- Elevance Health (Grand Prairie, TX)
- …the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes ... **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables...and audits claims by integrating medical chart coding principles, clinical guidelines,… more
- Elevance Health (Grand Prairie, TX)
- ** Group Underwriter, Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while ... employment, unless an accommodation is granted as required by law. The ** Group Underwriter, Senior** is responsible for determining acceptability of insurance … more
- The Cigna Group (Austin, TX)
- …meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group , we're dedicated to improving the health and vitality of those we ... strategy with material experience in payer/PBM, specialty pharmacy, and/or health services platforms. + Depth in **modern architectures** : public… more
- Rexel USA (Dallas, TX)
- …as well as developing and implementing programs and processes to control the cost of insurance and claims . What You'll Do + Provide best practices in workers ... productively as a member of a team or work group are basic requirements of all positions at Rexel...compensation laws in all 50 states + Knowledge with claims handling and underwriting principles of other insurance… more
- Houston Methodist (Cypress, TX)
- …of the Houston Methodist health system - one of the nation's leading health systems - the Primary Care Group offers efficient access to world-class specialty ... and mentor to less experienced staff. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions.… more
- Royal Electric (Dallas, TX)
- …The Sr. Project Manager will support projects for the Building Group ; Multifamily, Commercial, etc. Success in the position is achieved through ... documentation including but not limited to submittals, RFI's, delay notices, potential claims , and extended overheads. + Maximize cash flow by balancing project cost… more
- The Cigna Group (Houston, TX)
- …meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group , we're dedicated to improving the health and vitality of those we ... new risk adjustment opportunities that not only create better health outcomes for patients but also enable Cigna Healthcare...and SQL scripting skills + Strong experience with medical claims data (CPT/ICD10) + Experience with HHS ACA (or… more
- The Cigna Group (Austin, TX)
- …Cigna Group . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group , is an advocate for better health through every stage of life. We ... for meeting the plan results **Qualifications** + 5+ years' of experience in health care/managed care work experience + Strong Experience with various data mining… more
- Volvo Group (Houston, TX)
- …incoming orders, checks for damaged or missing components of shipments and processes claims timely + Receives, documents, and stores inbound shipments in a timely ... Able to tolerate extreme local temperatures At the Volvo Group , we strive for a clear, transparent, and straightforward...you will enjoy: * Competitive medical, dental and vision insurance . * Generous paid time off. * Competitive matching… more
- Compass Group, North America (Prairie View, TX)
- …is a Nationwide Best in Class Facility Service Provider_ . As a member of Compass Group , North America, we want you to be as great as you can be. We empower ... post construction issues such as warranty or latent defect claims * Ensures Federal, State, and local laws and...Ensures Federal, State, and local laws and codes concerning health , safety, accessibility, and the environment are rigorously adhered… more