Jobs near Irving: 15,456
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Relevance Score ranked on: APPEALS
Appeals & Grievance Specialist
Irving
Appeals & Grievance Specialist Financial Additions is searching for an Appeals & Grievance Specialist. Are you a skilled Appeals & Grievance Specialist seeking an exciting opportunity to showcase your expertise? We have the perfect role for you! Financial Additions has partnered with a leading health...
Search Terms: Appeals, Specialist, Administrative
91.7
0mi
Updated: November 12
Appeals Representative - National Remote
Dallas
Research and resolve written appeals submitted by members and providers Ensure appeal has been categorized correctly Obtain additional documentation required for case review Review case to determine if review by clinician is required Render decision for administrative appeals using sound, fact-based ...
Search Terms: Appeals, Behavioral Health, Representative, Remote, Administrative
84.8
11mi
Updated: November 12
Appeals Representative - National Remote
Dallas
Research and resolve written appeals submitted by members and providers Ensure appeal has been categorized correctly Obtain additional documentation required for case review Review case to determine if review by clinician is required Render decision for administrative appeals using sound, fact-based ...
Search Terms: Appeals, Behavioral Health, Representative, Remote, Administrative
82.4
11mi
Updated: November 01
Senior Clinical Appeals Reviewer - National Remote
Dallas
Excellent verbal and written communication skills with Pharmacists, Medical Directors, and Business Partners Work efficiently to meet daily deadlines for appeal review Case Preparation, Case Pre-Closure, Outreach, and proper system documentation for every appeal Work efficiently to meet deadlines whe...
Search Terms: Clinical, Appeals, Pharmacy Technician, Medical Director, Clinic
80.9
11mi
Updated: November 08
Appeal Support Specialist - Denial Resource Center
Dallas
The Denial Resource Center Appeal Support Specialist is responsible for ensuring that complete and accurate appeals of denied claims are submitted to the payer in a timely manner according to guidelines set forth by the payer. The Appeal Support Specialist processes submissions of reconsiderations, r...
Search Terms: Support Specialist, Support, Specialist, Appeals, Records
64.8
11mi
Updated: November 06
BI Developer
Irving
Proficient in one or more ETL tools like SAP Data Services/ Informatica/ SSIS Good understanding of data warehouse concepts is needed Work with team members in assisting various archiving projects and administering Win. Shuttle environments Good understanding on how to extract data from BW, ECC and o...
Search Terms: Developer, Data Services, Manufacturing, Technology
0
0mi
Updated: November 13
AVP SRE and Cloud Solutions
Irving
About The Role: The AVP SRE and Cloud Solutions leads the focused effort to improve the reliability and accelerate cloud adoption for the systems and applications under the purview of the office of the Chief Digital Officer. In this role, you will be responsible for defining and implementing an SRE s...
Search Terms: Solutions, Reliability Engineer, Business Operations, VP, Cloud
0
0mi
Updated: November 13
Senior Principal Cyber Architecture
Irving
Enable the business in its strategic initiatives by consistently applying the appropriate level of security controls, ensuring alignment with Cybersecurity Guiding Principles Create security requirements for applications, solutions, networks, data warehouses, data analytics, automation, cloud environ...
Search Terms: Solutions Architect, Principal, Technical Architect, Network Architect, Cybersecurity
0
0mi
Updated: November 13
BARISTA (FULL TIME)
Irving
Makes and serves coffee/espresso drinks and related food and beverage items. Handles food according to HACCP guidelines and standards for quality food-service operations. Interacts with customers and other employees in a friendly, courteous manner. Essential Duties and Responsibilities: Prepares espr...
Search Terms: Barista, Benefits, Restaurant, Retail, Insurance
0
0mi
Updated: November 12
Clinical Nurse Consultant, previous experience required! (part time $45/hr, REMOTE)
Irving
Accurately and efficiently annotate clinical and medical concepts in text documents and PDFs. Work with data scientists to formulate annotation guidelines that define how each concept should be annotated. Attend weekly meetings with the data science team to discuss examples, findings, and how to reso...
Search Terms: Clinical, Consultant, Part Time, Nurse, Experience
0
0mi
Updated: November 13
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