- Highmark Health (Austin, TX)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Bowman (Austin, TX)
- **Short Description** Bowman has an opportunity for an Environmental Field Technician ( Part - Time /Seasonal) to join our team remotely in TX. At Bowman, we believe ... why a career at Bowman is more than a job. It is an opportunity to be part of a diverse and engaged community of professionals, to be treated as a respected and… more
- Merck (Austin, TX)
- …The GMED provides strategic and operational leadership in the achievement of our Medical Affairs global strategies, serving as part of the Global General ... **Job Description** The Global Medical Excellence Director (GMED) reports to the Sr....by site or organization, with Friday designated as a remote -working day, unless business critical tasks require an on-site… more
- Providence (TX)
- …a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability insurance, time off benefits ... must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional,… more
- Evolent (Austin, TX)
- …be completed from any state. Multiple opportunities for a flexible schedule and both part - time and full- time options available.** **What You'll Do:** + ... setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in...164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for… more
- Centene Corporation (Austin, TX)
- …skills, experience, education, and other job-related factors permitted by law, including full- time or part - time status. Total compensation may also ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- NTT DATA North America (Plano, TX)
- …DATA and for the people who work here. NTT DATA is seeking to hire a ** Remote Claims Processing Associate** to work for our end client and their team. **In this Role ... + Prioritize work and adjudicate claims as per turnaround time /SLAs + Ensure claims are adjudicated as per clients...be able to work **7am - 4 pm CST** online/ remote (training is **required on-camera** ). + Effective **troubleshooting… more
- NTT DATA North America (Dallas, TX)
- NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to 4 PM ... Central time .** In this Role the candidate will be responsible...and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit… more
- Datavant (Austin, TX)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing ... experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease...and verbal communication skills, ability to work in a remote environment and time management skills +… more
- UNUM (Austin, TX)
- When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service ... Health, Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid time to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health… more
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