- CVS Health (Austin, TX)
- …Qualifications** + Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy ... Ops + Business process design and development experience using SSMS (Sql Server Management Studio) Agent + SQL job monitoring, troubleshooting and issue resolution with the potential of off hour support + SQL programming, MS PowerShell, Open Query integration… more
- Molina Healthcare (San Antonio, TX)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... to support ongoing reporting and analytics workflows. + Utilize Databricks and Snowflake to develop scalable data pipelines and analytical datasets. + Create and maintain Power BI dashboards to deliver insights on utilization, outcomes, and cost drivers across… more
- Western Digital (Austin, TX)
- …business models + Familiarity with legal guidance for marketing related claims and/or product liability matters + Knowledge of product regulatory matters ... related to hardware or software products SKILLS + Strong proficiency in drafting contracts or writing persuasively for a third-party audience + Attentively listens to others and encourages the open expression of diverse ideas and opinions + Provides timely and… more
- HNTB (Dallas, TX)
- …not limited to; assists change manager and project manager in contractor claims and disputes. Tracks, reviews, processes RFIs and submittals, and performs ... constructability reviews. + Leads daily assignments, mentors, and trains employees. Monitors internal HNTB project controls as directed. + Recruits, hires, develops and retains staff, including development of plan for staff reporting, performance and… more
- Highmark Health (Austin, TX)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None… more
- Indorama Ventures (The Woodlands, TX)
- …+ Developing methods to analyze samples or the applications testing to prove claims , + Maintain an awareness of the literature and other sources of information ... to remain current with developments in the area of functional products of interest to the Corporation. + Work with the sales force to evaluate, select, and apply standard chemistry techniques and procedures to solve customer or company objectives under the… more
- Golden State Foods (Lancaster, TX)
- …(advertising, scheduling interviews, etc.), staffing, preparation of workers' compensation claims , completion of new employee paperwork, support of accounting ... functions, and routine correspondence. (25%) + Maintains Human Resources records and files for all GSF employees (eg, employee status change, address change, job bids, pay rate changes, etc.) to ensure compliance with GSF, federal, and state regulations and… more
- Rush Enterprises (New Braunfels, TX)
- …as individual claims required. + Perform regular audits of individual claim files and review workers' compensation claims . + Efficiently manage caseload ... The Senior Risk and Insurance Analyst - Workers' Compensation...services. Responsibilities + Oversee and manage complex workers compensation claim process, including reporting, medical coordination, lost time and… more
- Houston Methodist (Houston, TX)
- …clinical knowledge to reduce financial risk and exposure caused by front end claim edits and retrospective denial of payments for services provided. This position ... cycle personnel, and payers to successfully clear front end claim edits, appeal clinical denials, and address customer service...and findings to both front line team members and senior executives. + Communicates to partners, revenue cycle staff,… more
- Elior North America (Houston, TX)
- …company that serves millions of meals daily across schools, healthcare facilities, senior living communities, and more. We're looking for a proactive and ... Compensation Program Manager to help us effectively manage, investigate, and resolve claims . In this role, you'll develop strategies and action plans that reduce… more