- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary:** The Case Manager RN role is 100% remote work from home and candidates must have an ... travel is expected with this position. The RN Case Manager is responsible for telephonically and/or face to face...and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management… more
- Centene Corporation (Houston, TX)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more
- BrightSpring Health Services (Denton, TX)
- …personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day… more
- J&J Family of Companies (El Paso, TX)
- …Solutions (PECS) team is in search** **for the best talent for Field Reimbursement Manager which will be a field-based position to be located in Santa Fe, NM, ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
- Kemper (San Antonio, TX)
- …our stakeholders that delivers on our promises._ **Position Summary:** The Sales Manager works closely with the Sales Executives (internal and field-Sales Knot), ... of SE's to continue individual growth. Ultimately, the Sales Manager is guiding the Sales Knot toward executing on...is a plus. + Knowledge of insurance operations: underwriting, claims , marketing, and product. + Required to possess effective… more
- Mass Markets (Killeen, TX)
- …industry. We are seeking a highly skilled and motivated Call Center Customer Service Manager to lead a team of supervisors and drive performance across our customer ... of 5-10 supervisors within a complex call center environment. The Operations Manager position is responsible for ensuring call quality from start to finish,… more
- Scottish Rite for Children (Dallas, TX)
- …to giving children back their childhood! Job Posting Title: Data Analytics Manager Location: Dallas - Shared Services Additional Posting Details: Monday -Friday ... 8:00am - 5:00pm Hybrid ( Remote Options Considered) Job Description: Duties/Responsibilities + Manage the design, development, implementation, and ongoing maintenance… more
- CVS Health (Austin, TX)
- …solver with a passion for healthcare economics? Join our team as a ** Manager , Medical Economics** and play a pivotal role in shaping cost-effective healthcare ... provider reimbursement policies relate to the control of medical claims costs. * Full comprehension of provider contracts and...Degree or equivalent work experience required This is a remote role located in the East or Central USA… more
- Public Consulting Group (Austin, TX)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management principles,… more
- Public Storage (Plano, TX)
- …New York Stock Exchange. **Job Description** **Position Summary:** The Legal Operations Manager is responsible for partnering directly with the Chief Legal Officer ... in litigation management and administrative tasks. + Manage small claims cases, prepare subpoena responses, and support processing of...with the option to take up to three flexible remote days per month. + Our office is based… more