- Elevance Health (Grand Prairie, TX)
- …balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- PNC (Dallas, TX)
- …insurance items. Additional analytical responsibilities may be assigned, with regards to claims and lender placed insurance coverage. An ideal candidate will ... a best in class office environment; and also supports remote and hybrid work environments As a Loan Support...environments As a Loan Support Analyst in PNC Midland's Insurance department you will be responsible for determining compliance… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Dental Director is responsible for providing clinical oversight to promote the oral ... health of the member population that Humana serves in...states. This is accomplished by analysis and adjudication of claims , appeals, and potential quality of care issues. The… more
- CVS Health (Austin, TX)
- …consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a remote based (work at home) ... At CVS Health , we're building a world of health...opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine)… more
- Centene Corporation (Mcallen, TX)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of… more
- Veterans Affairs, Veterans Health Administration (Abilene, TX)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... Services may be provided face to face or through tele- health . Provide clinical services for veterans of the West...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- BrightSpring Health Services (Denton, TX)
- …living, adult host homes for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, ... personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce… more
- International (San Antonio, TX)
- …compensation, health benefits, 401(k) match, tuition assistance, EAP, legal insurance , an employee discount program, and more. For this position, the expected ... focusing on delivering high-quality solutions* Relies on evidence to back claims and maintains high standards* Thinks independently, makes clear decisions, and… more
- Humana (Austin, TX)
- …PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim 's environment + ... part of our caring community and help us put health first** The Senior Process Improvement Professional, DSNP Encounters...forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- The Hartford (TX)
- …- LM07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... do. The Senior Staff Attorney is an in-house, fully remote , position that will handle a designated caseload of...business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with… more