• Customer Service Specialist - Healthcare Billing,…

    Amazon (TX)
    …to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, ... needs via 1Life's tasking system to provide the best customer service. Investigating claims through insurance to ensure they were processed according to the patient… more
    Amazon (08/26/25)
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  • Manager, Actuarial and Analytics - BSI Reserving

    Travelers Insurance Company (Austin, TX)
    …key decisions. You will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate your findings and ... the Financial Institutions business unit. + Work with the Claims department to ensure best estimates are appropriately reserved...analysis required.** **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
    Travelers Insurance Company (08/22/25)
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  • Analytic Consultant

    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 ... by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data *Your… more
    Norstella (08/22/25)
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  • Senior Analytic Consultant

    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 ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
    Norstella (08/22/25)
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  • Associate Director, Quantitative Pharmacology,…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... needs and nutraceutical products for the maintenance of everyday health . This position can be based in Princeton, New...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (08/16/25)
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  • SIU Specialist - Pharmacy Tech - Remote in…

    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
    Prime Therapeutics (06/24/25)
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  • Telephonic Case Manager

    Sedgwick (Austin, TX)
    …in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
    Sedgwick (09/04/25)
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  • Senior Director, Global Quality Strategy…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …advanced degree preferred with a minimum of 15 years of applicable health care, technology or industry is experience strongly preferred. - Advanced analytic ... fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive… more
    Otsuka America Pharmaceutical Inc. (09/03/25)
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  • Sr. Configuration Analyst

    NTT America, Inc. (Houston, TX)
    …provides access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well. NTT is ... per the requirement and according to defined business rules of new claims processing platform. + Evaluation of Configuration Requirement and Formulation of… more
    NTT America, Inc. (08/29/25)
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  • Clin Admin Coord/23/Mco101

    Adecco US, Inc. (San Antonio, TX)
    …patients and providers + Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are NCB or medically ... to the UM policy + Receives appeal requests from health plans and/ or QIO, logs request, researches and...request, researches and provides requested information + Works with claims department to redirect claims related appeal… more
    Adecco US, Inc. (08/21/25)
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