Responsibilities Include: Contract Development and Management Expertise Lead drafting, reviewing,...

Continental is a leading tire manufacturer and industry specialist that develops and produces sustainable, safe and convenient solutions for automotive manufacturers as well as industrial and end customers worldwide. Founded in 1871, the company generated sales of 39.7 billion in 2024 and currently employs around 95,000 people in 54 countries and markets. ContiTech is one of the world's leading industry specialists. The Continental group sector offers its customers connected, environment-friendly, safe and convenient industry and service solutions using a range of materials for off-highway applications, on rails and roads, in the air, under and above the ground, in industrial environments, for the food sector and the furniture industry. With about 39,000 employees in more than 40 countries and sales of some 6.4 billion euros (2024), the global industrial partner is active with core branches in Asia, Europe and North and South America. We're looking for a motivated team member...

Calling all innovators - find your future at Fiserv. We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants and consumers to one another millions of times a day - quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we're involved. If you want to make an impact on a global scale, come make a difference at Fiserv. Job Title Contact Center DevOps Engineer About Your Role You will play a critical role in designing, developing, and maintaining high-quality software applications. You will work with cross-functional teams to deliver solutions that align with our business goals and client needs. You'll be a key contributor in building and supporting the core Contact Center applications, leveraging modern technologies and automation to power exceptional customer experiences—both...

Job Summary The Manager, LMS Operations & Administration position works as part of the U.S. Ethics & Compliance Training & Documentation team to lead all components of our Learning Management System (LMS) including all non-GxP assignments and audience management, curriculum management, reporting, and tier one trouble shooting. The Manager, LMS Operations & Administration will partner with all levels of Management in both business and technology groups to advance and deliver a variety of planned and ad-hoc training initiatives. This position will have direct oversight of two Contracted Workers. Job Description Responsible for the operational oversight of all LMS activities including but not limited to: Partner with internal LMS Support Team to perform needs assessments and analysis on platform operations to ensure organizational needs are being met. Leads the incorporation, socialization, and training of resulting LMS improvements. Owns...

Position Summary JOB DESCRIPTION The Regional Sales Manager (RSM) is responsible for driving growth of Vertiv Rack Solutions - specifically Great Lakes Case & Cabinet offerings through direct engagement with end users, channel partners, and local Vertiv offices within the assigned territory. This role focuses on expanding rack share in data center, SLED, and enterprise environments while creating pull through for complementary Vertiv solutions including rPDU, UPS, thermal, and services. The RSM will lead regional go to market strategy, develop partner capability, and influence key decision makers across IT, facilities, engineering, and procurement. Responsibilities Develop, present, and execute a territory business plan that aligns to Vertiv growth objectives for Great Lakes rack solutions. Drive incremental revenue through channel partners, distributors, and direct engagement with end users. Maintain balanced focus on both existing accounts and new logo...

At ALLO, we believe people are our biggest asset. Our team brings the ALLO mission to life because as local members of each community, we live, work, play, and volunteer right here with you. We're passionate about being involved and contributing to the success and progress of each of our GIG Communities. We pursue these passions because ALLO leaders have created a workplace where folks are valued, ideas are heard, and leaders and teammates show up for each other at work and in life. We are looking for an outgoing, energetic person who loves meeting new people while working in dynamic environments and holding a non-traditional work schedule. If you’re ready to break free from the constraints of a traditional desk job, ALLO Fiber has the perfect opportunity for you to join our Residential Sales Team doing Door-to-Door sales! Compensation includes base pay plus uncapped commission as well as a company vehicle; in addition to the other perks listed below.RESPONSIBILITIES...

Summary This National Guard position is for a AIRCRAFT MECHANIC SUPV, Position Description Number D0734000 and is part of AASF 2, Nebraska Army National Guard. Responsibilities As a AIRCRAFT MECHANIC SUPV, WS-8852-10, duties include: (1) Planning: Plans weekly or monthly work schedules and sequence of operations. Establishes deadlines and priorities based on established general schedules, methods and policies. Determines skills, materials and equipment required to do the work. Participates in the initial planning of current and future work schedules and development of budget requests. Provides workload data, estimates, information on staffing needs, and recommendations as the scheduling of projected work. (2) Work Direction: Assigns tasks to be performed. Explains work requirements, methods, and procedures. Instructs subordinates on new procedures or methods and provides assistance on difficult or new problem areas. Reviews work in progress or on completion. Makes adjustments as...

Full Stack Developer Anywhere Type: Permanent Category: Development Industry: Government Workplace Type: Remote Reference ID: JN -122025-104713 Date Posted: 12/10/2025 Shortcut: http://careers.eliassen.com/1rEllu Description Recommended Jobs Description: We have an immediate opening for a talented Software Developer II (Full Stack) to join our team. As a full stack developer, you'll deliver end-to-end solutions in a fast, agile environment-building software that makes a real impact. If you're excited to go beyond coding to shape systems, influence architecture, and continuously learn, we want you on our team. You'll collaborate across disciplines to design, develop, and deploy production-ready software and systems. You'll help clients overcome complex challenges using modern architectural approaches, tools, and technologies. You'll ensure solutions align with the current operating environment while anticipating future...

Job Description We are seeking a dynamic Business Development Lead to drive revenue growth by building relationships with greenfield Private Equity firms. The ideal candidate will have a strong understanding of PE investment strategies, excellent relationship-building skills, and a proven track record of developing strategic partnerships within the PE ecosystem. Key Responsibilities: Identify and build relationships with Private Equity firms. Present NetSuite value prop to PE firms Collaborate with internal teams to align offerings with PE firm needs. Track and analyze sales performance, pipeline activity, and client feedback to optimize strategies. Understand PE firms' investment strategies and value-creation goals to tailor sales pitches. Act as a trusted advisor, providing insights and solutions tailored to PE firms and their portfolio companies. Track industry trends, competitive landscape, and emerging opportunities within private equity....

Director, Technical Program Management - Capital One Software (Remote) Ever since our first credit card customer in 1994, Capital One has recognized that technology and data can enable even large companies to be innovative and personalized. As one of the first large enterprises to go all-in on the public cloud, Capital One needed to build cloud and data management tools that didn't exist in the marketplace to enable us to operate at scale in the cloud. And in 2022, we publicly announced Capital One Software and brought our first B2B software solution, Slingshot, to market. Building on Capital One's pioneering adoption of modern cloud and data capabilities, Capital One Software is helping accelerate the data management journey at scale for businesses operating in the cloud. If you think of the kind of challenges that companies face - things like data publishing, data consumption, data governance, and infrastructure management - we've built tools to address these various needs...

Position Summary The primary function of Inside Sales is to provide product knowledge on building materials including drywall, insulation, metal studs for drywall, ceiling systems, stucco, construction tools, construction safety items, drywall compound, and accessories for the drywall industry. Duties & Responsibilities Taking orders at the sales counter and over the phone Building relationships with customers Ability to use company computer system to enter orders Complete sales orders and tender cash sales Develop product knowledge to assist customers with purchases Collaborate with Outside Sales Representatives and Sales Managers to determine necessary strategic sales approaches Overcome objections of prospective customers Emphasize product and service features Basic Qualifications High school diploma or GED required Four-year degree preferred Ability to self-manage, show initiative, and be comfortable meeting the...

Project Management Consultant Job ID 251290 Posted 11-Dec-2025 Service line Corporate Segment Role type Full-time Areas of Interest Project Management Location(s) Remote - US - Remote - US - United States of America About the Role: As a CBRE Project Management Consultant, you will be responsible for providing consulting services to an assigned market or client account to help achieve the company's strategic business objectives. This job is part of the Project Management function. They are responsible for the management of projects from initiation through completion. What You'll Do: Project manage the design, implementation, and deployment of a global supplier risk management platform across multiple regions and business units. Act as the primary liaison between global and regional stakeholders, including Procurement, HSE, Privacy, D&T, and Finance teams and work with them to prepare all elements of the project. This includes the...

Cybersecurity Analyst Job ID 248917 Posted 10-Dec-2025 Service line Corporate Segment Role type Full-time Areas of Interest Digital & Technology/Information Technology Location(s) Remote - US - Remote - US - United States of America About the role Executes on Cybersecurity governance, risk and compliance activities to evaluate and reduce information technology (IT) risk. Supports with the identification, management and mitigation of risk. This individual is learning the Cybersecurity space, and building a knowledge base of risk controls, analysis, assessments, methodologies, and mitigation strategies. Receives direction from management and takes action with manager review and approval. Individuals in this role are exploring niche spaces to specialize in, including: cyber risk management, controls, policies and standards, disaster recovery, vulnerability management, vendor risk management, assessments and control testing. What you'll do...

Remote Office Remote Office Nebraska 99999 Why Valmont We're Here to Move the World Forward. Valmont impacts millions of people around the world every day, yet they might not realize the many ways. Our technology is helping feed the growing population, supplying the world with more reliable energy and access to renewables, enhancing connectivity in remote and urban locations to create a sustainable future and so much more. Simply put, Valmont is advancing agricultural productivity and reimagining vital infrastructure to make life better. Join a Fortune 1000 company that respects hard work, honors diversity and invests in our employees as we focus on creating the world of tomorrow, today. We are the modern workforce . Are you ready to move the world forward? Apply now. Essential Functions: · Ability to travel, primarily domestically, up to 50% · Consistently meet or exceed assigned revenue and profitability goals · Provide consistent and accurate market...

Property Management Manager Job ID 248256 Posted 09-Dec-2025 Service line Advisory Segment Role type Full-time Areas of Interest Property Management Location(s) Omaha - Nebraska - United States of America About the Role: As a CBRE Property Management Manager, you will be responsible for supervising the team responsible for all operational and financial activities of a single property or small portfolio of properties. This job is part of the Property Management job function. They are responsible for operating buildings on behalf of a client or group. What You'll Do: Provide formal supervision to employees. Monitor the training and development of staff. Conduct performance evaluations and coaching. Oversee the recruiting and hiring of new employees. Coordinate and manage the team's daily activities. Establish work schedules, assign tasks, and cross-train staff. Set and track staff and department deadlines. Mentor and coach as needed....