- WTW (Dallas, TX)
- …and articulate ICT's value proposition(s) in context to the the different operations within the organization. + Prepare for and present technology capabilities with ... industries. Working knowledge of insurance functions especially product development, pricing, claims , underwriting and actuarial a plus. + Ability to work… more
- Humana (Frisco, TX)
- …architectures. + **Insurance:** The Insurance IT segment enables Humana's core insurance operations by developing and maintaining systems for claims processing, ... underwriting, policy administration, and member enrollment. Projects often focus on automating workflows, modernizing legacy platforms, AI chatbots and IVR, and enhancing data integrity to support efficient and accurate insurance services. + **Tech Strategy:**… more
- Molina Healthcare (Houston, TX)
- …DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and ... setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed… more
- NTT America, Inc. (Dallas, TX)
- …stakeholders, product teams, and engineers, you will map current-state operations and co-create the future-state AI-native architecture. **Key Responsibilities** : ... + Understand client workflows (eg, claims , lending, KYC) and pain points + Architect AI-native solutions leveraging modular agentic platforms + Define data and… more
- Mass Markets (TX)
- …maintain a competitive edge. + Cross-Functional Collaboration Partner with marketing, operations , product, and finance teams to align sales initiatives with ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Conduent (San Antonio, TX)
- …by monitoring card alerts and fraud prevention reports. + Process disputes and fraud claims in line with client policies and guidelines. + Escalate issues to the ... while ensuring confidentiality and compliance with all regulations. + Support team operations during peak times or absences to help maintain seamless service. **What… more
- Defense Commissary Agency (Dyess AFB, TX)
- …Customer Service Electronic Checkout System Safety & Housekeeping Store Operations Overtime: Occasional Bargaining Unit Status: Covered Fair Labor Standards ... You MUST provide transcripts and/or other documentation to support your educational claims . Transcripts. Required when using education to meet qualifications or when… more
- Molina Healthcare (Austin, TX)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... and pharmacies. + Assists with clerical services/tasks and other day-to-day operations as delegated. + Effectively communicates plan benefit information, including… more
- Mass Markets (TX)
- …in ou r growth. The accountant position is accountable for the accounting operations of the company, to include the production of financial reports, maintenance of ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Evolent (Austin, TX)
- …and maintaining data pipelines to support healthcare data integration and operations . This role involves managing data from various healthcare systems, ensuring ... as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing and implementing… more