• Litigation Case Manager

    Robert Half Legal (Addison, TX)
    …internal and external parties * Prepare responses to informal demands and claims * Coordinate with outside counsel on litigation or threatened litigation, deposition ... and document collection and review * Assist with employee-related claims (eg, EEOC and DOL charges) * Assist with...outside attorneys' bills * Work with accounting department during audit time for audit letters and document… more
    Robert Half Legal (06/05/25)
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  • VP Network and Member Services, Health Plan

    Baylor Scott & White Health (Dallas, TX)
    …addition, oversees the responsibility of the pricing, configuration, provider data and audit function (the provider data integrity unit). This position can be based ... reflect industry best practices. - Leads the development and implementation of an audit program that resolves issues and errors and adjusts to developing market… more
    Baylor Scott & White Health (05/17/25)
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  • Investigator

    Highmark Health (Austin, TX)
    …for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into ... Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment negotiations.Responsible for recovery/ savings of misappropriated… more
    Highmark Health (05/08/25)
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  • Senior Director, Risk Management

    Public Storage (Plano, TX)
    …+ Review marketing results and assisting in analysis, etc. + Manage and audit all insurance policy documentation, endorsements, etc. for accuracy + Review and ... + Mitigate the Company's exposure to risk by formulating, developing, and coordinating claims -related activities on large claims , and resolving claims using… more
    Public Storage (06/06/25)
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  • Division Director of Research GME

    HCA Healthcare (Austin, TX)
    …+ Ensuring compliance with federal, state and HCA regulations, policies, procedures, and audit requirements in the use of patient data for research purposes + ... new analytical capabilities. + Constructing and manipulating large electronic claims datasets, knowledge in domain modeling, relational database design, programming… more
    HCA Healthcare (05/16/25)
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  • Assoc Analyst, Provider Config

    Molina Healthcare (TX)
    …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... timely manner to meet department standards of turnaround time and quality. + Audit loaded provider records for quality and financial accuracy and provide documented… more
    Molina Healthcare (05/03/25)
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  • Paralegal (Dallas, TX) - Austin Industries

    Austin Industries (Dallas, TX)
    …support, corporate services support, labor and employment matters, litigation, and claims . + Support corporate governance functions for Austin Industries and its ... internal and external audits, internal and external investigations, pre-litigation claims /complaints, administrative matters, and litigation matters, including, without limitation,… more
    Austin Industries (03/14/25)
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  • Staff Vice President, Quality Oversight & Vendor…

    Centene Corporation (Austin, TX)
    …performance, confirming process validation and compliance with internal and external audit and regulatory requirements. Responsible for the quality assurance process ... contract terms, standards and expectations are met, which includes Internal operations ( Claims , Appeals & Grievances, and Membership) + Partners with Compliance to… more
    Centene Corporation (05/25/25)
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  • Contract Close-out Administrator

    CACI International (San Antonio, TX)
    …through various other information systems; + Coordinate with the Defense Contract Audit Agency (DCAA) and Defense Contract Management Agency (DCMA), if applicable to ... verify audit status, and/or final project acceptance by the Government;...writing system, preparing draft DD Form 1594s, release of claims , memos for record, and any other documentation deemed… more
    CACI International (05/17/25)
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  • (USA) Area Manager Asset Protection - All DC/FC

    Walmart (Baytown, TX)
    …evaluating air water and waste pollution Supports regulatory visits and prepares audit reports for management review Participates in evaluating pollution control and ... for accidents Reports safety violations and accidents Implements internal and external audit requirements within assigned area of work Creates action plans to… more
    Walmart (05/16/25)
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