- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Director , Strategy & Analysis and Contract Operations is responsible for directing and conducting pricing analysis of government policy and evaluating pricing ... Access, or payer experience + Thorough understanding and knowledge of US healthcare economics and the drivers of pharmaceutical demand, including pricing and… more
- Humana (Austin, TX)
- …to put those customers at the center of everything it does. The Director , Data Technology Solutions devises an effective strategy for executing and delivering on ... IT business initiatives. The Director , Data Technology Solutions requires an in-depth understanding of how organization capabilities interrelate across the function… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- …roles, leading projects and teams . 5 years of experience in healthcare claims adjudication, medical coding, DRGs, and/or reimbursement methodologies . ... ** Director of Payment Integrity Consulting** **Category:** Finance **Main...long-term relationships with key client stakeholders, including executive leadership, claims operations, finance, compliance, and clinical teams. * Lead… 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
- Danaher Corporation (Houston, TX)
- …day, as we develop scalable, groundbreaking solutions to solve the world's most complex health challenges. Our associates are involved in every stage of molecular ... the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role responsible for… more
- Evolent (Austin, TX)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …to convert Real World Data to evidence, including data from clinical trials, healthcare utilization datasets in US and EU, and Japan. + Demonstrated ability to ... explain complex ideas and statistical results to diverse audiences ranging...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- The Cigna Group (Austin, TX)
- …at enterprise scale. + **Executive presence** with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a ... to Have** + Prior **PBM/specialty pharmacy** platform knowledge (eg, claims /benefit management, care coordination, specialty workflows). + Earlier **hands‑on… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …research, and correspond with insurance companies to obtain accurate reimbursement for healthcare claims . This person will also be responsible for analyzing, ... healthcare professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent...missing charts. + Clarify documentation with the Physician and Director as needed. + Completes reports and logs as… more
- Molina Healthcare (Fort Worth, TX)
- …This role has decision-making accountability for ensuring compliance with complex regulatory requirements, protecting the integrity of enterprise revenue, and ... of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational functions - Payment… more