| Resume alert | Resumes 1 - 10 of 653 |
Life Cycle Qa Engineer
Plano, TX
... Project Lead Project Name: SWAT Transition Fill (TF) updates- Medicaid, Medicare and Commercial This project implemented for modifications to Medicaid Adjudication logic to ensure correct messaging is being returned for Cumulative and Edit Bypass ... - Apr 23
... Project Lead Project Name: SWAT Transition Fill (TF) updates- Medicaid, Medicare and Commercial This project implemented for modifications to Medicaid Adjudication logic to ensure correct messaging is being returned for Cumulative and Edit Bypass ... - Apr 23
Risk Adjustment Audit Team
Frisco, TX
... ●Provided leadership and administrative oversight, program development, and implementation of the Medicare risk adjustment program. ●Analyzed data from payers to identify opportunities and design strategies and processes to assist practice partners ... - Apr 23
... ●Provided leadership and administrative oversight, program development, and implementation of the Medicare risk adjustment program. ●Analyzed data from payers to identify opportunities and design strategies and processes to assist practice partners ... - Apr 23
Customer Service Representative
Irving, TX
... to August 2020 Aetna Medicare Answer calls from members and providers Explain EOC and claims processing Take premium payments Insurance Follow-up Specialist Randstad - Peoria, IL January 2018 to August 2019 Third Party billing for several offices. ... - Apr 15
... to August 2020 Aetna Medicare Answer calls from members and providers Explain EOC and claims processing Take premium payments Insurance Follow-up Specialist Randstad - Peoria, IL January 2018 to August 2019 Third Party billing for several offices. ... - Apr 15
Data Analyst and Report Developer
Prosper, TX
... Worked on the State pharmacy benefit claims including Medicaid, NJ FamilyCare Free for- Service pharmacy claims, PAAD, ADDP, CF and Medicare population. Responsible for the data collection, statistical analyses and evaluation of the edit codes, ... - Apr 15
... Worked on the State pharmacy benefit claims including Medicaid, NJ FamilyCare Free for- Service pharmacy claims, PAAD, ADDP, CF and Medicare population. Responsible for the data collection, statistical analyses and evaluation of the edit codes, ... - Apr 15
Quality Assurance Information Technology
Dallas, TX, 75225
... Centers for Medicare & Medicaid Services, Baltimore MD USA – Health Care. State Of Massachusetts, Boston MA USA – Health Care. State Street Corporation, Boston MA USA – Financial & Capital Markets. Carrefour, France – Retail. KR Hospital, India – ... - Apr 15
... Centers for Medicare & Medicaid Services, Baltimore MD USA – Health Care. State Of Massachusetts, Boston MA USA – Health Care. State Street Corporation, Boston MA USA – Financial & Capital Markets. Carrefour, France – Retail. KR Hospital, India – ... - Apr 15
Data Warehouse Warehousing
Plano, TX
... It also has a contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term ... - Apr 10
... It also has a contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term ... - Apr 10
Business Development
Dallas, TX, 75225
... • Collaborated with grassroots nursing homes and other institutions, delivering clear and effective explanations of Medicare, with a focus on D-SNP and I-SNP programs. • Devised accurate sales forecasts for existing, new, and future products, ... - Apr 10
... • Collaborated with grassroots nursing homes and other institutions, delivering clear and effective explanations of Medicare, with a focus on D-SNP and I-SNP programs. • Devised accurate sales forecasts for existing, new, and future products, ... - Apr 10
Information Technology QA Engineer
McKinney, TX
... Experience in System testing, Regression and User Acceptance Testing Experience in use of software testing tools Jira, Bugzilla, ALM Good experience in HealthCare on CCA/QNXT, Claims, Files validation Good experience in Health Insurance on Medicare ... - Apr 09
... Experience in System testing, Regression and User Acceptance Testing Experience in use of software testing tools Jira, Bugzilla, ALM Good experience in HealthCare on CCA/QNXT, Claims, Files validation Good experience in Health Insurance on Medicare ... - Apr 09
Customer Service Level 2
Dallas, TX, 75225
... • Securing credible relations with transport carriers such as North American Logistics, XPO, Select Express, GoBOLT,TForce and others to ensure customer orders are delivered with promptness and integrity, Individual and Medicare Customer Service ... - Apr 09
... • Securing credible relations with transport carriers such as North American Logistics, XPO, Select Express, GoBOLT,TForce and others to ensure customer orders are delivered with promptness and integrity, Individual and Medicare Customer Service ... - Apr 09
Customer Service Representative
Dallas, TX, 75225
... Representative Willis Towers Watson / Extend Health, Houston Tx August 2021 – January 2022 Enrolling Senior Citizens into Medicare Health Plans, Answer basic questions, Conference to Licensed Health Agents Customer Service Credentialing Associate ... - Apr 07
... Representative Willis Towers Watson / Extend Health, Houston Tx August 2021 – January 2022 Enrolling Senior Citizens into Medicare Health Plans, Answer basic questions, Conference to Licensed Health Agents Customer Service Credentialing Associate ... - Apr 07