- Humana (Austin, TX)
- …partners, and law enforcement. Assembles evidence and documentation to support successful adjudication, where appropriate. Prepares complex investigative and audit ... or equivalent work experience + Minimum 2 years of investigative and/or claims experience + Knowledge of healthcare payment methodologies + Strong organizational,… more
- NuScale Power (Houston, TX)
- …Perform critical path analysis on project schedule. + Perform forensic schedule analysis to support claims . + Develop and publish periodic project Level 2 and 3 ... project funding, timetable and objectives. + Work with Project Accounting to support monthly accruals process. + Work with the Project Managers, Project Controls… more
- Cardinal Health (Austin, TX)
- …QA reviews, and 1:1 coaching. + Share payer/process knowledge with teammates and support a strong team culture. + Adapt to changes in payer criteria, portals, ... as prior authorization, insurance verification, medical documentation, revenue cycle, or claims , preferred + Proven ability to meet daily productivity targets and… more
- UIC Government Services and the Bowhead Family of Companies (Austin, TX)
- …workers, and subcontractors to resolve on-site challenges. + Actively participate in and support the health and safety program, ensuring all work is performed in ... including labor and equipment, to meet project milestones. + Lead and support crews consisting of carpenters, laborers, and specialty trade subcontractors. +… more
- Humana (Austin, TX)
- …with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider ... it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and… more
- Sedgwick (Austin, TX)
- …needs. . **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Serve as patient advocate to support , guide and coordinate care for injured workers, families and caregivers as ... growth opportunities. + Promoting a strong team environment and a culture of support . + Recognizing your successes and celebrating your achievements. + We offer a… more
- Wells Fargo (Irving, TX)
- **About this role:** Wells Fargo is seeking a senior attorney to support the Trust Services business within its Wealth and Investment Management (WIM) business. The ... multiple factors including intangibles or unprecedented factors + Manage highly complex claims and complaints + Identify and analyze complex legal issues, develop… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please… more
- Mass Markets (TX)
- …and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date ... is based on experience, and we offer a variety of benefits and incentives to support and reward our team members. What You Can Expect from MCI: We understand the… more
- Elevance Health (Grand Prairie, TX)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to… more