- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Executive Director , US Access Strategy & Marketing, CNS leads the Access Strategy and Marketing team responsible for the development of US market access ... reimbursement strategy, and payer marketing + Strong understanding of the complex and rapidly evolving factors influencing US market access, including reimbursement… more
- Humana (Austin, TX)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Centene Corporation (Austin, TX)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex , controversial, or unusual or new services in order ... Directors** Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid… more
- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. **Position Summary** The Lead Director , Pharmacy Appeals will lead a team of 40+ colleagues in the management of ... guiding other internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also responsible for working with the Presidential Response… more
- Oracle (Austin, TX)
- …Senior Software Director to lead our AI engineering efforts across healthcare reimbursement, patient accounting, and revenue cycle management (RCM). This is a ... architecture and design of AI agents and multi-agent systems that orchestrate complex RCM workflows ( claims processing, charge capture, revenue integrity, denial… more
- Evolent (Austin, TX)
- …seamlessly with diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- Baylor Scott & White Health (Dallas, TX)
- …Experience collaborating across multiple departments and stakeholders within a large, complex healthcare organization preferred + Excellent communication skills ... **Job Summary** The Director , Provider Enrollment, is responsible for the strategic...obtained timely, supporting accurate and efficient payer enrollments and claims submission. Collaborates with Legal, Compliance, Managed Care, Medical… more
- Ascendis Pharma (TX)
- …workplace for employees to grow and develop their skills. The National Director , Field HEOR serves as a strategic scientific liaison responsible for developing ... RWE and HEOR research activities (including retrospective/prospective research concepts, claims analyses, and economic modeling, etc) to support HEOR objectives.… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …other. It's this deep-rooted dedication that drives us to uncover answers to complex , underserved medical needs, so that patients can push past the limitations of ... enhance communication strategies, ensuring seamless and personalized interactions with healthcare professionals (HCPs) and key opinion leaders (KOLs). **Job… more
- CVS Health (Austin, TX)
- …with at least 3 years in a leadership role. + Proven experience within the healthcare industry (eg, UM/CM management, claims and appeals ) + Strong proficiency ... contiguous United States * We are seeking a highly skilled and strategic Director of Analytics & Scheduling. This role is responsible for driving data-informed… more