- Elevance Health (Grand Prairie, TX)
- ** Claims Auditor I, II and Senior**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance ... specialized claims with appropriate guidance from management and peers. The ** Claims Auditor II ** is responsible for audits of high dollar claims across… more
- Consolidated Electrical Distributors (Irving, TX)
- Summary Job title: Loss Control Claims Coordinator II Job ID: null Department: Loss Control Location: null-null Description Summary: Consolidated Electrical ... Claims Coordinator will report to CED's Loss Control Manager and is primarily responsible for the oversight of...and activities related to property & casualty insurance, related claims , and safety. Reports to: Loss Control Manager… more
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Case Manager II ** **Sign on Bonus: $2000.** **Location: Virtual: This role enables associates to work virtually full-time, with the exception ... Multi-State Licensure will be required.** 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)
- **Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... 11:30 AM to 8:00 PM EST. The **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 utilization/care… more
- Amazon (Austin, TX)
- Description Product Commercialization is looking for its newest Project Manager (Product Commercialization Lead). This dynamic team is the pulse critical to driving ... and conformance to Quality Standards and conventions/best practices in all claims , copy, instructions, and other information * Create clear vendor communication,… more
- ZOLL Medical Corporation (Houston, TX)
- …intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all times ... a minimum of 1 year OR have successfully performed within a Associate Territory Manager role. Physical Demands + This position requires the employee to sit, stand,… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II ** is responsible for identifying issues and/or entities that may… more
- Elevance Health (Grand Prairie, TX)
- **Utilization Management Representative II ** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... is granted as required by law._ The **Utilization Management Representative II ** is responsible for managing incoming calls, including triage, opening of… 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 (Grand Prairie, TX)
- …in order to recover corporate and client funds paid on fraudulent Medicaid claims . **How You Will Make an Impact:** + Responsible for identifying and developing ... data and claim systems for review of facility, professional and pharmacy claims + Effectively establish rapport and on-going working relationship with law… more