Imagine360
Remote Jobs
Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
4 Jobs
Prescription (RX) Drug Implementation Coordinator
Imagine360Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
The coordinator manages the end-to-end pharmacy setup requirements for new and existing clients, which involves coordinating with Pharmacy Benefit Manager (PBM) partners and internal teams. Key duties include leading implementation activities for the Imagine360Rx solution, acting as the subject-matter expert for client pharmacy benefits, and ensuring accurate setup of required files and documentation.
Pricing Specialist
Imagine360Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
This role is responsible for maintaining current and new provider and PPO information while ensuring the accuracy of claim repricing processes. Key duties include maintaining turnaround times, communicating professionally with vendors, researching repricing appeals, and accurately repricing claims in a timely manner.
Stop Loss Claims Auditor
Imagine360Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
The Medical Auditor is responsible for auditing medical facilities and professional claims for accuracy and compliance with industry laws and contractual language on behalf of our clients. Review medical facility and professional claims for accuracy and apply standard coding rule...
Utilization Management RN
Imagine360Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
Imagine360 is seeking a Utilization Management, RN to join the team! The RN Utilization Management Nurse is responsible for providing utilization review/notifications and education for individuals under the group health plans administered by imagine360 by utilizing nursing educat...
