- Humana (Austin, TX)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... record reviews + Assess discharge plans + Review and extract information from claims + Complete documentation for Quality Reviews for Peer Reviews + Discuss cases… more
- Humana (Austin, TX)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... Analytics + Experience with Power BI report builder + Experience analyzing medical claims or health care provider contracting **Additional Information** + As part of… more
- Humana (Austin, TX)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of… more
- WTW (Austin, TX)
- …Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short- Term Disability , Long - Term Disability , Other Leaves ... the design and management of group medical, dental, wellbeing, life, disability and absence management benefits for clients. Responsibilities include: + Partnering… more
- Humana (Austin, TX)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of… more
- Humana (Austin, TX)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... + Bachelor's degree + Previous experience in prior authorization, claims , and/or utilization management in healthcare, health insurance, evaluating medical… more
- Humana (Austin, TX)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Humana (Austin, TX)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations;… more
- Humana (Austin, TX)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's… more
- CenterWell (Vernon, TX)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... team at the branch to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's mandatory HIPAA / Privacy… more