- CVS Health (Austin, TX)
- …plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA ( Third Party Administrator ) environment or fully insured ... impacting plan sponsors. + Collaborate with internal departments-including claims, customer service , and client management-to ensure effective issue resolution … more
- Omnicell (Fort Worth, TX)
- …+ In lieu of a Bachelors degree, 5 years equivalent experience in 340B third - party administrator ( TPA ) services , clinical support, payor relations or ... financial or clinical results within PBM, 340B specialty pharmacy operations, or TPA service environments. **Preferred Qualifications:** + PharmD, MBA, MHA, or… more
- CVS Health (Austin, TX)
- …carrier coupled with the unique flexibility and devoted service of a third - party administrator ( TPA ). The Meritain Health underwriting department ... to 3 years of relevant medical insurance experience: brokers (producers), carriers, ( TPA ) third - party administrators, benefit analysis, underwriting, rating… more
- Prime Therapeutics (Austin, TX)
- …and periodic reports related to licensed functions (eg, Pharmacy Benefit Manager (PBM), Third Party Administrator ( TPA ), Utilization Review (UR), ... Pharmacy Benefit Management (PBM) companies, customers and pharmacies; find resolution for escalated issues + Draft and negotiate contracts...collaboratively to provide the highest quality of care and service to our members. If you are looking to… more
- Atlas (Beaumont, TX)
- …& Forms:** + Manage Power of Attorney (POA), Reporting Agent Authorization (RAA), and Third - Party Administrator ( TPA ) forms. + Ensure appropriate ... leader in civil engineering, materials testing and geotechnical consulting services for environmental, industrial and infrastructure construction projects. Headquartered… more
- Public Storage (Plano, TX)
- …carriers + Review and provide input on TPA Contracts and other ancillary services and monitor service levels + Coordinate and attend Claims Review Meetings + ... The Workers' Compensation Claims Manager negotiates and maintains relationships with third party administrators. Also, develops, trains and monitors internal… more
- Kelsey-Seybold Clinic (TX)
- …N/A Preferred: N/A **Special Skills** Required: Strong knowledge of HMOPOS and TPA Plan Design and Claims Processing Member Service Representatives must ... **Responsibilities** Member Service Representatives II-KSPA provide Concierge Service to members of the health plan which include providing a high level of … more
- ADP (El Paso, TX)
- …Manages the day to day activities of a 401(K) client services team to ensure delivery of optimal service . Typically manages 4-5 401(k) Specialists. ... causing undue stress on the client population or the service team staff. Determines training requirements; manages... service industry. + Prefer experience with a TPA or record keeper. + General financial services… more
- CVS Health (Austin, TX)
- … levels, determine root causes and develops solutions. Identifies customer specific service issues, identifies solutions, and leads resolution issues working ... management, team oversight). + Minimum 5+ years of Client service /account support experience + Healthcare experience and knowledge + Adept at collaboration… more
- 7-Eleven (Irving, TX)
- …management strategy. + Build, lead, and manage relationships with brokers, carriers, Third Party Administrators (TPAs), defense attorneys, and other external ... vendor selection, program design, claims handling protocols, performance evaluation, and issue resolution . Current TPA staffing includes approximately 60 FTEs. +… more
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