- CVS Health (Austin, TX)
- …members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. ... and other key players to discuss service needs and support safe transitions. **REQUIRED EXPERIENCE** - 2 years Licensed...communication skills - Bilingual - Spanish a plus! - Associate 's Degree and/ or Bachelor's Degree **EDUCATION** High School… more
- The Cigna Group (Austin, TX)
- …+ Receive requests by email or telephone regarding insurance claims /policies while operating on multiple computer applications. Respond to inquiries ... proficiency in speaking English. + High School Diploma or equivalent required, associate or bachelor's degree preferred. + 1+ years of customer service experience… more
- Humana (Austin, TX)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of… more
- Ensono (Houston, TX)
- …and eligibility. + Collaborate with IT, security, and compliance teams to support audits and provide evidence of access controls and certifications. + Participate ... compliance requirements. + Experience with Fiscal Intermediary Shared System (FISS), Medicare Claims System (MCS), Clerk ID, Veteran-Directed Care (VDC) and other VA… more
- Molina Healthcare (San Antonio, TX)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external… more
- Deloitte (Fort Worth, TX)
- …pharmacies and patients. + Prepare self-insured financial projections and support health plan management, including financial reporting, premium rate setting, ... by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. +… more
- Humana (Austin, TX)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- ASM Research, An Accenture Federal Services Company (San Antonio, TX)
- …purchasing and receiving of IT equipment, software, and systems to support the Purchasing, Lifecycle, Asset Management, Inventory, Deployments (PLAID) team. Controls ... of IT equipment, software, and systems. + Audits freight bills and files claims against carriers for losses, damages and/or overcharges. + Assists with negotiating… more
- Western Digital (Austin, TX)
- …engineering, and sales teams. This full-time position will report to the Director, Associate General Counsel, Product. This position is based in San Jose, Irvine or ... development, marketing, public relations, product launch and distribution, customer support , warranty, and related product regulatory concerns + Maintain current… more
- CRC Insurance Services, Inc. (Dallas, TX)
- …the following job description:** Serves as a partner to Broker providing superior support regarding all policies and key accounts. Provides high quality service to ... and follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims , etc. from outside sources. 12. Process binders, invoices, and tax… more