Jobs near Houston: 12,107
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Relevance Score ranked on: CLAIMS SUPERVISOR
Claims Supervisor
Houston
Supervise and mentor the claims staff to achieve production, quality and turn around goals as set by Community Health Choice (CHC). Responsibilities include reviewing the Texas Medicaid Banner and Bulletin messages. Work closely with the claims departments to ensure that any additions or revisions id...
Search Terms: Claims Supervisor, Claims, Supervisor, Team Lead, Insurance
92
0mi
Updated: September 18
Care Mgmt Nurse LVN
Houston
"Under the direction of a Registered Nurse the License Vocational Nurse (LVN) provides telephonic services to Community Health Choice (CHC) Members and their families for purposes of, identifying members with special health needs and available resource assistance. Work with the member or the members ...
Search Terms: LVN, Nurse, Vocational Nurse, Healthcare, Skills
0
0mi
Updated: September 19
STAR+PLUS Appeals Nurse RN
Houston
STAR PLUS Appeals Nurse assists in the review of medical records submitted for appeals by providers due to adverse determination. Utilize evidence-based criteria, regulatory guidelines and Medical Affairs departmental policies for medical necessity and level of care determination. Provides written re...
Search Terms: Appeals, Nurse, RN, Healthcare, Medical
0
0mi
Updated: September 19
Performance Adherence Specl
Houston
The overall objective of the Performance Adherence Specialist is to monitor and report the program outcomes for the STAR, STAR PLUS, Marketplace and DSN - Ps contracts. The Performance Adherence Specialist will be responsible to monitor and report the activities of Service Coordination, Case Manageme...
Search Terms: Performance, Technology, Healthcare, Regulatory, Audit
0
0mi
Updated: September 19
Customer Service Advocate I
Houston
Responsible for accomplishing their primary goal of providing support and rendering Excellent Customer Service by addressing all Health Plan Member's calls related to inquiries, questions and concerns in all areas including enrollment, benefit interpretation and eligibility for medical care. Serving ...
Search Terms: Customer Service, Advocate, Service, Retail, Healthcare
0
0mi
Updated: September 18
Enrollment Data Specialist
Houston
The Enrollment Data Specialist performs operational solutions to optimize membership enrollment and premium billing accuracy and collaborates and supports internal and external customers. This position researches and reconciles systemic eligibility/enrollment or premium billing /payment discrepancies...
Search Terms: Data Specialist, Enrollment, Specialist, Technology, Healthcare
0
0mi
Updated: September 18
Account Sales Manager, Commercial
HOUSTON
Work Location Type: Onsite As a leading industrial distributor with operations primarily in North America, Japan and the United Kingdom, We Keep The World Working® by serving more than 4.5 million customers worldwide with products delivered through innovative technology and deep customer relationship...
Search Terms: Sales Manager, Sales, Manager, Commercial, Account
0
0mi
Updated: September 16
Care Coordinator I
Houston
Under moderate supervision performs entry-level tasks including but not limited to monitoring incoming calls, preparing packets for members, monitoring outgoing mail and perform pre-screen calls for disease management program. Direct services to CHC Members and their families for purposes of cultural...
Search Terms: Care Coordinator, Coordinator, Healthcare, Microsoft, Monitoring
0
0mi
Updated: September 17
Care Coordinator I
Houston
Under moderate supervision performs entry-level tasks including but not limited to monitoring incoming calls, preparing packets for members, monitoring outgoing mail and perform pre-screen calls for disease management program. Direct services to CHC Members and their families for purposes of cultural...
Search Terms: Care Coordinator, Coordinator, Healthcare, Microsoft, Monitoring
0
0mi
Updated: September 17
Assembler
Houston
This randstad at work job gives you the power to choose the job you want and complete hiring documents right from your smartphone so you can start faster. Click apply to download or open the randstad at work app. Complete your profile and start locking in your next job. Already have the randstad at w...
Search Terms: Assembler, Manufacturing, Staffing
0
0mi
Updated: September 16
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