- Molina Healthcare (Austin, TX)
- …likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge ... specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program… more
- Sedgwick (Dallas, TX)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... contractor network and other departments. + Assists and supports Compliance Manager with contractor communications and research. + Ensures approved (new) contractors… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- …+ Information Assurance Security Specialist + Sr. Network Engineer + Program Manager + Change Management Specialist + Database Engineer Bowhead seeks to network ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Elevance Health (Rockwall, TX)
- …and/or disabilities, to insure cost effective and efficient utilization of health benefits . + Obtains a thorough and accurate member history to develop an ... the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of care or other waiver programs. +… more
- Medtronic (Houston, TX)
- …field team + Leads coordination of new-hire training with accountability to hiring manager (DM or DSM) + Responsible for new hire field sign-off + Understands ... focusing on the clinical value and engages with the Regional Economics Manager for economic value conversations. Technical and Clinical Expert + Translates complex… more
- Select Medical (Lakeway, TX)
- …Screens all incoming correspondence, and, in the absence of the HR Manager /Director refers materials requiring immediate attention to the appropriate department + ... recruitment plans + Pro-actively addresses employee concerns and with the HR Manager or HR Director coordinates any necessary investigations + Processes and… more
- Health Care Service Corporation (Richardson, TX)
- …Recognized internally as a subject matter expert on US Healthcare medical claims operations and processing. **NOTE:** **This hybrid role can be located in ... communicate Business/Stakeholder needs to the development team; work with Product Manager and delivery teams to clarify Features as necessary. **Preferred Job… more
- Bank of America (Plano, TX)
- …+ Identify process improvements and efficiencies via data analysis. + Partner with claims , policy, strategy, and product teams to deliver data insights and analysis ... offered a role with Bank of America, your hiring manager will provide you with information on the in-office...This communication provides information about certain Bank of America benefits . Receipt of this document does not automatically entitle… more
- Bank of America (Plano, TX)
- …Engineering, Business, Statistics or quantitative related field + Fraud and/or Claims background with focus on Authentication + Functional knowledge of multiple ... offered a role with Bank of America, your hiring manager will provide you with information on the in-office...This communication provides information about certain Bank of America benefits . Receipt of this document does not automatically entitle… more
- Panasonic North America (Los Indios, TX)
- …Respond to inquiries as needed and coordinate binding rulings with Customs Compliance Manager and legal. + Strong level of experience in Classification and executes ... as USMCA) certificates from relevant groups. + Support Customs Compliance Manager maintaining CTPAT Certification compliance. Ensure Forced Labor compliance within… more