- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Supports large scale… more
- Gilead Sciences, Inc. (Fort Worth, TX)
- …on role), paid time off, and a benefits package. Benefits include company-sponsored medical , dental, vision, and life insurance plans*. For additional benefits ... + Partner effectively with local cross-functional colleagues (field reimbursement managers, medical scientists and other field team members) to ensure a seamless… more
- CVS Health (Austin, TX)
- …panel, and internal partners. **Required Qualifications** + 1-2 years of medical insurance experience, including brokers (producers), carriers, third-party ... + Market and place stop loss policies, negotiating terms based upon claims data, strategy, relationships, and cost avoidance/reduction efforts. + Work with leaders… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... will make an impact:** + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Works on large scale… more
- Centene Corporation (Austin, TX)
- …and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies ... a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation… more
- Gilead Sciences, Inc. (Houston, TX)
- …on role), paid time off, and a benefits package. Benefits include company-sponsored medical , dental, vision, and life insurance plans*. For additional benefits ... events, and other miscellaneous external expenditures. + Partnering with Medical Scientists, National Account Managers, Therapeutic Center Specialists, Marketing,… more
- Evolent (Austin, TX)
- …and contracting. **What You'll Be Doing:** + Serve as the lead for medical cost and revenue projections for Performance Suite business + Partner with Performance ... and size impact of innovative care models + Oversee Medical Cost Action Planning work to identify, size, and...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more
- USIC (Lubbock, TX)
- …you need it. + Comprehensive insurance options - A variety of excellent insurance choices including medical , dental, vision, and life. + 401(k) with company ... in the field using their company-provided vehicle. We use best-in-class ticket and claims management systems to ensure clear and complete mark-out services for the… more
- Humana (Austin, TX)
- …large complex data sets within large organizations + Experience working with Claims , Billing and Reconciliation or related healthcare data + Expertise in Microsoft ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- GE Aerospace (Fort Worth, TX)
- …terms & conditions (T&Cs) of the contract, and the management of claims . The role requires cross-functional leadership capability and has autonomy within your ... your physical, emotional, financial and social wellbeing. Healthcare benefits include medical , dental, vision, and prescription drug coverage; access to a Health… more