Overview Pharmacy Claims Manager What's your wish list for the perfect job? Maybe it's to make a ... In our Long-Term Care environment, there is focus on coordination with the Credentialing ...
Overview Pharmacy Claims Manager What's your wish list for the perfect job? Maybe it's to make a ... In our Long-Term Care environment, there is focus on coordination with the Credentialing ...
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
Casualty Senior Claims Manager -- Casualty Specialized Claims
Lake Oswego, OR · On-site
$179K - $322K/yr
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
Casualty Senior Claims Manager -- Casualty Specialized Claims
Lake Oswego, OR · On-site
$179K - $322K/yr
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
Senior EnvironmentalClaims Adjuster
OR · On-site +1
$65K - $85K/yr
This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and ...
Senior EnvironmentalClaims Adjuster
OR · On-site +1
$65K - $85K/yr
This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and ...
Claims Supervisor II - Property
$114K - $127K/yr
Supervises claims adjusters and technical support staff to manage the day-to-day handling and ... If you enjoy working in a fast paced work environment with growth potential please apply online.
Claims Supervisor II - Property
$114K - $127K/yr
Supervises claims adjusters and technical support staff to manage the day-to-day handling and ... If you enjoy working in a fast paced work environment with growth potential please apply online.
Claims Specialist
Portland, OR · Remote
$52K - $85K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: * Bachelor ...
Quick apply
Claims Specialist
Portland, OR · Remote
$52K - $85K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: * Bachelor ...
Reimbursement Manager - Healthcare Claims, Denials, Revenue Ops
OR · On-site +1
$92K - $100K/yr
Claims Processing & Management: Oversee the timely and accurate submission, processing, follow-up, ... environment and teleworking from the employee's home address listed in their employment file.
Reimbursement Manager - Healthcare Claims, Denials, Revenue Ops
OR · On-site +1
$92K - $100K/yr
Claims Processing & Management: Oversee the timely and accurate submission, processing, follow-up, ... environment and teleworking from the employee's home address listed in their employment file.
... environment. Key Responsibilities: * Independently manage a nationwide litigation caseload from ... Manage and continuously improve a national claims program, identifying efficiencies and scalable ...
... environment. Key Responsibilities: * Independently manage a nationwide litigation caseload from ... Manage and continuously improve a national claims program, identifying efficiencies and scalable ...
ESIS Claims Representative, WC
Portland, OR · On-site
$62K - $81K/yr
Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Familiarity ... Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS ...
ESIS Claims Representative, WC
Portland, OR · On-site
$62K - $81K/yr
Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Familiarity ... Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS ...
ESIS Claims Representative, WC
$62K - $81K/yr
Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Familiarity ... Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS ...
ESIS Claims Representative, WC
$62K - $81K/yr
Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Familiarity ... Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS ...
ESIS Claims Representative, WC
Portland, OR · On-site
$62K - $81K/yr
Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Familiarity ... Job Category Claims Adjusting * Business Unit United States * Legal Employer ACE American Insurance ...
ESIS Claims Representative, WC
Portland, OR · On-site
$62K - $81K/yr
Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Familiarity ... Job Category Claims Adjusting * Business Unit United States * Legal Employer ACE American Insurance ...
Workers Compensation Claims Adjuster
Portland, OR · Remote
$40 - $45/hr
... claims management software systems. * Strong analytical, organizational, and negotiation skills . * Ability to work both independently and collaboratively in a team environment. * Commitment to ...
Quick apply
Workers Compensation Claims Adjuster
Portland, OR · Remote
$40 - $45/hr
... claims management software systems. * Strong analytical, organizational, and negotiation skills . * Ability to work both independently and collaboratively in a team environment. * Commitment to ...
Claims Specialist
Portland, OR · Remote
$52K - $85K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: * Bachelor ...
Claims Specialist
Portland, OR · Remote
$52K - $85K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: * Bachelor ...
National Litigation & Claims Management Attorney
Portland, OR · On-site
$170K - $200K/yr
We are committed to fostering an environment where attorneys are empowered to grow their careers ... Manage and continuously improve a national claims program, identifying efficiencies and scalable ...
National Litigation & Claims Management Attorney
Portland, OR · On-site
$170K - $200K/yr
We are committed to fostering an environment where attorneys are empowered to grow their careers ... Manage and continuously improve a national claims program, identifying efficiencies and scalable ...
Claims Specialist
Portland, OR · On-site
$52K - $85K/yr
Manages non-complex lost-time workers' compensation claims under close supervision * Communicates ... Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: * Bachelor ...
Claims Specialist
Portland, OR · On-site
$52K - $85K/yr
Manages non-complex lost-time workers' compensation claims under close supervision * Communicates ... Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: * Bachelor ...
Senior Remote Workers' Comp Claims Adjuster
Portland, OR · On-site
$70 - $90/hr
Gallagher & Co. (AJG) is seeking a claims management professional to work remotely. This role ... environment for all employees. #J-18808-Ljbffr
Senior Remote Workers' Comp Claims Adjuster
Portland, OR · On-site
$70 - $90/hr
Gallagher & Co. (AJG) is seeking a claims management professional to work remotely. This role ... environment for all employees. #J-18808-Ljbffr
Director of Management & Professional Liability Claims
OR · On-site +1
$250K/yr
This role will also manage claim handling for Bermuda-based MGA and Programs ... The successful candidate will be able to navigate a changing environment as we take the claims ...
Director of Management & Professional Liability Claims
OR · On-site +1
$250K/yr
This role will also manage claim handling for Bermuda-based MGA and Programs ... The successful candidate will be able to navigate a changing environment as we take the claims ...
Environmental Claims Manager information
What does an environmental claims manager do?
What are the key skills and qualifications needed to thrive as an environmental claims manager?
What are some common challenges faced by environmental claims managers, and how can they prepare to handle them?
What is the difference between Environmental Claims Manager vs Environmental Compliance Specialist?
| Aspect | Environmental Claims Manager | Environmental Compliance Specialist |
|---|---|---|
| Certifications | Environmental certifications, claims handling training | Environmental certifications, compliance training |
| Work Environment | Claims assessment, client communication, risk management | Regulatory audits, site inspections, policy implementation |
| Industry Usage | Insurance, legal, environmental consulting | Manufacturing, construction, government agencies |
The Environmental Claims Manager focuses on managing environmental claims, assessing damages, and liaising with insurers and clients. In contrast, the Environmental Compliance Specialist ensures organizations adhere to environmental laws and regulations through audits and policy enforcement. Both roles require environmental knowledge and certifications but serve different functions within the industry.
What are popular job titles related to Environmental Claims Manager jobs in Oregon?
For Environmental Claims Manager jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Environmental Claims Manager jobs in Oregon look for?
The top searched job categories for Environmental Claims Manager jobs in Oregon are:
What cities in Oregon are hiring for Environmental Claims Manager jobs?
Cities in Oregon with the most Environmental Claims Manager job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 15 days ago
Job description
Pharmacy Claims Manager
What's your wish list for the perfect job? Maybe it's to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive team is top priority, or to feel respected and valued.
If your answer is "all of the above," consider joining our team at Consonus Pharmacy. It's a perfect opportunity for compassionate people dedicated to people's health and well-being.
Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers. We are currently hiring a Pharmacy Claims Manager to join our team!
As the Pharmacy Claims Manager your responsibilities will include (but are not limited to):
The Pharmacy Claims Manager is responsible for overseeing all pharmacy claims processing operations, including prescription adjudication, third-party billing, claim rejection management, and reimbursement optimization. This position leads a team responsible for ensuring accurate and timely claim submission, resolution of claim exceptions, compliance with PBM, Medicare Part D, Medicaid, and commercial payer requirements, and adherence to NCPDP standards.
The Pharmacy Claims Manager partners closely with Billing, Customer Accounts, and Pharmacy Operations to ensure accurate reimbursement and compliance, minimize claim write-offs, and ensure exceptional service to residents, facilities, and payers. In our Long-Term Care environment, there is focus on coordination with the Credentialing & Contracting team on payer enrollment issues, and management of LTC-specific reject queues related to transition fills, hospice billing, and facility census changes.
Some benefits may include:
- Paid training & career advancement opportunities
- $25,000 toward ongoing education benefit
- Generous Paid Time Off that pools vacation, sick & holiday pay in a single bucket for flexible use
- Medical/Dental/Vision insurance
- Free access to MDLIVE - allowing access to your health benefits from anywhere
- 401K With Employer Match
- Employee Assistance Program: with free access to counseling & support services
Qualifications
- Bachelor's degree in Healthcare Administration, Business, Finance, or related field; equivalent experience considered.
- Minimum 5 years of pharmacy claims, third-party billing, pharmacy revenue cycle, or PBM operations experience. Long - Term Care experience preferred.
- Minimum 2 years of supervisory or management experience.
- Strong understanding of: NCPDP claim standards, Medicare Part D, Medicaid pharmacy billing, Managed Care reimbursement, PBM claim adjudication processes, Pharmacy revenue cycle operations.
- Experience working with PBMs such as Express Scripts, CVS Caremark, OptumRx, Humana, Prime Therapeutics, MedImpact, and Navitus.
- Experience managing Medicare Part D, Medicaid, and dual-eligible populations
- Advanced analytical and problem-solving skills.
- Proficiency with pharmacy management systems and reporting tools
- Ability to work under pressure in fast-paced environment ensuring timely and accurate billing
- Ability to travel to other pharmacy locations as required
- Certified Pharmacy Technician (CPhT) preferred (can obtain after hire)
EEO Statement
"Be here. Be you."
For more than 30 years, Marquis Companies and Consonus Healthcare have been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We've continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
We're committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives.
That means you being you - without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It's the foundation of who we are and the evolution of our collective future.
About Consonus Healthcare
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Portland, OR, US