- Utilities Service, LLC (Longview, TX)
- …ensures the productivity of daily operations, working closely with management to determine recruiting/hiring needs,deadlines, and safety protocols to enforce ... Insurance (Medical/Dental/Vision) + Employee Assistance Program + Life, long-term/short-term disability insurance **Essential Functions & Responsibilities:** + Plans, coordinates,… more
- Sedgwick (Austin, TX)
- …your nursing or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or ... of response, financial, and client satisfaction. + Maintains accurate record of management including costs savings. + Articulates and effectively documents clear and… more
- Adecco US, Inc. (Irving, TX)
- …focused on supporting specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer ... maximize the customer experience. Position will require travel, project management and/or account coordination based on client expectation. **Key Responsibilities**… more
- Centene Corporation (Austin, TX)
- …pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management , provider/vendor contracts, risk ... of experience working with large databases, data verification, and data management , or 1+ years IT experience. Healthcare analytics experience preferred. Working… more
- Walgreens (Waxahachie, TX)
- …12 months experience entering and retrieving data in an inventory management system. An Equal Opportunity Employer, including disability /veterans. **Shift:** ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Centene Corporation (Austin, TX)
- …in the Continental United States. **Position Purpose:** Direct and oversee claims audit operations and medical code editing scenarios. Oversee payment integrity ... and execute Payment Integrity strategies, end-to-end process automation, optimization and management . + Oversee various functions of the Payment Integrity department… more
- Simplot (College Station, TX)
- …including content and approach. In conjunction with sales leadership, Product Management , and the Agronomic Sciences Team, develop content and locations for ... with Crop Advisors and sales leadership to evaluate crop claims . Provide feedback and suggestions to the Digital Platform...field day programs and demos with sales leadership, Product Management , and Agronomic Sciences teams. + Work with Agronomic… more
- Robert Half Legal (Richardson, TX)
- …you. Responsibilities: * Manage and oversee legal cases assigned by the Claims Department, ensuring timely and effective handling. * Develop comprehensive case ... pleadings, briefs, and memorandums. * Prepare and deliver regular status reports to claims handlers, ensuring updates occur at least every 60 days or as significant… more
- Marathon Petroleum Corporation (San Antonio, TX)
- …and approves complex freight, lightering, time charter hire invoices and post fixture claims for chartered vessels per the charter party contract. * Maintains close ... and spot-chartered vessels.* Reconciles and negotiates complex off hire/underperformance claims for company-chartered vessels.* Completes accurate review and payment… more
- Elevance Health (Grand Prairie, TX)
- …encounter data and provide actionable insights. + Assist in developing data quality management processes and procedures. + Provide support for CMS audits and other ... requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance… more