- Molina Healthcare (TX)
- …Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role will focus on...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
- Highmark Health (Austin, TX)
- …forecasts, forwarding concerns and recommendations to the Workforce Planning Team Manager . 3. Support scheduling impacts of longer-term initiatives, events, ... **GENERAL OVERVIEW:** Primary accountability is to perform Command Center support to call center teams and provide evaluation and...or trends. Work with Workforce Planning Team Manager and Customer Service Management team to appropriately schedule… more
- Sedgwick (Irving, TX)
- …a world class training program with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your career journey + Career ... world's most reputable brands + An assigned mentor and manager who will guide you on your career journey...adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry… more
- Meta (Temple, TX)
- …Area Schedule Lead will review and approve all Extension of Time (EOT) requests and support the Area Manager and Area Cost Lead on the review and approval ... for Delay Tracking, Extension of Time (EOT) requests and claims . Coordinate the change evaluation in collaboration with the...Precon Baseline Schedules. In conjunction with the Meta PreCon Manager and with the support of the… more
- HCA Healthcare (Houston, TX)
- …coverage;** + You will work with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation ... **Introduction** Do you have the career opportunities as a Manager Patient Safety you want in your current role?...We are an amazing team that works hard to support each other and we are seeking a phenomenal… more
- GKN Aerospace (Dallas, TX)
- …where you can take your career. Job Summary The North American Regional Contracts Manager and Global Commodity Senior Buyer is a position that is designed to provide ... contract management support for US-only supplier contracts in North America as...North American aerospace manufacturing sites. Job Responsibilities The Contracts Manager is responsible for the management of GKN's new… more
- HCA Healthcare (Conroe, TX)
- …coverage; + * You will work with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation of ... the opportunity to make a real impact. As a(an) Manager Risk Management you can be a part of...Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Texas Health Resources (Arlington, TX)
- …+ Core work hours: Monday-Friday 8:00a-5:00p **Summary** The Billing, Coding & Denials Manager will oversee all aspects of claim review and coding denials ... ** Manager Billing Coding and Denials** _Are you looking...and feedback related to coding denials. **Job Duties** Manage Claims /Denials department and staff: Analyze, create and refine department… more
- Sedgwick (Farmers Branch, TX)
- …a world class training program with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your career journey + Career ... world's most reputable brands + An assigned mentor and manager who will guide you on your career journey...THE ROLE:** To provide excellent customer service and internal support to an assigned team. **ARE YOU AN IDEAL… more
- Centene Corporation (San Antonio, TX)
- …to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more