- Robert Half Management Resources (Bellaire, TX)
- Description We are offering a long term contract employment opportunity for a Medical Claims Manager in Bellaire, Texas. This role operates within the ... healthcare and social assistance industry and involves managing the claims payment process, specifically focusing on Tapestry report and data processing outside of… more
- The Cigna Group (Houston, TX)
- The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense ... is expected to be the largest focus for the manager in the medium and long term. This individual...Excel/SQL). Familiarity with R/Python a plus. + Experience with medical claims , clinical, and financial data +… more
- HP Inc. (Spring, TX)
- …modify this information at any time, with or without notice, subject to applicable law. Claims Manager - management of casualty claims presented against the ... The Manager , Global Claims & Insurance is...claims and settlement values and strategies. Understanding of medical and legal issues and terminology + Excellent communication… more
- Amazon (Houston, TX)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager . The ideal candidate will be familiar with insurance and claims programs and insurance policies, have a history of success in process… more
- Amazon (Houston, TX)
- …program around the world across all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims professional to support our rapidly ... You will lead strategy on complex bodily injury auto claims , handling pre-litigation disputes and resolving litigated claims...candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change, enjoy working… more
- Elevance Health (Houston, TX)
- **Staff VP Claims Operations (Original Claims )** **Location:** Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid ... **Summary** Responsible for the strategic and operational business needs of original claims , or first-time claims , for the Government Business and Commercial… more
- Elevance Health (Houston, TX)
- ** Claims Representative II (Health & Dental)** **Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX or Mason, OH.** The ** Claims ... II (Health & Dental)** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. **How you will… more
- MD Anderson Cancer Center (Houston, TX)
- …by engaging payor websites and initiate calls in order to ensure prompt payment of medical claims . 2. Responds to requests made by third party payors and in ... the PBS Associate position is to follow-up on billed claims within regulatory guidelines. The PBS Associate must ensure...service. 4. Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in… more
- Terumo Medical Corporation (Houston, TX)
- Territory Manager -TIS, Houston Metro Date: Nov 18, 2024 Req ID: 3378 Location: Houston, TX, US Company: Terumo Medical Corporation Department: TIS Sales - South ... Texas Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete,...the territory. Communicate market intelligence/competitor activity promptly to Region Manager . + Develop and maintain good customer relationships, through… more
- Houston Methodist (Baytown, TX)
- …and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to meet and exceed service-level goals ... At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible...processes related to admission, concurrent and retrospective UM and medical claims programs. Collaborates with medical… more
- American Heart Association (Houston, TX)
- …The American Heart Association has an excellent opportunity for a **Clinical Data Manager ** in our **National Center** office. Location of the selected candidate is ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
- Walgreens (Houston, TX)
- …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health… more
- Fun Town RV (Conroe, TX)
- Overview: The Area Parts and Warranty manager will be responsible for managing the financial operations of the Parts and Warranty business within an assigned zone. ... within the RV industry. The Area Parts and Warranty Manager will play a key role in driving financial...and Warranty to ensure administration and compliance of warranty claims within the manufacturer guidelines. + Ensure the service… more
- Walgreens (Houston, TX)
- …others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company ... maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager , responsible for recordkeeping and ensuring security safeguards are in-place.… more
- Deloitte (Houston, TX)
- …the C-Suite. Our services extend beyond HR to include the CEO, CFO, Risk Manager , and Business Unit leaders, delivering value and creating impact for our clients. ... client expectations and working with leading global businesses? Your RoleAs a Manager in Employer Health, you will provide strategic and technical employee benefit… more
- Houston Methodist (Houston, TX)
- …maximizing revenue through efficient, effective and compliant procedure. The Senior Practice Manager position works collaboratively with clinic medical staff and ... At Houston Methodist, the Senior Practice Manager position is responsible for independently managing and/or...philosophy of the Houston Methodist. Assures encounters are reviewed, claims created and manages workflow dashboards. + Monitors charge… more
- Elevance Health (Houston, TX)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope of licensure… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Practice Manager position is responsible for the daily clinic activities, to maximize patient access and provider efficiency. In ... conjunction with the Administrator and/or Operations Manager , this position is responsible for developing and supporting processes that deliver a superior patient… more
- Hargrove Engineers & Constructors (Houston, TX)
- …you and the business. **What You'll Be Doing** **Job Summary:** The Construction Manager (CM), is an excellent opportunity for someone having experience in managing ... responsibilities will include but not be limited to:** + The construction manager has the overall accountability for the management and administration of in-house… more
- Republic Services (Conroe, TX)
- …Yearbook S&P Global **POSITION SUMMARY:** Within a business unit, the Operations Manager - Hauling is responsible for managing the collections activities for ... and residential customers throughout the business unit. The Operations Manager - Hauling works with his or her General...and objectives; and effective resolution of safety issues and claims . + Implement and execute plans to complement the… more