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139 jobs found
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Search Results
 
 Job Title / Description ( show titles only ) CompanyLocation
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Actuarial Assistant - Provider Network - View similar jobs
Job type: Full-Time
position is responsible for participating in implementation of pricing, underwriting, statistical, and...
Blue Cross Blue Shield of Texas
TX - Richardson
Today
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Manager Analytics Consulting - Risk & Revenue Optimization - View similar jobs
Job type: Full-Time
FUNCTION This position is responsible for planning, managing and controlling the activities of a team of...
Blue Cross Blue Shield of Texas
TX - Richardson
4 Days Ago
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Customer Advocate I - View similar jobs
Job type: Full-Time
, accurate and objective manner. Duties include: conducting research; spends approximately 90 of the ... spend approximately 90 of the scheduled...
Blue Cross Blue Shield of Texas
TX - Abilene
5 Days Ago
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Sr Internal Auditor II - View similar jobs
Job type: Full-Time
through the development and maintenance of control guidelines; analyzing and evaluating the adequacy of...
Blue Cross Blue Shield of Texas
TX - Richardson
1 Week Ago
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Primary Nurse Case Admin I - View similar jobs
Job type: Full-Time
position is responsible for performing all functions of Case Management (CM) and Disease Management (DM ... high risk maternity management...
Blue Cross Blue Shield of Texas
TX - San Antonio
1 Week Ago
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Medical Reviewer LPN - View similar jobs
Job type: Full-Time
contract and regulations, medical criteria, utilization review, and quality of care. JOB REQUIREMENTS: *LPN...
Blue Cross Blue Shield of Texas
TX - Fort Worth
1 Week Ago
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Nurse Navigator - View similar jobs
Job type: Full-Time
essential function of this role. ... *Registered nurse with current, active, unrestricted license in the state of operations (or...
Blue Cross Blue Shield of Texas
TX - Austin
2 Weeks Ago
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Administrative Assistant III - View similar jobs
Job type: Full-Time
to support the work of the appropriate Director, Sr. Director, Executive Director, or Division VP...
Blue Cross Blue Shield of Texas
TX - San Antonio
Aug-24
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Crisis Intervention Team - Nurse - View similar jobs
Job type: Full-Time
holidays as required by management is an essential function of this role. ... approximately 90% of the scheduled time on the phone according to...
Blue Cross Blue Shield of Texas
TX - San Antonio
Today
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Crisis Intervention Team - Social Worker - View similar jobs
Job type: Full-Time
to be on-call in evenings including holidays as required by management is an essential function of...
Blue Cross Blue Shield of Texas
TX - San Antonio
Today
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Database Specialist - View similar jobs
Job type: Full-Time
computing environments. Develops an overall data architecture that supports the information needs of the ... equivalent work experience. *3 years...
Blue Cross Blue Shield of Texas
TX - Richardson
Today
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Medical Director I - View similar jobs
Job type: Full-Time
FUNCTION: This position is responsible for assigned aspects of medical policies and programs. Performs...
Blue Cross Blue Shield of Texas
TX - Richardson
Today
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Medical Reviewer II - View similar jobs
Job type: Full-Time
Business, State of Texas and National Accounts claims suspended for medical necessity, contract...
Blue Cross Blue Shield of Texas
TX - Richardson
2 Days Ago
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Unit Mgr Case Management - RN - View similar jobs
Job type: Full-Time
1) Registered Nurse (RN), with current license in good standings in state of operations (or...
Blue Cross Blue Shield of Texas
TX - Richardson
2 Days Ago
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Case Management Coord II - View similar jobs
Job type: Full-Time
. * Working toward CM certification or Advanced degree. * Knowledge of medical management policies and...
Blue Cross Blue Shield of Texas
TX - Richardson
2 Days Ago
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Care Coordinator UM/CM II - View similar jobs
Job type: Full-Time
within the scope of the individual's benefit plan; applying Case Management principles in coordinating ... catastrophic cases. *Experience in...
Blue Cross Blue Shield of Texas
TX - Abilene
2 Days Ago
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Behavioral Health Care Coordinator - View similar jobs
Job type: Full-Time
FUNCTION: This position is responsible for ensuring accurate and timely clinical review of behavioral...
Blue Cross Blue Shield of Texas
TX - Richardson
2 Days Ago
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Sr Resource Planning Spec - View similar jobs
Job type: Full-Time
FUNCTION: Manages the coordination of human resource needs for IT projects. Develops the systems and ... , practices and procedures in the...
Blue Cross Blue Shield of Texas
TX - Richardson
2 Days Ago
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Producer Advocate - View similar jobs
Job type: Full-Time
research on inquiries; and coordinating or handling resolution of issues. Spend approximately 90 of the ... can be based out of Oklahoma City or...
Blue Cross Blue Shield of Texas
TX - Richardson
2 Days Ago
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Sr Data Analyst - View similar jobs
Job type: Full-Time
for functions on projects and system enhancements of moderate to high complexity and working with ... 1) Experience in managed care environment; 2...
Blue Cross Blue Shield of Texas
TX - Richardson
2 Days Ago
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Actuarial Intern - View similar jobs
Job type: Full-Time
REQUIREMENTS * In the process of attaining or completion of Bachelor Degree in Actuarial Science or Mathematics...
Blue Cross Blue Shield of Texas
TX - Richardson
3 Days Ago
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Lead Actuarial Systems Consultant - View similar jobs
Job type: Full-Time
FUNCTION This position is responsible for planning, development, analysis and implementation of procedures...
Blue Cross Blue Shield of Texas
TX - Richardson
3 Days Ago
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Provider Contract Implementation Specialist II - View similar jobs
Job type: Full-Time
. Experience in one or more of the following systems; Access, Blue Chip, Vistar, Terminal Emulator, Premier...
Blue Cross Blue Shield of Texas
TX - Richardson
3 Days Ago
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Clinical Specialist - View similar jobs
Job type: Full-Time
on weekends including holidays as required by management is an essential function of this role. ... . *Registered Nurse (RN) with current, valid...
Blue Cross Blue Shield of Texas
TX - Waco
4 Days Ago
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Claims Delegation Specialist - View similar jobs
Job type: Full-Time
and responsibility for specific functions. *Knowledge of regulatory/accreditation requirements and ... experience in performing oversight of claims...
Blue Cross Blue Shield of Texas
TX - Richardson
Today