- CVS Health (Austin, TX)
- …detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is a full time role and is ideal for a data ... analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid regulatory &… more
- Utilities Service, LLC (Longview, TX)
- …**Pay** :Competitive Hourly **Benefits:** + Company-sponsored Retirement Plan + Health Insurance ( Medical /Dental/Vision) + Employee Assistance Program + Life, ... long-term/short-term disability insurance **Essential Functions & Responsibilities:** + Plans, coordinates, and...be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims… more
- UIC Government Services and the Bowhead Family of Companies (San Angelo, TX)
- …of Defense and many federal agencies. Bowhead offers competitive benefits including medical , dental, vision, life insurance , accidental death and dismemberment, ... Positions available include: + Installation/Wing Drug Demand Reduction Program Manager (DDRPM) + Installation Drug Testing Program Administrative Manager… more
- Elevance Health (Grand Prairie, TX)
- …distance from an office._** The **Business Strategy Plan Director- MedEx ( Medical Expense) Management** is responsible for managing the development and ... implementation of medical expense management initiatives for assigned Carelon Health business...human capital resources, and partners with care management, network, claims & operational teams, IT, and business partners. +… more
- Elevance Health (Grand Prairie, TX)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
- Elevance Health (Grand Prairie, TX)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to… more
- Shaw Industries Inc (Austin, TX)
- …Action + Deliver Compelling Communication + Build Trusting Relationships Shaw benefits include: + Medical , dental, and vision insurance + Life insurance and ... providing information to act strategically, and enabling the account manager to increase customer facing time. This person should...as directed by management to ensure seamless coverage. + Claims Management: Handle and resolve customer claims … more
- Baylor Scott & White Health (Pflugerville, TX)
- …and tactful. Knowledge of patient registration procedures and documentation. Knowledge of medical insurance claims procedures and documentation. Needs to ... all duties associated with patient relations, check-in or check-out, scheduling, insurance verification and answering phones. Serves as an expert in handling… more
- Baylor Scott & White Health (Dallas, TX)
- …tactful. + Knowledge of patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to ... Performs all duties associated with patient relations, check-in or check-out, scheduling, insurance verification and answering phones. + Serves as a professional in… more
- Medtronic (TX)
- …tenured field team + Leads coordination of new-hire training with accountability to hiring manager (CSM or RM) + Responsible for new hire sign-off + Delivers new ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more