• Medicaid Provider Hospital Reimbursement…

    Humana (Austin, TX)
    …APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing ... **Become a part of our caring community and help us...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the… more
    Humana (05/29/25)
    - Related Jobs
  • Business Development Director

    Sedgwick (San Antonio, TX)
    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the ... of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known...your insights. + Take advantage of a variety of professional development opportunities that help you perform your best… more
    Sedgwick (05/28/25)
    - Related Jobs
  • Attorney Auditor

    Sedgwick (Houston, TX)
    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the ... of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known...your insights. + Take advantage of a variety of professional development opportunities that help you perform your best… more
    Sedgwick (04/09/25)
    - Related Jobs
  • Sr Medicaid Reimbursement Regulatory Analyst

    Zelis (Plano, TX)
    …clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your ... pricing/reimbursement processes and procedures including institutional, as well as professional payment systems. This position is an internal subject matter… more
    Zelis (05/20/25)
    - Related Jobs
  • Manager, Consulting - Legal Bililing Operations

    Wolters Kluwer (Houston, TX)
    …a continually evolving organizational structure. Supervise and motivate high quality, professional LBACOE analysts. + Monitor daily and long-term LBA delivery ... documenting and maintaining training documentation necessary to driver shorter ramp-up time using effective methodologies for new LBACOE analysts + Developing and… more
    Wolters Kluwer (05/14/25)
    - Related Jobs
  • Licensed Auto Insurance Agent

    Sedgwick (Fort Worth, TX)
    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the ... of your shift. You'll receive structured training, mentorship, and real- time feedback to help you reach full potential. **Schedule...Answer approximately 40 inbound calls per day in a professional and timely manner + Support a wide range… more
    Sedgwick (06/04/25)
    - Related Jobs
  • Senior Clinical Consultant, Disability Appeals

    Guardian Life (Plano, TX)
    …problem-solving, analytical, clinical, and information research skills + Excellent time management & organizational skills + Demonstrated ability to multi-task ... present at least one Clinical Training session for the Claims teams over the course of a year +...improvement + Support Clinicians in developing efficient desk & time management skills + Collaborate with peers and leadership… more
    Guardian Life (06/03/25)
    - Related Jobs
  • Life and Annuity Call Center Rep - US Remote

    DXC Technology (Austin, TX)
    …options regarding various aspects of the policy, for example, status of claims , policy provisions, values, basic procedures, etc. + Process transactions and fund ... associates are expected to perform these responsibilities in a consistent, professional manner while exercising strong verbal, interpersonal and Quality service… more
    DXC Technology (05/13/25)
    - Related Jobs
  • Design Support Specialist

    GAF (Dallas, TX)
    …building enclosure solutions for the commercial construction market. The Territory Manager is part of our dedicated Siplast team. This position is based in Addison, ... wind addendums, PV solar applications, product design and development, claims and complaints associated with Siplast commercial products and applications,… more
    GAF (06/04/25)
    - Related Jobs
  • Sr Analyst, Specialty Performance Analytics

    Evolent (Austin, TX)
    …cost of care across primary and specialty business areas. You'll be part of a multidisciplinary group passionate about leveraging analytics to drive innovation. ... across Evolent analytics, clinical, operations, and IT teams + Manage your time and productivity to deliver against agreed-upon timelines + Bring an innovative… more
    Evolent (05/22/25)
    - Related Jobs