- Elevance Health (Grand Prairie, TX)
- …implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. **How you will make an impact:** ... for discharge planning. + Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care… more
- CVS Health (Austin, TX)
- …+ Experience designing AI solutions for healthcare settings such as pharmacies, health insurance , or clinical workflows. + Background in process improvement ... At CVS Health , we're building a world of health...of AI-driven solutions to optimize healthcare processes, such as claims processing, patient care coordination, pharmacy operations, and supply… more
- Elevance Health (Houston, TX)
- …care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** + Responsible ... identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term services… more
- CVS Health (Austin, TX)
- …partners. **Required Qualifications** : * 1-2 Years of applicable medical insurance experience: brokers (producers), carriers, third-party administrators, ... At CVS Health , we're building a world of health...placement of stop loss policies, negotiating terms based upon claims data, strategy, relationships. and cost avoidance/reduction efforts. *… more
- Catholic Health Initiatives (Bryan, TX)
- …performance goals and objectives. Responsible for assisting patients with questions on insurance claims , home healthcare, and medical equipment. Responsible ... answering phones, receiving payments, verifying necessary information and records in the medical record. Provides information to patients so they may fully utilize… more
- Kemper (Dallas, TX)
- …and professionally negotiate settlements with claimants and attorneys. + Adjust insurance policies for UM/UIM claims . Position Qualifications: + Minimum ... and resolve moderate to severe, including fatal, bodily injury claims with prompt review and respond to all demands,...time limit demands. + Obtain and thoroughly analyze complex medical records and data. + Research and apply applicable… more
- Sedgwick (Houston, TX)
- … medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Field Appraiser- Houston, TX **PRIMARY PURPOSE** : To handle field appraisal… more
- CVS Health (Austin, TX)
- …**Preferred Qualifications** + Experience working in a call center environment + Medical terminology/ insurance experience + Results oriented and self motivated + ... At CVS Health , we're building a world of health...+ Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc +… more
- Sedgwick (Austin, TX)
- … medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Return to Work Representative Bilingual French, Hindi, Bengali or more **We… more
- Elevance Health (Grand Prairie, TX)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... to $122,232. Locations: Illinois, Maryland In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more