- Walgreens (Houston, TX)
- …technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient ... and digital platforms supported by the latest technology to deliver high- quality products and services in communities nationwide. **Preferred Qualifications:** +… more
- WTW (Dallas, TX)
- …role you will work closely with the other members of the team including Broking, Claims and Technical Services to ensure that the needs of the clients are met or ... renewal and cross-sell opportunities + Regularly contact existing clients to ensure quality service is being delivered and client retention rates are maintained +… more
- Chevron Corporation (Houston, TX)
- …The successful candidate must be able to provide practical, efficient, and high quality legal advice to Chevron Supply and Trading's various business teams including ... Treasury and Compliance) are consulted and aligned. + Negotiate resolution of claims and advise on litigation (eg failure to perform, shortage, off-specification… more
- CVS Health (Austin, TX)
- …_Social Determinants of Health_ ) community resources, renewal of member benefits, claims , complaints & appeals, and assistance with provider related requests. + ... with local community-based organizations. + Meet all departmental standards for quality and compliance of outreach activities. + Maintain compliance with all… more
- CVS Health (Austin, TX)
- …Summary** The Senior Data Engineer will be responsible for delivering high quality modern data solutions through collaboration with our engineering, analysts, data ... position is open in a data engineering team that is responsible for processing Claims , Revenue, Medicare Specific files and data from 30+ payors into our Data… more
- Houston Methodist (Houston, TX)
- …and ad hoc reports regarding status of credentialing documents. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Recognizes, investigates, and validates discrepancies and ... the Central Business Office and Managed Care department information when claims from commercial and governmental plans require additional information or… more
- Target (Houston, TX)
- …Distribution Center Operations, where process and problem solving drive our results; Quality Management, which influences and maintains our good name in the retail ... partner closely with various Target corporate teams for budgeting, insurance claims management, and regulatory compliance management. You will help maintain external… more
- Humana (Frisco, TX)
- …core insurance operations by developing and maintaining systems for claims processing, underwriting, policy administration, and member enrollment. Projects often ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,… more
- VetsEZ (TX)
- …support automated deployments, and conduct thorough code reviews to ensure quality and consistency. + Test, debug, and monitor application performance using ... or related degree. + 7+ years Pega PRPC v7.x+ experience (including Smart Claims & Healthcare Foundation). + 3+ years Java development experience. + Certified Senior… more
- North Star Diagnostic Imaging (Frisco, TX)
- …charges; controlling credit extended to patients; filing, collecting, and expediting third-party claims . + Helps patients in distress by responding to emergencies. + ... Time Management, Organization, Attention to Detail, Scheduling, Word Processing , Professionalism, Quality Focus Benefits + Health Insurance + PTO per Hour Worked +… more