- CVS Health (Austin, TX)
- …is a remote based (work at home) based anywhere in the US.** The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a background in ... will be responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise **Required… more
- The Cigna Group (Austin, TX)
- **Position Summary** The Supplemental Health National Sales Director (NSD) will be responsible for driving new business sales for Supplemental Health products in ... Internal capabilities and external options + Administrative solutions: Billing and claim processes The NSD role is responsible for proactive and consultative… more
- Caris Life Sciences (Irving, TX)
- …bigger than yourself, Caris is where your impact begins.** **Position Summary** The ** Director - Billing Operations - Front End** is responsible for leading and ... technology solutions and process improvements that enhance operational efficiency and reduce claim denials. + Serve as the subject matter expert for payer… more
- Travelers Insurance Company (Richardson, TX)
- …- $193,400.00 **Target Openings** 1 **What Is the Opportunity?** Travelers is seeking a Director , Agile Product Owner to join our organization to lead a team to ... years of work experience within the discipline being supported (eg: Claim , Risk Control, Technology, Project Management, Production, Application Development, etc.)… more
- Veterans Affairs, Veterans Health Administration (Fort Worth, TX)
- Summary A full-time, permanent position is available for Medical Director of the Fort Worth Mental Health Clinic in the VA North Texas Health Care System Mental ... ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school… more
- Humana (Austin, TX)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Centene Corporation (Austin, TX)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Texas State University (San Marcos, TX)
- Posting Information Posting Number2025593 Posting/Functional TitleAssistant Director , Payroll & Tax Compliance University Pay Plan TitleAsst Dir, Payroll & Tax ... organizational and time management skills. Job Description A Payroll Assistant Director oversees the payroll department's daily operations, ensuring accurate and… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related… more
- Molina Healthcare (Austin, TX)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more