Jobs near Grand Prairie: 13,054
RS
Relevance Score ranked on: INTEGRITY
Payment Integrity - AMS-FACS Analyst - National Remote
Dallas
Provide claim and data analysis through a customized payment integrity fraud, waste, abuse and error web dashboard and reporting tool. Detect, organize, and investigate complex types of fraudulent activity and decide the most effective and efficient method of investigation. Evaluate referrals and inf...
Search Terms: Payment, Analyst, Integrity, Processing, Microsoft
75.3
12mi
Updated: September 14
Pricing Integrity Manager - Apexus Distribution Team
Irving
Search Terms: Manager, Pricing, Distribution, Integrity, Healthcare
73.4
5.5mi
Updated: August 08
Payment Integrity - Advanced Claim Review (ACR) Vendor Support Analyst - National Remote
Dallas
Coordinate claim routing and processing when claims are eligible for Advanced Claim Review Ensure claim denials or approvals are applied correctly and process claims in a timely manner Communicate with various departments; and individuals related to claims routed for Advanced Claim Review Identify op...
Search Terms: Support Analyst, Payment, Vendor, Integrity, Analyst
73.3
12mi
Updated: September 06
Energy Sales Retail Associate
Grand Prairie
Power your potential and #electrifyyourcareer by joining the leading U.S. solar, storage, and energy services company. Are you looking to position yourself in a high growth, high impact career? Do you desire a sales lifestyle? If so, look no further - the Sunrun retail team is hiring! Duties & Respon...
Search Terms: Retail Associate, Energy, Sales, Retail, Associate
0
0mi
Updated: September 20
Product/Mechanical Engineer - Creo
Grand Prairie
Here at Siemens, we take pride in enabling sustainable progress through technology. We do this through empowering customers by combining the real and digital worlds. Improving how we live, work, and move today and for the next generation! We know that the only way a business thrive is if our people a...
Search Terms: Mechanical Engineer, Mechanical, Product Engineer, Product Development, Engineer
0
0mi
Updated: September 20
Commercial Formulary Pharmacist - CarelonRx
GRAND PRAIRIE, 2505 N HWY 360, STE 300
Leads Commercial formulary management processes. Responsible for all member, stakeholder, and provider communications regarding formulary changes. Ensures appropriate formulary set-up and claims adjudication. Serves as a clinical pharmacy resource to pharmacy benefit management and pharmacy operation...
Search Terms: Pharmacist, Commercial, Pharmacy, Healthcare, Compensation
0
0mi
Updated: September 20
Health Insurance Exchange Pharmacist - CarelonRx
GRAND PRAIRIE, 2505 N HWY 360, STE 300
Lead Health Insurance Exchange formulary management processes. Responsible for all member, stakeholder, and provider communications regarding formulary changes. Ensure appropriate formulary set-up and claims adjudication. Serve as a clinical pharmacy resource to pharmacy benefit management and pharma...
Search Terms: Health, Pharmacist, Insurance, Healthcare, Pharmacy
0
0mi
Updated: September 20
Plan to Plan Service Specialist II
GRAND PRAIRIE, 2505 N HWY 360, STE 300
?Supports inquiries from other BCBS Plans that were unable to be resolved through normal channels. Works with internal business partners (sales, member experience, claims, medical review, appeals, etc.) and external contacts within the other Blues plans to address all inter-Plan claims issues. Perfor...
Search Terms: Specialist, Customer Service, Customer Experience, Service, Business Partner
0
0mi
Updated: September 20
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