- Molina Healthcare (San Antonio, TX)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- International (San Antonio, TX)
- …MES SCADA Analyst to support our Digital Transformation Journey. Supervisory Control and Data Acquisition (SCADA) systems help monitor and control operations and ... be hands-on in designing, configuring, deploying, maintaining, and improving these systems in a fast-paced, dynamic Discrete Manufacturing environment. You will… more
- Molina Healthcare (San Antonio, TX)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- USAA (San Antonio, TX)
- …us special and impactful. **The Opportunity** As a dedicated **Business Process Owner Senior for Claims Modernization** , you will plan, direct, and coordinate ... or similar methodology. + Demonstrated experience with utilizing various systems to collect and analyze data . **What...utilizing various systems to collect and analyze data . **What sets you apart:** + Experience with Guidewire… more
- USAA (San Antonio, TX)
- …** Analytics, you will responsible for the development and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information ... making. + Proven ability to tell a story through data and communicate effectively with senior leadership....with solution identification. + Experience with large complex database systems & architecture, structured & unstructured data ;… more
- The Hartford (San Antonio, TX)
- …our team as we help shape the future. The Hartford is seeking to hire a Senior Litigation Analyst to join our Legal team. We are looking for motivated attorneys to ... legal bill invoices and to conduct in office Legal Bill Review audits.As a Senior Litigation Analyst you will be expected to provide a breadth and depth… more
- USAA (San Antonio, TX)
- …delivery environments. + Hands- on experience with Guidewire ClaimCenter or similar claims systems + Exceptional communication skills, including crafting and ... Business Process Management, or similar methodology. + Demonstrated experience with utilizing various systems to collect and analyze data . What sets you apart: +… more
- Kemper (San Antonio, TX)
- …to achieve growth & profit objectives may include training on products, systems , service, and underwriting, book transfers, development of existing accounts, new ... + Operates as the point of contact for operations, systems and policy training for account products as well...Utilizes agency segmentation, reports and technology to manage account data and performance. + Documents all completed activities with… more
- Atlas (San Antonio, TX)
- …better. We are a great company. We are looking for a ** Senior Transportation Engineer** to lead construction management, quality assurance/quality control (QA/QC), ... mentoring, and problem-solving for staff. + Use automated design and engineering systems . + Coordinate with clients, contractors, and consultants to address designs… more
- San Antonio Behavioral Health (San Antonio, TX)
- …of care, clinical appeals regarding medical necessity, and the interaction with claims payment policies and processes. Directs activities related to medical review ... process while monitoring the timeliness and accuracy of utilization management data and reporting. Leads utilization management activities including design and… more
- Tutor Perini (San Antonio, TX)
- …leading providers for the design, installation and maintenance of electrical systems , structured cabling applications, integrated electronic security systems , ... The Purple Line (D Line) Extensions in Los Angeles, SR 99 Viaduct replacement tunnel in Seattle, MGM Grand...Maid Park in Houston and multiple airport expansions and data center projects. At Fisk Electric, you will have… more
- HCA Healthcare (San Antonio, TX)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... other applicable documentation. This review includes the verification of billing data for accuracy and completeness, following regulatory requirements, in order to… more
- Sedgwick (San Antonio, TX)
- …activities ensuring coverage for assigned areas to address high risk, working with senior management and all levels of the organization. + Analyzes and directs the ... + Evaluates the client requirements and gains agreement of understanding with senior management for conducting external assessments. + Partners with procurement to… more