- USAA (San Antonio, TX)
- …Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible for developing, managing, growing, ... + Advanced level of business acumen in the areas of the business operations , industry practices, regulatory requirements, and emerging trends required. + Travel may… more
- Prime Therapeutics (Austin, TX)
- …decision we make. **Job Posting Title** Senior Solution Product Owner - Pharmacy Claims Data **Job Description** The Senior Solution Product Owner is responsible for ... preparing for subsequent sprints + Work with the product managers and operations teams to understand product discovery/definition and convert to actionable items on… more
- Guidehouse (Lewisville, TX)
- …denials for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all state and federal rules and ... of Diploma / GED. + 1-3+ year's experience working in an office, business, operations , customer service or healthcare field. **What Would Be Nice To Have** **:** +… more
- Capgemini (El Paso, TX)
- …realize their business ambitions through an array of services from strategy to operations . Capgemini is driven by the conviction that the business value of ... technology comes from and through people. Today, it is a multicultural company of 270,000 team members in almost 50 countries. With Altran, the Group reported 2019 combined revenues of €17billion. Visit us at www.capgemini.com . People matter, results count.… more
- USAA (San Antonio, TX)
- …process improvement and design methodologies, eg Six Sigma and Lean, business operations , risk management, quality assurance and control, or internal audit (in ... addition to the minimum years of experience required) may be substituted in lieu of degree. + 8 years business process execution/knowledge/experience, consulting, and/or process engineering/optimization. + 3 years of direct team lead, supervisory or management… more
- Guidehouse (Lewisville, TX)
- …in Lieu of Diploma / GED. + 0-2+ year's experience in office, business, operations , customer service or healthcare field. **What Would Be Nice To Have** **:** + ... Previous experience working in insurance portals + PC skills in a Windows environment. + Knowledge and utilization of desktop applications to include Word and Excel is essential. + Ability to initiate and follow through on projects and work independently with… more
- Sedgwick (Austin, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Specialty Operations Coordinator **PRIMARY PURPOSE** : To analyze low- and mid-level workers ... compensation claims to determine benefits due; and to ensure ongoing...and files necessary documentation with state agency. + Communicates claim action/processing with appropriate parties including, but not limited… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Health Plan Operations , Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis… more
- Academy Sports + Outdoors (Katy, TX)
- …separation details and independently determine and formulate Academy's response to unemployment claims , claim decisions, state calls, and hearings within state ... or more areas such as: I-9/E-Verify, background checks, unemployment claims , talent acquisition, leave administration, compensation, benefits, learning and… more
- Houston Methodist (Houston, TX)
- …includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and ... knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This role is also… more