- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. **Job Duties**… more
- Sedgwick (Irving, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance LTD Case Specialist **PRIMARY PURPOSE** **:** To analyze claims and determine benefits ... independent medical evaluations as required and seeks advice from management , as necessary. + Refers cases to LTD Supervisor,...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- Justice, Bureau of Prisons/Federal Prison System (TX)
- …develops program planning by presenting cases to the Unit Team and coordinating case management services with other correctional disciplines. Along with all ... examples of this qualifying experience are: GL-09: Experience in providing case management services to the local inmate population. Experience in the collection,… more
- Travelers Insurance Company (Richardson, TX)
- …damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. + Extensive ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- Safran (Denton, TX)
- Supplier Performance Management Specialist Company : Safran Electrical & Power Job field : Purchasing Location : Denton (tx) , Texas , United States Contract ... we foster collaboration, trust, and diverse perspectives. As a Supplier Performance Management Specialist , you'll play a pivotal role in managing supplier… more
- Rexel USA (Dallas, TX)
- …by collaboration and delivering quality work, join Rexel USA as a Insurance Risk Management Specialist ! **The position of Insurance Risk Management ... out of our Dallas, TX location!** Summary The Risk Management Specialist is responsible for providing best...cost reduction techniques + Clear understanding of the business case for improving post-loss management + Ability… more
- Houston Methodist (Sugar Land, TX)
- …to both operational and clinical stakeholders. The Senior Denials Management Specialist position collaborates with physicians, case managers, and payors to ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for...functions as a support and educational resource to physicians, case management staff and management .… more
- Prime Therapeutics (Austin, TX)
- …in Excel, Word, and system operations (eg workflow processes and case management ) + Government programs (Medicare) knowledge **Preferred Qualifications** ... and drives every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** The Senior Medication… more
- Huntington Ingalls Industries (San Antonio, TX)
- …ISR operations and accelerated decision-making. With data fusion and mission management capabilities for the Department of Defense, the combatant commands and ... Done Right! HII Mission Technologies is seeking a Temporary (Part-Time) Acquisition Specialist /Project Manager to support the Air Force Nuclear Weapons Center, Air… more
- Deloitte (Fort Worth, TX)
- Oracle HCM Cloud Specialist Master: Talent Management & Learn Modules What drives you? Is it complex, challenging, possibly global projects? Is it the ... on 12/31/25 Work you'll do As an Oracle HCM Specialist Master, you will use your knowledge and experience...in one or more of the following modules: Talent Management , Learn + 6+ years of experience leading teams… more