- Prime Therapeutics (Austin, TX)
- …industry guidelines, on both pre- and post-service requests. Coordinates with operations , clinical, medical, reporting and other internal departments as needed. ... + Available for consultation in pharmacy related questions to resolve claims submission related to medication edits. + Contacts physicians/prescribers to obtain… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …and execution through standardized dashboards. + Partner with Commercial Operations to **streamline reporting processes** and provide clear, actionable insights ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Information Management (HIM) Director to lead the organizational and administrative operations of our Medical Records Department. This individual will be responsible ... Monitor and update policies to align with evolving regulations. Claims & Revenue Cycle Support + Review claims... Claims & Revenue Cycle Support + Review claims data to ensure coding and documentation meet payer… more
- Molina Healthcare (TX)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Molina Healthcare (Austin, TX)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …+ **Cross-Functional Collaboration:** Work closely with, market access, Finance, Commercial operations , and medical teams to ensure seamless execution of brand ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Humana (Austin, TX)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Houston Methodist (Houston, TX)
- …for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple ... Medicare, Medicaid and commercial payors, and applicable department's revenue cycle operations . + Ensures protection of private health and personal information.… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …readiness across all clinical trial sites, clinical and Pharmacovigilance (PV) operations . + **Audit Management:** Oversee the planning, execution, and follow-up of ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more