- Walgreens (Houston, TX)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Charles Schwab (Westlake, TX)
- …gifted lawyers and support professionals primarily responsible for defending legal claims against Schwab. The team provides world-class legal direction and is ... this team and handle a large docket of legal claims against the company, from their inception to their...leave and family building benefits + Tuition reimbursement + Health , dental, and vision insurance What's in it for… more
- Shaw Industries Inc (Austin, TX)
- …multiple regions as directed by management to ensure seamless coverage. + Claims Management: Handle and resolve customer claims efficiently, providing ... coverage + Tuition reimbursement + Employee assistance program + Health savings account + Paid Time Off + Parental...discounts for employees + Adoption assistance + Shaw Family Health Center (Dalton, GA, and Cartersville, GA, locations) +… more
- Molina Healthcare (Austin, TX)
- …likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge ... specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program… more
- Prime Therapeutics (Austin, TX)
- …identify and remove obstacles to delivery/progress **Preferred Qualifications** + PBM/ health care experience + Experience working on cross-functional teams aligned ... platforms and products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly… more
- Sedgwick (Dallas, 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 that allows face to face ... AND LICENSING** RN licensure preferred; or bachelor's degree in health or human services field required with one of...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Kemper (Houston, TX)
- …Salesforce processes. + Communicate with Home Office regarding policy status, claims , and underwriting. **Payment Processing & Balancing:** + Process payments ... applications into FDE + Batch, scan, and index documents ( claims , underwriting, policy administration, policy delivery receipts) into the...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
- RxBenefits (Houston, TX)
- …medical guidelines, and business rules into actionable intelligence across patient and claims data. Candidates with experience in PBM pricing, claims rules ... insurance to protect your furbabies_ + _A robust mental health benefit and EAP service through Spring Health to support you when you need it most_ RxBenefits… more
- Prime Therapeutics (Austin, TX)
- …and support collaborative or independent problem solving **Preferred Qualifications** + PBM/ health experience + Medicare, Medicaid, CMS background + Desire to be ... platforms and products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly… more
- ThermoFisher Scientific (Austin, TX)
- …regulatory strategies accounting for global requirements and desired marketing claims . + Author and/or review regulatory submissions, specifically device master ... impact assessment. + Propose innovative regulatory options for new products or claims . + Manage departmental budget. + Determine work priorities aligned with… more