- Elevance Health (Grand Prairie, TX)
- …experience with Cost of Care, provider network contracting, provider networks, claims , finance, and operations preferred. + Pharmacy actuarial experience strongly ... 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
- Humana (Austin, TX)
- …Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming ... 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
- Elevance Health (Grand Prairie, TX)
- …troubleshooting support strongly preferred. + Knowledge of payment integrity and claims systems is highly preferred. + Experience with Python, Angular/React and ... 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
- ManpowerGroup (Houston, TX)
- Our client, a leading healthcare provider in the pharmaceutical industry, is seeking a dedicated Pharmacy Technician to join their team. As a Pharmacy Technician, ... Maintaining accurate patient records and documentation + Assisting with insurance claims , billing, and administrative tasks **What's Needed?** + High school diploma… more
- Robert Half Accountemps (Dallas, TX)
- …receivable, ensuring accurate insurance filings, and maintaining compliance with healthcare regulations. This opportunity is ideal for professionals who excel ... in a fast-paced healthcare environment and possess strong organizational and communication skills....Monitor aging reports and determine the status of unpaid claims starting from the 45th workday after the date… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …+ Prior experience managing projects associated with: Investigations Federal False Claims Act, HIPAA, Conflict of Interest, and Six Sigma. + Experience ... understanding of federal and state compliance program requirements, particularly in relation to healthcare . + Knowledge of and ability to use a personal computer and… more
- Houston Methodist (Houston, TX)
- …areas according to department specifications. + Assures encounters are reviewed, claims created and manages workflow dashboards; fiscal administration of the ... Bachelor's degree preferred **WORK EXPERIENCE** + Three years of healthcare experience, of which one year must have been...in a managerial role; for internals, three years of healthcare experience in relevant field with HM performance that… more
- Walgreens (Texarkana, TX)
- …party processing, filling, and dispensing prescriptions. + Assists pharmacists and other healthcare providers in delivering patient care and services that are within ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Elevance Health (Grand Prairie, TX)
- …with ICD-9/10CM, MS-DRG and APR-DRG. .Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing ... 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 (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