• Account Service Manager

    Elevance Health (Grand Prairie, TX)
    …plan design, researching and resolving phone and written inquiries, resolving claims , benefit and enrollment issues. + Coordinates open enrollment meetings, renewal ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
    Elevance Health (12/13/25)
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  • Nurse Case Manager II

    Elevance Health (Grand Prairie, TX)
    …reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. Assists with development of utilization/care management policies ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
    Elevance Health (12/13/25)
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  • Medicaid Formulary Pharmacist Clinical - CarelonRx

    Elevance Health (Grand Prairie, TX)
    …communications regarding formulary changes. + Ensures appropriate formulary set-up and claims adjudication. + Serves as a clinical pharmacy resource to pharmacy ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
    Elevance Health (12/13/25)
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  • RCMI Senior Solution Technical Expert - Forms…

    Guidehouse (San Antonio, TX)
    …health record (EHR). The candidate should have experience working in Federal Healthcare space, and preferably the Defense Health Agency, the Services, and/or Health ... builds within Oracle Health (Cerner) EHR for insurance verification, claims submission, payment processing, account follow-up, records maintenance, and compliance.… more
    Guidehouse (12/13/25)
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  • Nurse Case Mgr I (US)

    Elevance Health (Houston, TX)
    …rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS in a health ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
    Elevance Health (12/13/25)
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  • Nurse Case Mgr II (US)

    Elevance Health (Houston, TX)
    …rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
    Elevance Health (12/12/25)
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  • Utilization Management Representative I

    Elevance Health (Houston, TX)
    …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
    Elevance Health (12/12/25)
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  • Patient Services Rep - Neurology (Willowbrook)

    Houston Methodist (Houston, TX)
    …facilitate the patient visit experience. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. ... full completion of post-secondary education, etc.) **WORK EXPERIENCE** + One year of healthcare or related experience + Experience in a healthcare related work… more
    Houston Methodist (12/12/25)
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  • Patient Registration Specialist

    Option Care Health (San Antonio, TX)
    …that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** The Specialist, Patient Registration is responsible for ... assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). +… more
    Option Care Health (12/11/25)
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  • Grievances and Appeals Representative

    Humana (Austin, TX)
    …of grievance and/or appeals experience. + Previous experience processing medical claims . **Additional Information** + **Workstyle:** remote, work from home or in ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
    Humana (12/11/25)
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