22 project manager ii jobs found

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Project Manager II in their Business Applications team to lead IT projects and coordinate cross-functional teams, driving the successful implementation of technology solutions. The ideal candidate should have strong experience in Agile, PMP (Project Management Professional), and RUP (Rational Unified Process) methodologies. They will bring expertise in project management, Agile coaching, and process improvement to ensure the time and high-quality delivery of initiatives. KEY RESPONSIBILITIES   SCRUM MASTER ROLE Facilitates scrum ceremonies (Daily Standups, Sprint Planning, Sprint Retrospective, and Sprint Reviews). Acts as a servant leader to cross-functional Agile teams, ensuring adherence to Agile principles and best practices. Removes impediments and fosters an environment for high-performing team dynamics, continuous improvement and productivity....

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Manager, Learning & Development (Instructional Design Manager) , you will manage a team in the assessment of learning needs, development, and implementation of learning solutions. Consults with clients to develop action plans to close human performance gaps and drives execution leading to positi ve impact on business results. Identifie s development needs, definition of learning requirements, and creation of learning paths. Governs portfolio of learning solutions community in...

Description Summary: The Facilities Maintenance Technician manages retail & corporate bank properties in various counties.   They are an emergency responder - on call and overtime is mandatory based on business need.   Primary focus is to self-perform 40-60% of maintenance work. This position will be responsible for approximately 20-30 facilities. Duties & Responsibilities: Project planning, budgeting and all aspects of maintenance, construction, relocation, and remodeling. Supply own basic tools including hammer, wrenches, screwdrivers, pliers, saws. Power tools will be supplied if needed. Develops work processes for vendors and contractors. Communicates with internal customers/natural owners. Computer proficiency, general maintenance skills and HVAC knowledge required. Operate Facilities Management work order system Participate in staff and departmental meetings Complete...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Supervisor, Bank Teller Operations-Sensitive Profile , you will supervise USAA Bank Tellers completing bank transactions with outstanding customer service in a face-to-face environment (bank lobby or drive thru). Ensure Tellers are dedicated to delivering simple, real- time, friction-less member experiences while providing relevant advice and product solutions. Develop employees through regular mentor and feedback that leads to improved results. Maintain compliance with prescribed policies,...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are seeking a dedicated Protective Security Officer II, to provide armed response to emergency incidents involving workplace violence, active shooters, duress situations, medical emergencies, access control violations, and other safety and security situations in protection of the workforce. Performs as a team member in enforcing established procedures under supervision. Performs routine duties and identifies and reports problems in accordance with standard operating procedures. Supports Senior PSOs and...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description This job is responsible for executing Learning & Development strategy, programs, processes, accountabilities, and/or policies to deliver customer-centered products in an efficient and cost-effective manner that align to business unit and enterprise strategies. We’re excited to expand our team with Learning & Development Claims Trainers based in Dallas, TX! As a Trainer, you'll facilitate engaging and effective sessions for Auto Claims classes typically ranging from 13 to 24 adjusters. This is an in-office role with travel...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity Join our dynamic Reinsurance Operations team in the Life Actuarial department as a Reinsurance Analyst II! This is an exciting opportunity to play a vital role in supporting reinsurance processes, from claims processing and treaty administration to financial reporting and audit support. You'll be responsible for managing reinsurance risk, ensuring regulatory compliance, and collaborating with business partners to drive effective decision-making. Strong critical thinking skills and excellent time management are...

Overview The Medical Bill Review Support Analyst supports the Medical Management department's key goals of enhancing cost containment. Provides strategic and technical bill review to assist claim offices and adjusters. Accomplishes Managed Care objectives by working processes; planning and evaluating adjuster activities and Medical bill review activities.  Technical abilities and industry-specific knowledge to review Workers Compensation medical bills.   *This role is hybrid out of our Dallas, TX, Jersey City, NJ, or Alpharetta GA office* Responsibilities Plan, execute, and oversee bill audits related to state fee disputes. Assist in the development of fee dispute processes, including overall management and monitoring programs. Perform fee dispute reviews and submit relevant formwork related to re-pricing and network vendors. Review and audit bills to verify correct billing practices and contractual rates....

If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. A $2,500 SIGN-ON BONUS will be given to all external candidates hired into this role. Half of the bonus will be paid after 3 months of employment, and the remainder will be paid after 9 months of employment . Territory: This role covers Waxahachie, TX and surrounding areas Ideal Candidate Locations: The ideal candidate will live in the Waxahachie, TX area. This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance...

The Bill Review Manager is responsible for the overall operation of a designated bill review office. The Manager participates in formulating and administering company best practices as well as developing long-range goals and objectives, analyzing costs, activities and operations, supporting the goals of Bill Review department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for financial operations, including, but not limited to: productivity, profitability, expenses, budgeting, billing and collections Responsible for implementing new business development, including marketing and sales activities Responsible for directing a team of employees in their day-to-day operations ensuring productivity and quality goals are met in accordance with company expectations Responsible for quality provider, claims, and client interaction Responsible for human resources matters Must be able to travel overnight and attend meetings...

If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. A $2,500 SIGN-ON BONUS will be given to all external candidates hired into this role. Half of the bonus will be paid after 3 months of employment and the remainder will be paid after 9 months of employment.    Territory: This role covers the San Angelo, TX and surrounding areas. Ideal Candidate Locations: The ideal candidate will live in San Angelo, TX or surrounding area.   This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas...

At Cotality, we are driven by a single mission—to make the property industry faster, smarter, and more people-centric. Cotality is the trusted source for property intelligence, with unmatched precision, depth, breadth, and insights across the entire ecosystem. Our talented team of 5,000 employees globally uses our network, scale, connectivity and technology to drive the largest asset class in the world. Join us as we work toward our vision of fueling a thriving global property ecosystem and a more resilient society. Cotality is committed to cultivating a diverse and inclusive work culture that inspires innovation and bold thinking; it's a place where you can collaborate, feel valued, develop skills and directly impact the real estate economy. We know our people are our greatest asset. At Cotality, you can be yourself, lift people up and make an impact. By putting clients first and continuously innovating, we're working together to set the pace for unlocking new possibilities...

The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication.  Ability to use clinical judgement and analytical skills to appropriately review documentation submitted for claim audits. Utilize clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits. Utilize applicable tools and resources to complete internal audits and/or appeals. Timely completion of internal audits and/or appeals. Attends Clinical Team Meetings, All Company Meetings, Education Opportunities, Trainings, and...

The Account Manager is responsible for interacting with customers on an executive level and acting as an extension of the client; understanding and communicating agreed upon expectations to field offices and increasing the market share of business by providing service that meets and exceeds customer expectations, stewardship reporting, commitment to customer goals, and introducing/selling/implementing additional services. This is a remote position, but candidate must live in Dallas/Fort Worth area. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide consultative customer services for one or more new or established accounts Introduce new services independently or with assistance as needed Handle local or regional accounts Manage accounts with revenue in one region and a minimum revenue amount of $1m per account with a combined revenue for all accounts of over $3m. Revenue growth with existing accounts Accounts Receivable - Responsible for all aspects of...

The Appeals (Provider Relations) Supervisor is responsible for daily operations within the Provider  Relations department. The Supervisor manages and prioritizes staff daily work assignments necessary to  ensure the timely and accurate processing of internal and external requests along with appeal  submissions. Additionally, the supervisor works to reduce response timeframes and mitigate future  inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to  improve overall department activities while maintaining a focus on improving how we deliver service to  our customers. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Manage team performance by setting and communicating standards and deadlines, measuring  results, and providing feedback. Maintain positive morale by leading the team through example and accountability with a focus on helping each member achieve their best performance....

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a hybrid position located in Dallas, TX. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or...

The Policy and Payment Integrity Manager oversees the PPI team and assists with implementation of policies to perform reviews conducted by CERIS, including but not limited to itemized bill review, professional review, hospital outpatient and DRG validation. This role manages   members of the PPI team, developing team strengths and improving weaknesses, identifying team goals, and evaluating team progress. The Policy and Payment Integrity Manager provides trend analysis of internal auditing of claims for accuracy related to pre- and post-payment claims, targeted claims, high dollar claims, and any other claim or record that requires quality review. The role assists with development of internal quality assurance measures based on client policy and industry guidelines. The manager also aids in researching and implementing best practices related to (CMS) payment policies, healthcare policies, client, state, and/or policy initiatives. This is a remote role.   ESSENTIAL...

The Provider Management Analyst is responsible for verifying provider information and requests for documentation to audit claims including but not limited to itemized bills, medical records, UB04’s, HCFA’s, etc. Responsibilities include verifying patient information, provider contact information, and client information for accuracy to ensure proper delivery of requests. This is a remote position.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Communicate with respective leadership on any issues or problems identified Maintain production standards, production requirements, and quality of work Assist coworkers, supervisor, or management to accomplish product goals; report potential issues in a proactive manner Timely forward misdirected requests to the correct recipient Ensure strict confidentiality of all medical records, PHI, and PII Outbound calling may be needed Punctual and consistent attendance required Additional duties as...

The Senior Director of Product Development & Management is responsible for leading the strategy, execution, and lifecycle management of cross-functional products in medical cost containment. This role ensures alignment with CERIS’ annual strategic objectives while addressing evolving industry needs. The Senior Director serves as a subject matter expert within their vertical segments, possessing relational, tactical and technical expertise in payment integrity across the industry. The leader in this role is accountable for driving product growth, with a focus on enhancing revenue generation and elevating client satisfaction. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Develop next generation services supporting strategic initiatives with prepayment and post payment solutions Grow product relationships throughout CERIS/CorVel, including but not limited to, corporate marketing, IT, regional offices, external clients, and all AE and AM staff...

The Senior CERIS Operations Manager is responsible for overseeing all aspects of the department including Personnel Hiring, Quality Assurance of Product, Workflow, Maintaining the tracking of and accountability of staff regarding production standards and department expectations. Works collaboratively with other department managers to achieve departmental requirements and goals. This is a hybrid role reporting to Fort Worth, TX. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:  Ensure timely and accurate communication of information, in written and electronic forms, that are directed to internal company contacts, clients and providers Responsible for directing a designated group of employees in their day-to-day operations Responsible for monitoring quality control of results per employee as well as the entire unit overall Responsible for ensuring Metrics are in compliance daily Responsible for tracking and reporting of department metrics to Director of...