- Lincoln Financial (Austin, TX)
- …Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, ... analyzing, and interpreting medical information available for disability claims . In this role you will act as a...clinical resources (ie IME, FCE, Peer Reviews) * Discuss complex medical issues with health care providers as needed… more
- Health Care Service Corporation (Richardson, TX)
- …of divisional strategies, and ensuring consistency and efficiency of major, complex , and strategic cross-divisional and enterprise-wide projects and initiatives from ... * 3 years of experience leading with large and complex multi-million-dollar projects. * Experience communicating with senior management...+ . Provider Credentialing - sCRED application + . Claims Intake process + . Claims Adjudication… more
- CVS Health (Austin, TX)
- …professional with strong coding skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud, waste, and abuse (FWA) ... manipulate, and analyze large healthcare datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and… more
- Health Care Service Corporation (Richardson, TX)
- …responsible for or assist with contracting or supporting services large or complex groups/facilities. Ability and willingness to travel within assigned areas of ... experience.** **Knowledge of provider and facility contracting, products, and claims /processing systems.** **Negotiation skills.** **Relationship building skills.** **Knowledge of… more
- AECOM (Dallas, TX)
- …infrastructure consulting firm, partnering with clients to solve the world's most complex challenges and build legacies for future generations. There has never been ... projects on schedule and minimize client exposure. + Proactively work to avoid claims and resolve claims expeditiously to minimize client exposure. + Prepare… more
- Texas Health Action (Austin, TX)
- …from the ground up, in close partnership with the selected RCM consultant /vendor. + Collaborate with the external partner to conduct enterprise-wide assessments of ... current systems, data, and workflows, identifying requirements for billing, claims submission, and payer reimbursement. + Lead the development of the strategic… more
- Sedgwick (Farmers Branch, TX)
- …and experience required. Experience with an insurance company, broker or consultant preferred. **Skills & Knowledge** + Excellent oral and written communication, ... 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
- Lightsource bp (Austin, TX)
- …and notices and change orders to protect Lightsource bp from Owner and subcontractor claims . * Work with procurement and engineering teams to identify and order long ... * Develop and execute strategy for all subcontractor and consultant procurement. Identify qualified contractors, subcontractors and consultants. * Coordinate… more
- CVS Health (Austin, TX)
- …plan management strategies and solutions. + Participating in external client and consultant meetings. + Providing domain expertise across the full spectrum of ... highly custom in their approach to pharmacy benefit services - complex pricing arrangements, custom formularies, clinical programs, channel solutions, and integrated… more
- Defense Health Agency (Fort Sam Houston, TX)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... ranging from preventative medicine to diagnosis and treatment of complex acute and chronic diseases. + Serve as an...patient care. + Serve as an inpatient and outpatient consultant for the Internal Medicine Consult Service; must be… more