- 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
- 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
- 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
- Texas State University (San Marcos, TX)
- Posting Information Posting Number2025593 Posting/Functional TitleAssistant Director , Payroll & Tax Compliance University Pay Plan TitleAsst Dir, Payroll & Tax ... Excel. + Effective communication skills, both written and verbal. Preferred Qualifications + Knowledge of payroll regulations and compliance requirements.… more
- Evolent (Austin, TX)
- …of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, Specialty ... Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost drivers, utilization… 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
- 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
- NASCO (Austin, TX)
- **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance ... leadership regarding strategic direction, outcomes, staffing, and other assignments. The Director is a trusted advisor to technology and product leadership,… more
- Danaher Corporation (Houston, TX)
- …the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role responsible for ... coordinate and engage targeted customers within the US. Reporting to the Senior Director of Market Access Americas, this highly visible role will play a pivotal… more
- Sanofi Group (Houston, TX)
- **Job Title:** Associate Director , National Account Operations CVS - US Remote **Location:** Remote/Field Based **About the Job** The **Associate Director , ... knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We… more