- Walmart (Manor, TX)
- …versustraining Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and ... and collaborating with all levels of associates regarding store operations utilizing technology business initiativesmerchandising and company direction introducing… more
- Sanofi Group (Houston, TX)
- …deep operational knowledge of the US healthcare system, including formulary operations , claims adjudication, specialty pharmacy networks, and contract ... **Job Title:** Associate Director, National Account Operations CVS - US Remote **Location:** Remote/Field Based...Based **About the Job** The **Associate Director, National Account Operations ** is a key strategic and executional leader within… more
- The Hartford (San Antonio, TX)
- …with teammates in Claims Strategy and Optimization, Claims Performance Analytics, Claims Data Office, Claims Field operations and key stakeholders to ... personnel at all levels, including but not limited to Claims senior leadership, field operations , data science...not limited to Claims senior leadership, field operations , data science staff, and business segment leaders. Responsibilities:… more
- Providence (TX)
- …statements for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for ... empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general,… more
- USAA (Plano, TX)
- …using various systems to collect and analyze data. What sets you apart: + P&C Claims Operations and/or Optimization experience. + 2+ years Director, Claims ... P&C Claims technical acumen. + Deep operational knowledge of end-to-end claims processes. + Ability to drive results through others across a matrixed environment… more
- Samsung SDS America (Plano, TX)
- … is responsible for leading process improvement initiatives and logistics-related claims resolution within Samsung SDS America's operations . This dual-function ... a culture of continuous improvement and innovation across all warehouse operations . Claims Management: + Manage and lead the team responsible for handling… more
- USAA (Plano, TX)
- …various systems to collect and analyze data. What sets you apart: + P&C Claims Operations and/or Optimization experience. + 2+ years Manager, Claims ... Operations experience. + Deep operational knowledge of end-to-end claims processes. + Demonstrated knowledge of new and emerging industry technology solutions. +… more
- Highmark Health (Austin, TX)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and collaborate… more
- Humana (Austin, TX)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Kemper (San Antonio, TX)
- …company and state requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. + Performs other ... or comparable sales/marketing management experience + Extensive knowledge of insurance operations : claims , coverages, products and underwriting is preferable to… more