- Hensel Phelps (El Paso, TX)
- …6 years of experience in safety on commercial construction projects. + Associate Safety Professional (ASP) or Safety Management Specialist (SMS) designation ... preferred . + Valid Driver's License. + Strong communication skills...safety and health program. + Manage project workers compensation claims including the establishment and monitoring of jobsite clinics.… more
- Humana (Austin, TX)
- …to an organization focused on growing and developing best practices ** Preferred Qualifications** + Knowledge of Medicaid regulations, programs, and state plan ... either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's… more
- Humana (Austin, TX)
- …on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists, ... 8-hour shift Mon-Fri between the hours of 8 am to 7 pm EST. ** Preferred Qualifications** + Masters' degree in social work, psychology, or related health discipline… more
- Cinemark (Plano, TX)
- …and other business clients. This role will report directly to the VP- Associate General Counsel. Responsibilities: + Provide legal guidance to Human Resources and ... and develop strategy for litigation, labor disputes, agency charges, audits and claims + Assist in the development, review, and implementation of company policies… more
- Deloitte (Dallas, TX)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... industries/sectors you serve. + Limited immigration sponsorship may be available. Preferred Qualifications: + Master's degree in mathematics, statistics, or a… more
- Humana (Austin, TX)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Medical utilization management experience, + working with… more
- Humana (Austin, TX)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... and regulations governed by the Department of Insurance and CMS ** Preferred Qualifications** + Compliance regulations knowledge and compliance auditing experience +… 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 ... technical decisions. **JOB QUALIFICATIONS** **Required Education** * Bachelor's or Associate 's degree in Data Science, Computer Science, Analytics, Information… more
- 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 unrestricted TX Compact License - Resides within Texas ** PREFERRED EXPERIENCE** - 3 years LVN nursing experience -...communication skills - Bilingual - Spanish a plus! - Associate 's Degree and/ or Bachelor's Degree **EDUCATION** High School… more
- Humana (Austin, TX)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Medical utilization management experience + Working with… more