Overview Pharmacy Claims Manager What's your wish list for the perfect job? Maybe it's to make a ... Experience working with PBMs such as Express Scripts, CVS Caremark, OptumRx, Humana, Prime ...
Overview Pharmacy Claims Manager What's your wish list for the perfect job? Maybe it's to make a ... Experience working with PBMs such as Express Scripts, CVS Caremark, OptumRx, Humana, Prime ...
Sales Leader
$15.50 - $19/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage 401(k) and Roth 401(k) with Company match Merchandise ...
Sales Leader
$15.50 - $19/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage 401(k) and Roth 401(k) with Company match Merchandise ...
Sales Leader
Woodburn, OR · On-site
$15.50 - $19/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Leader
Woodburn, OR · On-site
$15.50 - $19/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
Portland, OR · On-site
$14.50 - $19.50/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
Portland, OR · On-site
$14.50 - $19.50/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
$14.50 - $19.50/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage 401(k) and Roth 401(k) with Company match Merchandise ...
Sales Associate
$14.50 - $19.50/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage 401(k) and Roth 401(k) with Company match Merchandise ...
Sales Associate
Portland, OR · On-site
$14.50 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
Portland, OR · On-site
$14.50 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Leader
Portland, OR · On-site
$15.50 - $19/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Leader
Portland, OR · On-site
$15.50 - $19/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
$14.50 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage 401(k) and Roth 401(k) with Company match Merchandise ...
Sales Associate
$14.50 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage 401(k) and Roth 401(k) with Company match Merchandise ...
Sales Associate
Woodburn, OR · On-site
$14.50 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
Woodburn, OR · On-site
$14.50 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Leader
$15.50 - $19/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage 401(k) and Roth 401(k) with Company match Merchandise ...
Sales Leader
$15.50 - $19/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage 401(k) and Roth 401(k) with Company match Merchandise ...
Sales Associate
$14.50 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage 401(k) and Roth 401(k) with Company match Merchandise ...
Sales Associate
$14.50 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage 401(k) and Roth 401(k) with Company match Merchandise ...
Sales Leader
$15.50 - $19/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Leader
$15.50 - $19/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
$14.75 - $20.25/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
$14.75 - $20.25/hr
Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
$14.75 - $20.25/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
$14.75 - $20.25/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Leader
$16 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Leader
$16 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
$14.50 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Sales Associate
$14.50 - $19.50/hr
About Express Express is a multichannel apparel brand dedicated to a design philosophy rooted in ... Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match
Shipping Specialist I
Portland, OR · On-site
$20.88 - $26.10/hr
Our specialty pharmacy Our state-of-the-art specialty pharmacy provides medications that are often ... We volunteer to support patient advocacy organizations within our community. Our employee-run DEI ...
Quick apply
Shipping Specialist I
Portland, OR · On-site
$20.88 - $26.10/hr
Our specialty pharmacy Our state-of-the-art specialty pharmacy provides medications that are often ... We volunteer to support patient advocacy organizations within our community. Our employee-run DEI ...
Volunteer Express Scripts Pharmacy information
What is the difference between Volunteer Express Scripts Pharmacy vs Pharmacist?
| Aspect | Volunteer Express Scripts Pharmacy | Pharmacist |
|---|---|---|
| Required Credentials | Volunteer experience, possibly some pharmacy-related certifications | Doctor of Pharmacy (Pharm.D.) degree, state licensure |
| Work Environment | Pharmacy settings, often community or mail-order pharmacies | Pharmacy, hospital, or clinical settings |
| Employer & Industry Usage | Healthcare, pharmacy services, often for volunteer or support roles | Healthcare, pharmacy industry, licensed professional |
| Common Search & Comparison Intent | Volunteer Express Scripts Pharmacy vs Pharmacist | Understanding roles, credentials, and responsibilities |
Volunteer Express Scripts Pharmacy typically involves volunteer roles supporting pharmacy operations, often requiring some pharmacy-related experience or certifications. Pharmacists are licensed healthcare professionals with advanced degrees and responsibilities for medication management. While volunteers assist in supporting pharmacy services, pharmacists hold professional authority and clinical responsibilities within the pharmacy industry.
What are the most commonly searched types of Express Scripts Pharmacy jobs in Oregon?
The most popular types of Express Scripts Pharmacy jobs in Oregon are:
What are popular job titles related to Volunteer Express Scripts Pharmacy jobs in Oregon?
For Volunteer Express Scripts Pharmacy jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Volunteer Express Scripts Pharmacy jobs in Oregon look for?
The top searched job categories for Volunteer Express Scripts Pharmacy jobs in Oregon are:
What cities in Oregon are hiring for Volunteer Express Scripts Pharmacy jobs?
Cities in Oregon with the most Volunteer Express Scripts Pharmacy job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 15 hours 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