- Sedgwick (Farmers Branch, TX)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... service experience or equivalent combination of education and experience preferred **TAKING CARE OF YOU** + Entry-level colleagues are...with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your… more
- The Hartford (San Antonio, TX)
- …Executive Underwriter does not have any direct reports but is the client manager and is responsible for influencing internal and external partners to achieve ... Participation in all aspects of program management such as actuarial pricing, claim or TPA oversight, reinsurance accounting and collateral management. + Possesses a… more
- Molina Healthcare (Dallas, TX)
- …+ Strong working knowledge of medical terminology and healthcare landscape preferred + Excellent written and verbal communication skills to collaborate internally ... and externally with members, providers, team members, and manager + Work in an independent manner with minimum...to the appropriate party to report any benefit, authorization, claim or eligibility related issue + Prepare information for… more
- CVS Health (Austin, TX)
- …work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... highly collaborative. You will report to the Senior Reporting Manager within the Compliance Pharmacy Payments team. To be...years of experience writing scripts in SQL and/or SAS. ** Preferred Qualifications** + Experience with any of these a… more
- Robert Half Finance & Accounting (Houston, TX)
- …located in Downtown, Houston, TX is seeking a dedicated and experienced Assistant Risk Manager to join our team. The ideal candidate will possess a strong background ... strategies and policies. Oversee insurance programs, including policy renewals, claims management, and coverage analysis. Collaborate with fleet managers to… more
- Houston Methodist (Sugar Land, TX)
- …care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ESSENTIAL ... guidelines. Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions to avoid denial of payment. +… more
- Baylor Scott & White Health (Temple, TX)
- …The Occupational Injury Safety Specialist II, directed by the Safety Manager /Director, uses education and experience to investigate employee incidents. They find ... & White policies. This role acts as the Safety Manager when needed. The Safety Specialist II also trains...a liaison between injured employees, Nurse Case Managers, and Claim Specialists. Provides care for injured employees and ensures… more
- Hoffman Construction Company (Amarillo, TX)
- …pour breaks, updating as needed. + Assist Superintendent and Project Manager with schedule management, development, and coordination. + Provide miscellaneous ... support. + Ensure accurate quantity capture and timely submission of weekly claim sheets. + Review project specifications and requirements, requesting mockups when… more
- CVS Health (Irving, TX)
- …with a collaborative, close-knit reporting team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... of the reporting. You will report to the Sr. Manager within the Reporting Solutions team. To be successful...and document requirements, agreements and changes with business users Preferred Qualifications: + Experience with any of these a… more
- Elevance Health (Grand Prairie, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more