- Molina Healthcare (Austin, TX)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- WestRock Company (Houston, TX)
- …plant and provide monthly reports to Management * Manage Workers Compensation claims , working on recommendations for claim settlements, medical treatments and ... Opportunity: This position provides comprehensive Environmental, Health & Safety direction and guidance to support Plant Management on all aspects in this area. How… more
- TIC - The Industrial Company (Orange, TX)
- …As an Paramedic at Kiewit's GTPP location, you will play a key role in the health and safety of all Kiewit employees and visitors to the site. You will assist in ... pertinent governmental regulations, company policies and procedures; and provide emergency medical support to any injured or critically ill patient. **District… more
- Covenant Health (Lubbock, TX)
- …Services + Patient Care + Patient Access + Scheduling - Healthcare + Insurance / Medical Claims + Customer Service - Healthcare ( Medical , Dental, Vision, ... Care Facility experience + Rehabilitation care experience + Home Health Aide + Medical lab experience +...including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life… more
- Evolent (Austin, TX)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract… 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
- Defense Health Agency (TX)
- …therapy, and new treatments as they arise. + 3. Provide appropriate referrals to other medical and mental health care providers in and outside of MTF, including ... This job is located at Carl R. Darnell Army Medical Center, Fort Hood, TX. The Carl R. Darnall...providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within… more
- UTMB Health (Galveston, TX)
- …**Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2504626 **Senior Coder (Remote)** **Minimum Qualifications:** A ... Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a plus. **Licenses,… more
- Elevance Health (Houston, TX)
- …pm EST.** **Federal Employee Program - FEP** , a proud member of the Elevance Health , Inc. family of companies, it is a powerful combination, and the foundation upon ... our members, greater value for our customers, and greater health for our communities. Join us, and together we...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- CVS Health (Austin, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and financial models. + Understanding of healthcare and pharmacy claims data and common tools used to manipulate data.… more