- Prime Therapeutics (Austin, TX)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description ... Summary** Serves as liaison between departmental team business owners, end users, IT, Claims and...Medicare, requires 3+ years of experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business… more
- Humana (Austin, TX)
- …caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy ... of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional...**Responsibilities** The Senior Pharmacy Claims Operations Professional analyzes, monitors and enhances business … more
- USAA (San Antonio, TX)
- …**The Opportunity** We are currently seeking a dedicated ** Business Process Owner Senior ** that will support Medicare Supplement Claims for USAA Life Company ... Supplement Claims activities and ensure a flawless execution of business -related processes, procedures, oversight and execution of the end-to-end claims … more
- USAA (San Antonio, TX)
- …a part of what makes us so special! **The Opportunity** We are seeking a dedicated Claims Litigation Case Manager Senior . This position is a hybrid work type and ... and manages existing and emerging risks that stem from business activities and the job role. + Ensures risks...colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts… more
- Amazon (Austin, TX)
- …processes. They are a trusted partner to our external partners and internal business operations and will leverage those trusting relationships to create ... safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the… more
- Amazon (Austin, TX)
- …safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the ... management of moderate and complex bodiliy injury litigated claims . . Work with business units to...business proposals and case studies for presentation to senior leaders. -Work across teams to share ideas, influence… more
- Providence (TX)
- …for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for media ... or facilitate claims roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in case reviews with Risk… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …description:** Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES ... losses in order to provide account loss ratios and claims history to senior management. 5. Train...essential functions. 1. College degree with a concentration in business or equivalent work experience 2. Five years of… more
- Capgemini (El Paso, TX)
- …heritage and deep industry-specific expertise, Capgemini enables organizations to realize their business ambitions through an array of services from strategy to ... . Capgemini is driven by the conviction that the business value of technology comes from and through people....in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process… more
- Citigroup (San Antonio, TX)
- The Ops Sup Sr. Manager is a senior management level position responsible for accomplishing results through the management of a team or department in an effort to ... provide operations support services in coordination with the ...of judgement and autonomy. + Acts as SME to senior stakeholders and /or other team members. + Ability… more
- Deloitte (Austin, TX)
- Senior Consultant, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
- Deloitte (Houston, TX)
- Operations Technology Transformation Senior Consultant, Guidewire Configuration / Integration What we do Operations and Technology Transformation delivers ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
- Deloitte (Dallas, TX)
- Senior Consultant, Operations and Technology Transformation, Guidewire Application Java Developer What we do Operations and Technology Transformation ... and technology enabled solutions focused on "heart of the business " issues in specific sectors including Health Care &...2025 Work you'll do As an OTT Insurance Transformation Senior Consultant, you will bring technical expertise to deliver… more
- HealthEdge Software Inc (Austin, TX)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... **Overview** ** Senior Manager, Product Operation** **Position Overview:** We areseekinga...our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that… more
- McDermott (Houston, TX)
- …external business issues and recommending best practices.. The Principal Operations Engineer(Marine) may be responsible for leading functional teams or projects ... **Job Overview:** The Principal Operations Engineer (Marine) is responsible for interpreting internal...Support the Project Manager/Director with the development of commercial claims and variance orders. Provide active identification of changes… more
- The Cigna Group (Plano, TX)
- …- Required + Teradata and Databricks - Preferred + Ability to understand business operations requirements and translate them into technical applications + ... **Summary** The Part D Stars Business Analytics Senior Advisor will be...Advisor will lead development of data analyses utilizing pharmacy claims , clinical outcomes, and Stars quality measures to make… more
- The Hartford (San Antonio, TX)
- …and outside counsel to resolve General Liability cases including: Premise Liability, Operations Claims , Product Liability, Professional Claims , Advertising ... Sr Representative Claims - CH08BESr Representative Clms CA - CH08ANConsultant...we help shape the future. The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering… more
- CVS Health (Austin, TX)
- …which contain multiple issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and ... Serves as point person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as well as other… more
- Sedgwick (Fort Worth, TX)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Vice President Business Development **PRIMARY PURPOSE:** To expand and ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our… more
- Houston Methodist (Houston, TX)
- …Methodist, the Senior Risk Attorney position is responsible for risk, claims , and litigation management involving high exposure and high-profile matters. The Sr. ... the ability to apply legal analysis to facts, offers recommendations pertaining to claims and litigation strategy, enhancing operations on a system level. +… more