- Cardinal Health (Austin, TX)
- …government programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law, Stark, Beneficiary Inducement Statutes), ... and customers * Interacts with internal and/or external leaders, including senior management * Persuades others into agreement in sensitive situations while… more
- Mass Markets (TX)
- …variety of high-level administrative tasks and support our company's senior -level managers. The Executive Assistant's responsibilities include managing calendars, ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (Dallas, TX)
- …and public sector client relationships and service delivery. This is a senior -level position requiring experience in account management of contact center clients. ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Prime Therapeutics (Austin, TX)
- …Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs, ... stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners… more
- WTW (Dallas, TX)
- …to day to day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.) + Preparation for client meetings (prepare agendas and ... Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred… more
- Citigroup (San Antonio, TX)
- …unsolicited securities trades (Series 7 & 63 required) as required + Ensures customer claims and complaints are handled in accordance with FINRA and firm policy + ... highest level of support from those teams + Provides timely feedback to senior management to identify client pain points and barriers to exceptional service; offers… more
- Highmark Health (Austin, TX)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or ... processes, Coordination of annual audits (such as PWC Revenue Audit and Support Senior Vice President of Operations in Monthly/Annual budget and expense analysis for… more
- Sanofi Group (Houston, TX)
- …knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We ... performance and recommend operational optimizations. + Provide timely updates to senior leadership and account management teams, highlighting trends, gaps, and… more
- Molina Healthcare (Houston, TX)
- …Help translate CMS audit requirements into data tasks under the guidance of senior analysts. + Document data sourcing steps, methodologies, and business rules to ... programming language + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with data in spreadsheets… more
- Caris Life Sciences (Irving, TX)
- …professionals, program managers, clinical content creators, KOL developers. This is a senior member of the marketing leadership team who helps shape and inform ... the strategy for advisory boards and scientific KOL engagement. + Align clinical claims and product attributes with the product marketing team as they develop… more