• Telephonic Nurse Case Manager II

    Elevance Health (Grand Prairie, TX)
    …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 (12/13/25)
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  • Manager Senior Engineering

    Elevance Health (Grand Prairie, TX)
    …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... 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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  • 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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