- WTW (Dallas, TX)
- …and key clients internally and externally, create client deliverables, and ensure quality standards are met. You will have the opportunity to significantly grow ... to day to day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.) + Preparation for client meetings (prepare agendas and… more
- Humana (Frisco, TX)
- …including direct leaders, program managers, and mentors + Access to training and development opportunities + Participation in intern-led committees including ... people we serve achieve their best health. TheCenterWell area supports senior -focusedprimary care, home health, and pharmacysegments, while the Humana Military area… more
- Molina Healthcare (Austin, TX)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... oversight of data entered through both automated process and manual input + Ensure quality control of data entered into QNXT and sent to external vendors + Oversees… more
- Fotona (Irving, TX)
- …reputation for excellence is earned from its dedication to R&D, unparalleled quality , reliability, ease of use, and durability. Fotona is currently seeking a ... role responsible for shaping Fotona's compliance infrastructure, partnering with senior stakeholders, and ensuring sustained regulatory excellence across our US… more
- Sanofi Group (Houston, TX)
- …knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We ... performance and recommend operational optimizations. + Provide timely updates to senior leadership and account management teams, highlighting trends, gaps, and… 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 … more