- Intermountain Health (Austin, TX)
- …and alignment with charge, coding and charge edits. + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. ... Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts. + Evaluates, provides education and… more
- Amazon (Austin, TX)
- …with WFM Legal team on regulatory requirements o Reviewing applicable product claims /statements and determining claim validation criteria o Developing and ... and automation tools to enhance food safety and quality systems * Monitors formulation and label review for WFM,...new technical tools for food safety management o Designing systems for predictive quality analytics * Stays abreast of… more
- Highmark Health (Austin, TX)
- …business units, coupled with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and ... applications and consultation on the design, testing, and enhancement of reporting systems . Recommends improvement to plan design + Provides feedback to various… more
- Towne Park (Dallas, TX)
- …client satisfaction objectives. **DUTIES AND RESPONSIBILITIES** **_Financial and Business Systems Management_** + Understands and drives business metrics and ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- Evolent (Austin, TX)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... Evolent and its customers in the Performance Suite where Evolent does not pay claims . + Support the design of data transfer protocols during client onboarding and… more
- Baylor Scott & White Health (Dallas, TX)
- …Specialist is responsible for ensuring that complete and accurate appeals of denied claims are submitted to the payer in a timely manner according to guidelines ... with details of the denial and information to support overturning the claim . Pulls medical records and any supporting documentation from previous hospitalizations,… more
- Carrington (Plano, TX)
- …of senior legal personnel. + Open and maintain matters in case management system , including handling incoming mail and service of process. + Assist in reviewing ... forms, IT access and change forms, and FedEx labels. + Conduct pre- claim title review including reviewing title records, organizing documents, creating chronologies,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …operational excellence, enhance risk management practices, and optimize global quality system processes across a global quality organization. This role is ... aligned with ICH Q9 principles. + Conduct risk assessments for quality processes, systems , and operations, and support mitigation planning. + Monitor and report on… more
- UIC Government Services and the Bowhead Family of Companies (Mcallen, TX)
- …the maintenance, repair, adjustment, and relocation of Perimeter Intrusion Detection Systems (PIDS) and related sensor technologies installed along the US border. ... repairing, maintaining, and supporting the operational effectiveness of sensor systems -including fiber-optic PIDS, cameras, motion detectors, radar, and other… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …+ Strong attention to detail + Solid aptitude for use of IT systems ; preferable knowledge with Regulatory Information Management System (RIMS) and electronic ... Actively contributes to continuous improvement of end-to-end labeling processes and systems . **Job Description** + Act as Global Labeling Strategy Lead, supporting… more