- Molina Healthcare (Houston, TX)
- …**Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider ... information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each… more
- Highmark Health (Austin, TX)
- …on the people side of change - including changes to business processes, systems and technology, job roles and organization structures. Creates and implements change ... _As a component of job responsibilities, employees may have access to covered information , cardholder data, or other confidential customer information that must… more
- Teleperformance USA (Brownsville, TX)
- …a balanced high-tech and high-touch approach blended with deep industry and geographic expertise, we make people's lives simpler, faster, and safer. We help ... + **Maintain confidentiality of all company trade secrets and proprietary information including business processes, customer information , marketing plans and… more
- Humana (Austin, TX)
- …discussions with external providers by phone to gather additional clinical information and discuss determinations. Medical directors are expected to understand ... products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice… more
- Deloitte (San Antonio, TX)
- …Qualifications:* Bachelor's Degree - preferably in Human Resources, Human Resources Information Management or other Human Resources related degrees.* Minimum of 4 ... with end client managing Oracle Payroll system, preferably Payroll systems and integrations.* Minimum of 4 years of Payroll...range estimate has not been adjusted for the applicable geographic differential associated with the location at which the… more
- Humana (Austin, TX)
- …management skills + Solid analytical skills to understand and interpret clinical information to make recommendations to improve patient outcomes. + Technical savvy ... and ability to navigate multiple systems and screens while working cases. + Collaboration skills...productivity requirements, and to protect member PHI / HIPAA information Travel: While this is a remote position, occasional… more
- PNC (Dallas, TX)
- …and developing logical and conceptual data models for large-scale enterprise systems , particularly within complex environments. - Strong familiarity with common ... primary considerations in all business decisions and able to leverage that information in creating customized customer solutions. + **Managing Risk** - Assessing and… more
- PNC (Houston, TX)
- …a customer-driven culture throughout your team, leveraging broader Bank relationships, systems , and knowledge and using best-in-class, customer first strategies. . ... primary considerations in all business decisions and able to leverage that information in creating customized customer solutions. + **Managing Risk** - Assessing and… more
- Merck (Austin, TX)
- …US livestock industries - poultry, swine and cattle - including production systems , animal health challenges and value-chain dynamics. + Demonstrated ability to ... written and verbal communication skills and the ability to present complex information clearly and persuasively. + Strong analytical skills and the ability to… more
- CenterWell (San Antonio, TX)
- …and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance ... processes and procedures + Value based care knowledge **Additional Information ** + <50% local travel between clinics; mileage reimbursement...pay range may be higher or lower based on geographic location and individual pay will vary based on… more
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