• Executive Director of R&D Global Quality (Remote)

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
    Otsuka America Pharmaceutical Inc. (08/14/25)
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  • Commercial Manager - Pacific

    CDM Smith (Fort Worth, TX)
    …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI… more
    CDM Smith (08/13/25)
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  • Pricing Analyst Senior - Remote

    Prime Therapeutics (Austin, TX)
    …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet… more
    Prime Therapeutics (08/13/25)
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  • Clinical Provider Auditor II

    Elevance Health (Grand Prairie, TX)
    …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related questions as… more
    Elevance Health (08/13/25)
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  • Investigator Senior

    Elevance Health (Grand Prairie, TX)
    …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and developing enterprise-wide… more
    Elevance Health (08/13/25)
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  • Branch Support Specialist

    Allied Universal (Corpus Christi, TX)
    …payroll discrepancies, compliance reporting, uniform/equipment management, and unemployment claims . This hands-on position is responsible for branch-level ... files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, and… more
    Allied Universal (08/13/25)
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  • Revenue Cycle Specialist - Plastics (Medical…

    Houston Methodist (Houston, TX)
    …responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform ... Standards. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with management to target complex claims and reduce aging of accounts by providing verbal and written… more
    Houston Methodist (08/13/25)
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  • Director, Field Strategy & Operations (Everest)

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
    Otsuka America Pharmaceutical Inc. (08/08/25)
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  • Principal Software Engineer - Cloud

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
    Otsuka America Pharmaceutical Inc. (08/08/25)
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  • Commercial Project Manager

    Stantec (Plano, TX)
    …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... written communications, including Change notifications, Change Requests, responses to Claims notifications, etc. within the timeframes required by the Contract… more
    Stantec (08/07/25)
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