- Sedgwick (Austin, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Guidehouse (San Antonio, TX)
- …**Travel Required** **:** None **Clearance Required** **:** None **Join Our Growing Medical Coding Team! All roles are 100% REMOTE.** As an organization experiencing ... and we're Great Places to Work certified. At Guidehouse, coding is more than charts and claims - it's about making an impact. As a coder here, you'll be part of a… more
- Deloitte (Dallas, TX)
- …vendors by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against ... Pharmacy Benefit Manager/ Health & Group Benefits Senior Consultant Human CapitalOur...plan offerings and design. + Manage RFP processes for medical , dental, pharmacy, life, and disability programs, including development,… more
- CVS Health (Austin, TX)
- …**Position Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves ... At CVS Health , we're building a world of health...role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role… more
- Texas Tech University Health Sciences Center - Lubbock (Lubbock, TX)
- …Functions:** + Provide patient care, in an outpatient setting, performing such medical examinations as are necessary and appropriate for all patients. + Precept ... family medicine residents and medical students in the family medicine clinic. + Maintain...the family medicine clinic. + Maintain appropriate records, reports, claims and correspondence necessary in connection with all professional… more
- Methodist Health System (Dallas, TX)
- …role, you will proactively collaborate with a multidisciplinary team to deliver exceptional health and welfare benefit services to our employees who are dedicated to ... to our patients. You will be responsible for administering the Methodist Health System Benefits Plans Plan and supporting day-to-day benefits administration, the… more
- Baylor Scott & White Health (Killeen, TX)
- …with primary care providers to develop integrated treatment plans addressing patients' medical and behavioral health needs. + Provide real-time consultation and ... covered from hire date to term date regardless when claims are made. + Licensure and Dues - We...packages *Terms apply. Joining the Baylor Scott & White Health team of medical professionals is a… more
- Houston Methodist (Houston, TX)
- …area Yes **Company Profile:** Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight ... Methodist, the Senior Risk Attorney position is responsible for risk, claims , and litigation management involving high-exposure and high-profile matters. **This… more
- Highmark Health (Austin, TX)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... audit activities. Reviews medical records to determine data quality and accuracy of...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- LEGOLAND (Grapevine, TX)
- …and committed to fostering a strong safety culture **Benefits** + Excellent Health Care Options: Comprehensive medical , dental, and vision coverage. + ... We're on the lookout for a hands-on, people-focused Regional Health and Safety Manager to help us put 'Safety...planning exercises + Liaise with enforcement bodies, insurers, and claims handlers as needed + Champion HSS communication and… more