42 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...

Position Overview We are seeking a highly skilled Professional Services Advisor to join our Professional Services Group (PSG). In this role, you will deliver exceptional training, technical support, and consultative services to both external customers and internal teams. Your expertise will be crucial in training customers on industry-specific software solutions, including Fujifilm Revoria Flow, Fiery Cutsheet, color management applications, and calibration hardware. Additionally, you will provide comprehensive operator training for production and multi-function digital printers, ensuring customers maximize the performance and efficiency of their equipment. You will play a key role in expanding PSG sales by building strong relationships and generating revenue through outstanding service delivery. Location: Central or Western U.S. (major city near an international airport) Travel: Approximately 80% Company Overview At FUJIFILM North America Corporation, we are...

Owner's Representative - Hyperscale Data Center (Mission-Critical) Position Summary Own the outcome on a marquee hyperscale build. As the Owner's Representative, you are the client's eyes and ears on site-steering the general contractor and trade partners from preconstruction through commissioning and turnover. You'll align scope, schedule, and budget; remove constraints early; and ensure every milestone (from long-lead procurement to integrated systems testing) lands on time and with first-time quality. Responsibilities Program Leadership: Translate owner priorities into executable plans; set governance rhythms (gate reviews, risk logs, decision trackers) and maintain accountability. Schedule & Controls: Review and challenge the integrated master schedule; monitor critical path, float consumption, and recovery plans; validate progress against field reality. Commercial Stewardship: Oversee pay apps, change orders, allowances/contingency, and cost...

15000 Valmont Plaza Omaha Nebraska 68154 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. Brief Summary of the Position The Regional Sales Manager is responsible for driving sales growth and maximizing profitability within the assigned region. Reporting to the Sales Director, this role...

Job Description Work Arrangement This role is categorized as hybrid to Warren, MI or Sunnyvale, CA or Mountain View, CA. Remote candidates might be considered for some roles as well. If you live within 50 miles of a GM hub location (San Francisco Bay Area, CA or Warren, MI), you are expected to report to the office three times per week, or other frequency dictated by the business. If you live outside a 50-mile radius of these locations, please still apply. The Role As a Staff Designer within GM's Human Interface Design organization, you will shape the future of mobility experiences across vehicles, digital platforms, or design systems. This is a senior individual contributor role with broad scope and impact - you will lead complex design initiatives, influence product strategy, and elevate craft quality across multiple domains. You will also lead by example to provide thought leadership and mentorship to other Designers on the team. We are...

CHS Inc. is a leading global agribusiness owned by farmers, ranchers and cooperatives across the United States that provides grain, food and energy resources to businesses and consumers around the world. We serve agriculture customers and consumers across the United States and around the world. Most of our employees are in the United States, but today we have employees in 19 countries. At CHS, we are creating connections to empower agriculture. Summary Join CHS as a Wholesale Crop Protection Field Sales Representative and help empower agriculture in Minnesota. In this dynamic role within our Agronomy division, you'll serve as an Account Manager to strengthen customer partnerships, grow market share, and deliver profitable solutions *. * Success in this role requires strong verbal and written communication skills, a customer-focused mindset, self-starter attitude and a passion for building long-lasting relationships. You'll collaborate with colleagues, suppliers, and...

Vehicle Remarketing Auction Representative This position will manage relationships and inventory at vendor auction locations. The Vehicle Remarketing Auction Representative is responsible for the sale of vehicles at auction. This independent role requires digital representation or physical travel to city of auction site to inspect vehicle inventory prior to sale, ensuring accuracy of condition reports and validating appropriate reconditioning has been completed. Responsibilities include inventory and expense management in conjunction with auction oversight of adherence to Capital One guidelines and policies. Auction representatives are expected to manage relationships with auction management and report sale performance and metrics. The position is 100% remote with weekly travel. Travel may support multiple regions and will be determined by business need. Responsibilities: - Digital representation or travel to various auction locations representing Capital One...

Office Location: Bismarck, ND The Surveyor I will primarily work under and report to a Survey Crew Chief and perform typical surveys in the field including topographic, boundary and construction surveys on various civil engineering projects including highway and urban roadway projects. Ideally the Surveyor I can work independently in the field on less complicated projects with direction from his/her supervisor or crew chief. A Surveyor I should also be capable of assisting design teams by using or be trained to use various CADD applications such as AutoCAD or Microstation when survey workloads fluctuate. Essential Tasks And Duties Work with a Survey Crew Chief or Land Surveyor while performing land surveying services including plane and/or geodetic surveys for construction, topographic, right-of-way, and control survey projects. Gathers field survey data through the use of conventional surveying and GPS methods. Prepares accurate field notes, drawings and records change...

Consulting Sr Manager - Organizational Design & Transformation Job ID 252348 Posted 19-Dec-2025 Service line Advisory Segment Role type Full-time Areas of Interest Consulting Location(s) Remote - US - Remote - US - United States of America About The Role: CBRE is seeking a Consulting Sr Manager - Organizational Design & Transformation to join our high-performing Americas Consulting team. This role is ideal for a strategic advisor with deep expertise in organizational design, process mapping/governance, and enterprise transformation-ideally within the corporate real estate (CRE) domain. As a CBRE Consulting Sr Manager - Organizational Design & Transformation, you will own the design and delivery of client-centric solutions across high-impact projects. You'll work closely with Fortune 500 clients, CRE leaders, and cross-functional teams to guide transformations that optimize structures, processes, and operating models. This role blends the...

Property Condition Assessor Vice President Job ID 252118 Posted 19-Dec-2025 Service line Advisory Segment Role type Full-time Areas of Interest Building Surveying/Consultancy Location(s) Remote - US - Remote - US - United States of America About The Role: As a CBRE Property Condition Assessment Vice President, you'll provide and evaluate the quality control of reports written by assessors. This job is part of the Valuation function. They are responsible for inspecting and determining values of land, property, and businesses. What You'll Do: Interact with clients to ensure the achievement of goals and objectives. Develop action plans as needed. Addresses clients' needs and concerns. Review reports completed by assessors to meet protocols. Audits content for accuracy before delivery to clients. Provide guidance to staff assigned to projects. Run portfolios such as bidding, cost management, and work orders. Assign field staff,...

Responsible for helping establish and supporting document management system. Creates, formats, edits, organizes, and monitors all company-controlled documentation across all business units. Works to ensure all company required policies, plans manuals, operating procedures, work instructions and any other documentation is maintained and aligned with company standards. Develop processes/procedures for execution of all field activities within Mastec Renewables. Work with site teams, owners, and Operational Excellence Managers (OEMs) to align all development information. Travel : This position will be located in the Fargo, ND office, daily. Company Overview MasTec Renewables, comprised of Wanzek Construction, IEA Constructors, and White Construction, combines over 20 years of experience in renewable energy construction. Depending on your position and project, you may work for one or more of our companies over your career with us. Join one of the largest construction firms in the...

Overview Responsible for helping establish and supporting document management system. Creates, formats, edits, organizes, and monitors all company-controlled documentation across all business units. Works to ensure all company required policies, plans manuals, operating procedures, work instructions and any other documentation is maintained and aligned with company standards. Develop processes/procedures for execution of all field activities within Mastec Renewables. Work with site teams, owners, and Operational Excellence Managers (OEMs) to align all development information. Travel : This position will be located in the Fargo, ND office, daily. Company Overview MasTec Renewables, comprised of Wanzek Construction, IEA Constructors, and White Construction, combines over 20 years of experience in renewable energy construction. Depending on your position and project, you may work for one or more of our companies over your career with us. Join one of the largest construction...

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,...

OVERVIEW: Bismarck State College is dedicated to student success. This on-campus position is student-centered to provide high-quality campus services and hands-on learning experiences. MISSION: As North Dakota’s Polytechnic Institution, Bismarck State College focuses on student success through the delivery of affordable, flexible, high-quality, experiential learning enhanced by public-private partnerships. VISION: Bismarck State College will be a leader in polytechnic education improving lives and building sustainable communities. REPORTING RELATIONSHIP: Is directly accountable and responsible to the appropriate Assistant Dean. Benefits COMPENSATION: 9 month + 12 week, full-time position. Minimum starting salary $59,686-$74,608 (associates required), based on experience and education. 100% employer-paid family health insurance, life insurance, retirement, employee tuition waiver, spouse/dependent tuition discount. For more...

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...

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,...

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...

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,...

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...

Owner's Representative - Hyperscale Data Center (Mission-Critical) Position Summary Own the outcome on a marquee hyperscale build. As the Owner's Representative, you are the client's eyes and ears on site-steering the general contractor and trade partners from preconstruction through commissioning and turnover. You'll align scope, schedule, and budget; remove constraints early; and ensure every milestone (from long-lead procurement to integrated systems testing) lands on time and with first-time quality. Responsibilities Program Leadership: Translate owner priorities into executable plans; set governance rhythms (gate reviews, risk logs, decision trackers) and maintain accountability. Schedule & Controls: Review and challenge the integrated master schedule; monitor critical path, float consumption, and recovery plans; validate progress against field reality. Commercial Stewardship: Oversee pay apps, change orders, allowances/contingency, and cost...

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...