- Walmart (Spring, TX)
- …calls, manage customer queries and forward complex queries to the pharmacist. + Process insurance claims and manage payments. + Comply with all security measures ... skills for maintaining records and creating reports. + Understanding of health and safety regulations. **Physical requirements:** + Moves, lifts, carries, and… 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...also offer 401(k) with company match, company paid life insurance , tuition reimbursement, a minimum of 18 days of… 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...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
- Elevance Health (Grand Prairie, TX)
- …**Be Part of an Extraordinary Team** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new ... management. + Respond to and resolve issues related to member/provider complaints, claims processing issues and appeals. **Minimum requirements:** + PharmD from an… 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 ... project lead. + Uses analytic tools to track both health risks and compliance, as well as supporting the...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… 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 ... experience preferred. + Healthcare background preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a… more
- Elevance Health (Houston, TX)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Apex Health Solutions (Houston, TX)
- …requires a licensed Certified Public Accountant (CPA) with proven experience in health plan finance, including premium revenue, claims reserves, medical loss ... budgets, forecasts, and variance analyses. Ensure compliance with federal and state health plan regulations (eg, CMS, NAIC, TDI, DOI) and support audits and… more