• Medical Director - Medicare Grievances and Appeals…

    Humana (Austin, TX)
    …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals… more
    Humana (08/26/25)
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  • (USA) Auto Care Center Coach

    Walmart (Tyler, TX)
    …equipment in accordance with company guidelines handling customer and merchandise claims and returns zoning the area ordering arranging and organizing merchandise99 ... Certification from Automotive Technical Institute, Bachelor of Science in Business Management and Leadership through Live Better U and Bellevue University,… more
    Walmart (08/26/25)
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  • Service Writer-CES

    United Rentals (Cedar Park, TX)
    …and submitted for warranty + Monitor warranty reporting to ensure that all claims are properly brought to closure + Run Preventive Maintenance reports and schedule ... equipment maintenance related issues with a high sense of urgency + Keep Management informed of customer concerns + Ensure all service-related invoices are properly… more
    United Rentals (08/26/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Dallas, TX)
    …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... + Minimum of 5 years of relevant professional experience + Account Management and/or Reimbursement experience working in the hospital and/or provider office setting,… more
    J&J Family of Companies (08/25/25)
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  • Field Reimbursement Manager - Immunology…

    J&J Family of Companies (Dallas, TX)
    …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... . Minimum of 5 years of relevant professional experience . Account Management and/or Reimbursement experience working in the hospital and/or provider office setting,… more
    J&J Family of Companies (08/25/25)
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  • Analyst, Business Quality (Remote)

    Molina Healthcare (Dallas, TX)
    …lead for both new and existing features (regression testing). + Vendor Management : Provides single point of contact for various vendors (software and interfaces). ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more
    Molina Healthcare (08/24/25)
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  • Office Clerk (Part Time)

    Kemper (Austin, TX)
    …with Home Office personnel regarding policy status, underwriting notifications, claims status, and other important policyholder and agency information/actions are ... + Excellent verbal and written communication skills. + Good organizational, time management and customer service skills. + Proficient in MS Outlook, Excel,… more
    Kemper (08/24/25)
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  • Senior Analyst, Special Investigative Unit

    CVS Health (Austin, TX)
    …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
    CVS Health (08/24/25)
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  • Patient Services Representative - Orthopedics…

    Houston Methodist (Houston, TX)
    …facilitate the patient visit experience. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. ... + Uses department resources/equipment/supplies properly and efficiently. Participates in inventory management by taking action to ensure supply levels are adequate.… more
    Houston Methodist (08/23/25)
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  • Assistant General Counsel (Enterprise Litigation)

    USAA (San Antonio, TX)
    …docket to include first-chair bad faith litigation experience or in-house management experience involving the products or business operations of personal lines ... companies (auto, property, life) and class actions. + Experience analyzing insurance claims handling practices and claim files for personal lines insurance products.… more
    USAA (08/22/25)
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