- Sedgwick (Dallas, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- The Cigna Group (Austin, TX)
- …to Have** + Prior **PBM/specialty pharmacy** platform knowledge (eg, claims /benefit management, care coordination, specialty workflows). + Earlier **hands‑on ... of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll...day one of your employment, you'll be offered several health -related benefits including medical, vision, dental, and well-being and… more
- Health Care Service Corporation (Richardson, TX)
- …Job Qualifications:** + Bachelor's degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field ... in related field OR 6 years of experience in health care services, statistical analysis, or insurance industry economics...+ Experience of Healthcare industry - mainly pharmacy related claims . + Experience with Medicare Part D and CMS… more
- Elevance Health (Grand Prairie, TX)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Perform duties telephonically or on-site ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Rockwall, TX)
- …care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** + Responsible ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... an Impact:** + Uses analytic tools to: track both health risks and compliance, as well as supporting the...experience nice to have Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- UTMB Health (Galveston, TX)
- …Coding **Galveston, Texas, United States** **New** 1. Select the Job Field UTMB Health Requisition # 2506627 **Minimum Qualifications:** A high school diploma or GED ... **Licenses, Registrations, or Certifications:** CCA - Certified Coding Associate American Health Information Management (AHIMA) Or CCS - Cert-Cert Coding Specialist… more
- Option Care Health (San Antonio, TX)
- …provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion services provider in ... states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and… more
- Health Care Service Corporation (Richardson, TX)
- …to travel, including overnight stays. Required Job Qualifications: *Bachelor's degree in health care or business administration or a minimum of 4 years work ... experience in a managed care environment. *Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider… more
- Health Care Service Corporation (Richardson, TX)
- …This position may be responsible to manage low-risk members for health -related social needs, education, and basic member outreach screenings/inquiries. **Required ... of medical or healthcare terminology. + Knowledge of clinical systems ( claims , enrollment, documentation). + PC proficiency including Microsoft Office applications.… more