- Sharecare (Austin, TX)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... vision plans + Support for spending accounts, pharmacy, and disability . + Assistance with incentives and rewards + Aid...resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization… more
- Norstella (Austin, TX)
- …service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard ... analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other...Plan with Company Match *Company Paid Short & Long-Term Disability *Paid Parental Leave *Paid Time Off & Company… more
- USAA (San Antonio, TX)
- …documentation may result in disqualification.** + Experience leading $1B+ Claims transformation programs. + Demonstrated experience managing programs with ... to translate business needs into technical specifications. + Recent experience supporting Claims in a Program Management role. + PMP, Agile and Change Management… more
- Norstella (Austin, TX)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable...Plan with Company Match *Company Paid Short & Long-Term Disability *Paid Parental Leave *Paid Time Off & Company… more
- USAA (Plano, TX)
- …for consultation on and programming of instructions and alerts within the Claims Center (Guidewire) and Training Environments. These alerts will be programmed within ... **What sets you apart:** + 2 years of experience adjusting or managing Claims within Guidewire. + 2 years of experience programming within digital adoption tools… more
- Prime Therapeutics (Austin, TX)
- …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet… more
- Allied Universal (Corpus Christi, TX)
- …payroll discrepancies, compliance reporting, uniform/equipment management, and unemployment claims . This hands-on position is responsible for branch-level ... files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, and… more
- Prime Therapeutics (Austin, TX)
- …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet… more
- Norstella (Austin, TX)
- …integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to drive ... the integration of diverse data sources, including lab, EMR, claims , and SDoH data, to create comprehensive and actionable...and AD&D Benefits 401k retirement plan Short- and Long-Term Disability Paid parental leave Paid time off principles for… more
- Prime Therapeutics (Austin, TX)
- …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more