- Siemens (Grand Prairie, TX)
- …with minimal intervention from Sales. Assist and support in warranty related claims while balancing best bottom-line results and customer experience. You'll win us ... over by having the following qualifications: Basic Qualifications: BS/BA, BS in engineering, business, or related field or equivalent. 5 plus years of experience in the application and concepts of Low Voltage Products.Electrical and or General Contractor… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- Walgreens (Dallas, TX)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows- up with ... insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest alternative medications, and answer… more
- CVS Health (Austin, TX)
- …with key providers, ensuring timely resolution of escalated issues such as claims , contract interpretation, and provider data accuracy. + Negotiate settlements and ... recruit providers as needed to ensure network adequacy and support expansion goals. + Maintain accountability for specific medical cost initiatives. Required Qualifications: + 3+ years of provider contracting and relationship experience, including contract… more
- USAA (Plano, TX)
- …environment enabling strategy and continuous improvement for Property and Auto Claims . + Experience influencing and communicating with executive leaders and ... stakeholders to drive significant strategy and high value initiatives. + US military experience through military service or a military spouse/domestic partner **Compensation range:** The salary range for this position is: $77,120 - $138,810 **.** USAA does not… more
- Molina Healthcare (San Antonio, TX)
- …experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree and/or equivalent ... combination of education and Health Care related experience of 4+ years **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 4+ years experience in health care industry in related field **PREFERRED EDUCATION:** Bachelor's degree in healthcare related field… more
- Molina Healthcare (Austin, TX)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, 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… more
- Acosta Group (Stafford, TX)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Baker Construction (Houston, TX)
- …to identify and determine impact of potential contract changes, disputes, and claims + Leads LEAN/SQP committee and identifies improvement opportunities + Ensures ... all subcontractors are in compliance with terms of subcontracts, generates, and obtains approval on impact notices as needed + Reviews and confirms reports documenting compliance (Company and subcontractors) with prevailing wage, workforce utilization, MBE/SBE… more
- Caris Life Sciences (Irving, TX)
- …Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. + Strong writing skills, especially in ... drafting investigation reports and summaries. + Ability to manage multiple investigations simultaneously, prioritize tasks, and meet deadlines. **Preferred Qualifications** + 5 years compliance experience in a Healthcare environment. + CHC Certification… more