- USAA (San Antonio, TX)
- …part of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager - Section II ** , you will be responsible for ... to include serious injury or property damage arising from Section II liability, questionable damages, questionable liability and questionable coverage issues. +… more
- Elevance Health (Houston, TX)
- ** Manager II Grievance/Appeals** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... an accommodation is granted as required by law._ The ** Manager II Grievance & Appeals** responsible for...as a resource for complex issues and interpretation of claims , provider contracts and data, eligibility, member contracts, benefits,… more
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... receipt and meet the criteria._** The **Telephonic Nurse Case Manager II ** is responsible for care management...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Case Manager II ** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... receipt and meet the criteria._** The **Telephonic Nurse Case Manager II ** is responsible for care management...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Houston, TX)
- **Telephonic Nurse Case Manager II ** **Hours: Monday - Friday 9 - 5:30 pm EST, plus 3 times a month 11:30 - 8 pm EST.** **Location:** This role enables ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for care management within the scope… more
- Zurich NA (Houston, TX)
- Construction Property Underwriter ( II or III) 127562 Zurich is currently hiring an experienced Construction Property Underwriter (Level II or Level III) to join ... We are looking for a Construction Property Underwriter (Level II or Sr. Level III) to work out of...on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports… more
- Elevance Health (Houston, TX)
- **Clinical Provider Auditor II ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... granted as required by law. The **Clinical Provider Auditor II ** is responsible for identifying issues and/or entities that...abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II ** is responsible for identifying issues and/or entities that may… more
- Mass Markets (Killeen, TX)
- …with operations teams + Partner with remote HR teams and the HR Manager to address HR-related matters and initiatives + Align HR strategies with business ... of the position + Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job offers are contingent on… more
- Elevance Health (Houston, TX)
- …+ Serves as a resource for complex issues and interpretation of claims , provider contracts and data, eligibility, member contracts, benefits, clinical decisions, ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more