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Added 19 mins ago
Electrical/I&C/Combustion Turbine Technician
Nebraska Public Power District
Hallam, NE
…Environmental Protection Agency (EPA) requirements are maintained in order to ensure the safe, reliable, and economic operation/maintenance of SS. Additionally, this individual will have…
Added 39 mins ago
School Operations Supervisor
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Lansing, MI
…subject matter expert for Salesforce CRM, enrollment systems, order management systems, and related operational tools.nn * Lead special projects and strategic initiatives with defined…
Added 47 mins ago
Service Desk Analyst II - Information Technology (Evenings)
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Carrolton, GA
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Added 1 hour ago
Histopathology Technician (Advanced)
Veterans Affairs, Veterans Health Administration
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- $20.98 to $29.19 USD / hour
Tech II performs complex pre-analytic specimen receiving and processing using proper safety procedures in an accurate and ethical manner. Responsibilities include but are not limited to:…
Added 1 hour ago
Nurse (Quality Improvement Coordinator)
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…issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability. Applicants are strongly encouraged to prioritize this requirement and to maintain…
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(USA) Freight Flow Associate
Walmart
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- $19 to $27 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 1 hour ago
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(USA) Freight Flow Associate
Walmart
Albuquerque, NM
- $19 to $27 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 1 hour ago
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(USA) Freight Flow Associate
Walmart
SANTA FE, NM
- $19 to $27 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 2 hours ago
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(USA) Freight Flow Associate
Walmart
Pineville, NC
- $20 to $28 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
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(USA) Freight Flow Associate-5
Walmart
FAYETTEVILLE, NC
- $19 to $27 USD / hour
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School Operations Supervisor
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Added 3 hours ago
Finance Operations Associate - Temporary Contract - Job ID: TCFO
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Remote, United States
The Finance Operations Associate is based in Princeton and reports directly to the Director, Finance Operations. Knowledge, Skills, and Experience include the following:
Added 3 hours ago
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(USA) Freight Flow Associate
Walmart
San Angelo, TX
- $19 to $27 USD / hour
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(USA) Freight Flow Associate-3
Walmart
Fort Worth, TX
- $19 to $27 USD / hour
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Sales Associate, Trauma - Dallas, TX - Johnson & Johnson MedTech, Orthopaedics
J&J Family of Companies
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Added 3 hours ago
Echo and Vascular Tech Reg
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Houston, TX
Ensure appropriate processing of results of echocardiography testing per policy and procedure.
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(USA) Freight Flow Associate
Walmart
HOUSTON, TX
- $19 to $27 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 3 hours ago
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Freight Flow Associate
Walmart
Austin, TX
- $21 to $29 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 4 hours ago
Community Support Specialist
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United States
Provide behavioral interventions, including motivational interviewing, operant conditioning, interpersonal and group dynamics, cognitive processing, and other evidence-based interventions.
Added 4 hours ago
Associate Rep - Entertainment Lighting
Christie
Remote, United States
Assists reps in bidding and order processing by:
Added 4 hours ago
(USA) Freight Flow Associate-3
Walmart
SALISBURY, MD
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 5 hours ago
SE
(USA) Freight Flow Associate-3
Sam's East, Inc.
Medford, NY
- $21 to $29 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 5 hours ago
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(USA) Freight Flow Associate
Walmart
FORT WALTON BEACH, FL
- $19 to $27 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…

Insight Global

Provider Relations Specialist

Remote, United States

From $15 USD / hour

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Job details

Pay: From $15 USD / hour
Experience: 1 year of work experience in a call center, customer service, operations, retail pharmacy, pharmacy technician, or Pharmacy Benefit Management (PBM)
Posting language: English
Posted: Nov 3, 2026

Original job description

Required Skills & Experience

-Bachelor's degree in Business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required -1 year of work experience in a call center, customer service, operations, retail pharmacy, pharmacy technician, or Pharmacy Benefit Management (PBM) -Demonstrated ability to problem solve complex issues in a timely manner -Strong customer service and collaboration skills -Enhanced organizational skills with the ability to work on multiple tasks simultaneously -Ability to work with confidential data and maintain privacy -Ability to evaluate and interpret policies and procedures -Ability to work in a fast-paced, collaborative team environment -Proficient in Microsoft applications such as Outlook, Word and Excel

Nice to Have Skills & Experience

-Experience working with RxClaim or other claims processing systems -Pharmacy Technician certification (CPhT) or equivalent pharmacy experience

Job Description

Insight Global is seeking an Associate Provider Relations Specialist for a large PBM client of ours. This individual is responsible for conducting outreach to pharmacies participating in the client's pharmacy networks and ensuring the information provided during outbound communications is accurate and delivered in a timely manner. This position is responsible for managing extension requests for the claims processing time frame and triaging inquires received in the Pharmacy Provider Relations email box.

The main responsibilities of this role include the following:

-Research and resolve claims and conduct pharmacy outreach to support regulatory, client commitments and other initiatives as assigned -Research and escalate inquiries received through the Pharmacy Provider Relations email box -Process claims reversals -Identify and participate in implementing department level process improvements -Prepare pharmacy outreach reporting to internal and external stakeholders -Manage and resolve requests to update the transaction control table in order to extend the timely filing -Other duties as assigned

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

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More about this job

Skills

Customer service
Pharmacy technician
Collaboration
Organizational skills
Microsoft Outlook
Microsoft Word
Microsoft Excel
Claims processing
Research

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