- Centene Corporation (Austin, TX)
- …them using the appropriate reference material within turnaround time requirements and quality standards + Answers and conducts inbound and outbound calls with ... members and provider offices to provide resolution to claims (ie: additional information requests and medication determination updates) + Thoroughly researches… more
- Walgreens (Texas City, TX)
- …policies and procedures in relation to pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims ... Manager in analyzing and seeking to improve pharmacy financials, operational quality and customer service. + Manages Community Outreach Portal and coordinates… more
- Path Construction (Dallas, TX)
- …Additionally, our unmatched customer satisfaction and, most importantly, the development and quality of our people drive our success. For more about us, please ... projects + Project scheduling, including pre-construction activities + Oversight of project claims and resolution + Oversee and facilitate purchasing and issuance of… more
- Walmart (Wichita Falls, TX)
- …and replacement equipment and recording purchases and usage. + Submitting warranty claims and adhering to Occupational Safety and Health Administration (OSHA) and ... Environmental Protection Agency (EPA) regulations and guidelines + Ensuring quality work is completed that complies with federal, state, and local regulations. +… more
- CVS Health (Richardson, TX)
- …software solutions, and maintaining both front-end and back-end systems to deliver high- quality web & software solutions. The idea candidate should have a proven ... + Tests own code and participates in the overall quality assurance process. + Writes and executes unit tests,...for creating efficiency + Healthcare experience preferred, particularly around claims or benefits testing + Self starter with project… more
- ReSource Pro (Austin, TX)
- …engagements, from planning and design to implementation and transition, ensuring quality and alignment with client expectations. + Collaborate with both offshore ... and onshore teams to ensure technical alignment, delivery quality , and client satisfaction, while meeting timelines, budget, and contractual commitments. + Develop… more
- IQVIA (Austin, TX)
- …Acts as the primary owner of client engagements to ensure deliverable quality , client satisfaction, and project management (scope, revenue, and profitability). + ... priorities so that deadlines are met while retaining consistently high- quality outcomes. **Minimum Education, Experience, & Specialized Knowledge Required:** +… more
- Humana (Austin, TX)
- …Management supports the Encounter Data Management team within the Healthcare Quality Reporting and Improvement organization (HQRI). The Senior Process Improvement ... **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim's environment...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Humana (Austin, TX)
- …Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in ... on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists,… more
- Evolent (Austin, TX)
- …This role involves managing data from various healthcare systems, ensuring data quality , and enabling data accessibility for analysis and decision-making. **What You ... to ensure it meets the highest standards of data quality and performance. + Quickly identify gaps in team...as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing… more