- Highmark Health (Austin, TX)
- …needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop, ... while also being capable of developing technical solutions. The consultant will act as a senior resource within the...understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues… more
- Oracle (Austin, TX)
- **Job Description** **Evidence Generation Lead/Snr Research Consultant , RWE, Health Outcomes** **Remote/Work from home** Oracle Life Sciences is seeking a qualified ... studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external… more
- Sedgwick (Houston, TX)
- …Fortune Best Workplaces in Financial Services & Insurance Estimate Review Consultant **PRIMARY PURPOSE:** To review all estimates and supporting documentation ... + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the carrier. + Maintains...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Sedgwick (Austin, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Consultant | Auto | Remote **PRIMARY PURPOSE** : To address and handle high ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Sedgwick (Irving, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Consultant - Liability (Auto and Property) - Irving, TX - Hybrid Are you ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Sedgwick (San Antonio, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Consultant **PRIMARY PURPOSE OF THE ROLE** : To develop complex reports and analyze ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- UNUM (Austin, TX)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards… more
- Oracle (Austin, TX)
- **Job Description** **Principal Consultant - Outpatient Pharmacy** **Travel: Up to 50% | Location: Remote (US)** At Oracle Health, we're not just building ... empowers clinicians, elevates patient care, and ultimately saves lives. As a Principal Consultant specializing in Outpatient Pharmacy, you'll be at the heart of that… more
- Health Care Service Corporation (Richardson, TX)
- …in your professional development. **Job Summary** The Principal Network Management Consultant is responsible for provider recruitment and contracting of physicians, ... + Extensive knowledge of provider and facility contracting, products, and claims /processing systems. + Negotiation skills. + Relationship building skills. +… more
- Health Care Service Corporation (Richardson, TX)
- …that will invest in your professional development. **Job Summary** The Consultant 's primary responsibility is to leverage strong technical skills and healthcare ... management methodologies. + Experience of Healthcare industry - mainly pharmacy related claims . + Experience with Medicare Part D and CMS STARS medication adherence… more