Top 392 Editor, consumer industry Jobs in San Antonio, Tx

Utilization Management Representative II
Elevance Health —San Antonio, TX
- 8 hour shift
- Mid-level
- High school diploma or GED
- Analysis skills
- Employee stock purchase plan
- Paid holidays
Online Proofreader
Qureos Inc —San Antonio, TX
- Part-time
- Computer literacy
- English
- Mid-level
Editor, Consumer Industry
Deloitte —San Antonio, TX
- $88,600 - $163,100 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- English
Sr. Inventory Analyst
Visionworks —San Antonio, TX
- $62,671.63 - $83,562.17 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
Quick Apply
Customer Care Representative (Bank Call Center)
FARM BUREAU BANK —San Antonio, TX
- $20 an hour
- Full-time
- Hybrid work
- Background check
- High school diploma or GED
- Entry level
- Paid holidays
- Disability insurance
Copywriter & Marketing Communications Specialist
VP Racing Fuels Inc —San Antonio, TX
- $52,000 a year
- Marketing
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Patient Educator
TSP (A Syneos Health Company) —San Antonio, TX
- $185,000 - $190,000 a year
- Bilingual
- Up to 50% travel
- HIPAA
- Paid parental leave
- Health savings account
Financial Relationship Consultant
Texas Capital Bank —San Antonio, TX
- Full-time
- Microsoft Excel
- Computer literacy
- Mid-level
- Wellness program
- Paid holidays
Regional Editor
Hearst Media Services —San Antonio, TX
- Full-time
- Mid-level
Driver Helper
Core-Mark —San Antonio, TX
- $20 an hour
- Full-time
- Ability to walk for extended periods
- Computer literacy
- Basic math
- Employee stock purchase plan
- Health insurance
Commercialization Specialist
Aspen Enterprises LTD —San Antonio, TX
- Full-time
- Background check
- 18 years or older
- Mid-level
Quick Apply
Clinical Nurse Coordinator Progressive Care Unit
Methodist Hospital Northeast —Live Oak, TX
- Full-time
- Mid-level
- Under 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
13d
Field Service Technician-Installation & Repair-Windows and Doors
Cornerstone Building Brands —San Antonio, TX
- $25 - $27 an hour
- Online Application
- 18 years or older
- Inventory management
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
RN Orthopedics
Methodist Hospital Texsan —San Antonio, TX
- Full-time
- Mid-level
- Medical-Surgical
- No travel
- Employee stock purchase plan
- Disability insurance
Quick Apply
CT Tech II
Methodist Hospital Texsan —San Antonio, TX
- Weekends only
- Mid-level
- Radiology
- No travel
- Employee stock purchase plan
- Disability insurance
Quick Apply
RN II Cardiac Acute Care Unit
Methodist Hospital Specialty and Transplant —San Antonio, TX
- Full-time
- Surgery
- Mid-level
- No travel
- Employee stock purchase plan
- Disability insurance
Quick Apply
Family Nurse Practitioner (PRN)
Elevance Health —Texas
- PRN
- Nursing
- Current TB test
- HIPAA
- Employee stock purchase plan
- Paid holidays
Registered Nurse RN Hospital Resource Float Pool
Methodist Hospital Stone Oak —San Antonio, TX
- Full-time
- Organizational skills
- Medical-Surgical
- Communication skills
- Employee stock purchase plan
- Disability insurance
Quick Apply
Process Technician, Plasma Etch
Tower Semiconductor Ltd. —San Antonio, TX
- Mid-level
- Mentoring
- Experience equivalent to degree accepted
7d
Registered Nurse Medical Specialty Unit
Methodist Hospital Texsan —San Antonio, TX
- Full-time
- Mid-level
- No travel
- Under 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
13d

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Utilization Management Representative II

Elevance Health -
San Antonio, TX

Apply Now

Job Details

Full-time

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
Medical terminology

Full Job Description

Utilization Management Representative II

Location: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support. This position will be based at the following location: 4751 Hamilton Wolf Rd, Ste 101, San Antonio - TX.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Schedule: This position will work an 8-hour shift, Monday through Friday. Candidate should have availability from 8:00 am to 6:00 pm (CDT). Additional hours, including weekends or holidays, may be required based on operational needs.

Be Part of an Extraordinary Team

BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.

The Utilization Management Representative II is responsible for managing incoming calls, including triage, opening of cases and authorizing sessions.

How You Will Make an Impact

Primary duties may include, but are not limited to:

Managing incoming calls or incoming post services claims work.
Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
Obtains intake (demographic) information from caller.
Conducts a thorough radius search in Provider Finder and follows up with provider on referrals given.
Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care.
Processes incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests for precertification and/or prior authorization.
Verifies benefits and/or eligibility information.
May act as liaison between Medical Management and internal departments.
Responds to telephone and written inquiries from clients, providers and in-house departments.
Conducts clinical screening process.

Minimum Requirements:

Requires HS diploma or equivalent and a minimum of 2 years customer service experience in healthcare related setting and medical terminology training; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

Knowledge of health plans, including familiarity with prior authorization and precertification process; knowledge of contracts and strong knowledge of managed benefit programs strongly preferred.
Previous experience of prior -authorization management is strongly preferred.
Prior experience working in a high-volume environment is preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Certain contracts require a Master's degree.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

editor, consumer industry jobs in san antonio, tx

Utilization Management Representative II

Online Proofreader

Editor, Consumer Industry

Sr. Inventory Analyst

Customer Care Representative (Bank Call Center)

Copywriter & Marketing Communications Specialist

Patient Educator

Financial Relationship Consultant

Regional Editor

Driver Helper

Commercialization Specialist

Clinical Nurse Coordinator Progressive Care Unit

Field Service Technician-Installation & Repair-Windows and Doors

RN Orthopedics

CT Tech II

RN II Cardiac Acute Care Unit

Family Nurse Practitioner (PRN)

Registered Nurse RN Hospital Resource Float Pool

Process Technician, Plasma Etch

Registered Nurse Medical Specialty Unit

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