- Baylor Scott & White Health (Dallas, TX)
- …health system technologies (EMRs, virtual health , remote monitoring) and health insurance technologies ( claims systems, network management solutions). ... larger, more complex organization or functional area than a manager . Often has one or more managers or supervisors...system preferred, including provider services, care support functions, and health insurance functions. 8. Ability to lead… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …development. Preferred: N/A **Experience** Required: Four (4) years of experience in a health insurance or managed care environment with knowledge of health ... maintenance of organization knowledge management system **Job Title: Trainer, Health Plan Operations** **Location: Pearland Administrative Office** **Department:** **KCA… more
- The Cigna Group (Austin, TX)
- …our success. The Clinical Care Management Team drives improved health outcomes, affordability, and satisfaction by engaging our customers/clients/providers, ... eviCore. **Responsibilities:** + Collaborates with the Program Management Senior Manager , Clinical Program Managers, and specialty pharmacy operational team and… more
- Elevance Health (Grand Prairie, TX)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... to $122,232. Locations: Illinois, Maryland In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
- Elevance Health (Grand Prairie, TX)
- …you will make an impact:** + Works with diverse departments within Elevance Health to generate dashboard reports that identify cost of care opportunities, business ... procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… more
- Elevance Health (Houston, TX)
- …timely manner. + Interacts with internal and external customers to provide claims , customer service, and/or membership support. + Completes necessary research to ... skills, facilitation skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
- Elevance Health (Houston, 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
- Highmark Health (Austin, TX)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges… more
- Sedgwick (Irving, TX)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Care Team Representative **Entry-level, Care Team Representative** Are you looking… more
- Houston Methodist (Houston, TX)
- …is responsible for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections ... health and personal information. Adheres to all Health Insurance Portability and Accountability Act (HIPAA)...**FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party… more