- Skanska (Dallas, TX)
- …position also requires a strong knowledge of scheduling techniques and claims techniques. Should possess strong leadership, organizational and time management ... skills, strong communication, and customer service skills. **Senior Scheduling Manager Required Qualifications:** + 8+ years of experience scheduling + 8+ years of experience building a schedule and performing updates for construction projects + 4+ years of… more
- The Cigna Group (Plano, TX)
- …data informatics and data exchange using healthcare and clinical data such as Claims , Membership, Audit, Client Structure, and Benefits. If you will be working at ... home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About The Cigna Group** Doing something meaningful starts with… more
- Molina Healthcare (San Antonio, TX)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... to support ongoing reporting and analytics workflows. + Utilize Databricks and Snowflake to develop scalable data pipelines and analytical datasets. + Create and maintain Power BI dashboards to deliver insights on utilization, outcomes, and cost drivers across… more
- Texas Tech University Health Sciences Center - Lubbock (Lubbock, TX)
- …in the family medicine clinic. + Maintain appropriate records, reports, claims and correspondence necessary in connection with all professional services performed ... by the physician. + Train students and residents to be successful in their future careers, placing a strong focus on education and evidence-based practices. **Grant Funded?:** No **Pay Grade Minimum:** Salary commensurate with related education, experience… more
- STG International (Temple, TX)
- …pay (includes applied income & co-insurance) collections at 99% 32. On hold unbilled claims are less than .25% of 3rd party (non-private) revenue and/or not aged ... greater than 30 days 33. Medicaid Pending A/R balances over 120 days do not exceed 25% of the total Medicaid pending A/R balance at end of month 34. Resident trust fund reconciliations are completed by the 5th business day of each month and State trust fund… more
- Zodiac Pool Systems (Dallas, TX)
- …and Fluidra sales managers + Instruct dealers on Fluidra's warranty guidelines and claims processing procedures + Represent Fluidra at local and national trade shows ... and seminars, in conjunction with Fluidra sales and marketing personnel + Work closely with Fluidra sales managers to help promote Fluidra products and services + Ability to read and interpret documents such as safety rules, operating and maintenance… more
- Defense Health Agency (El Paso, TX)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment._ ... Located in El Paso, TX, Fort Bliss is home to the 1 st Armored Division. We are a FORSCOM installation comprised of other commands: MEDCOM, JTF-NORTH, TRADOC, USAR, and other elements. Fort Bliss is comprised of approximately 1.12 million acres of land in… more
- Humana (Austin, TX)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of… more
- Kyndryl (Austin, TX)
- …Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is ... $159,240 to $286,560 based on a full-time schedule. Your actual compensation may vary depending on your geography, job-related skills and experience. For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be… more
- CVS Health (Austin, TX)
- …compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue ... resolution and maintain strong working relationships. + Stay informed about industry trends, regulatory changes, and best practices related to self-funded plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA (Third Party… more