- Caris Life Sciences (Irving, TX)
- …**Position Summary** Caris Life Sciences is seeking an experienced and strategic Director of Billing Operations - Appeals to lead the appeals management function ... + Lead the appeals and reconsideration process for denied Caris claims , including those for CGP (comprehensive genomic profiling) and other proprietary… more
- Fotona (Irving, TX)
- …reliability, ease of use, and durability. Fotona is currently seeking a seasoned Director of Compliance to lead regulatory and corporate compliance efforts, with a ... Commercial & Marketing Compliance + Partner with Marketing leadership to ensure claims , advertising, and promotional materials meet FDA and FTC standards and other… more
- Johnson, Mirmiran, and Thompson Inc. (Houston, TX)
- …News-Record's list of the Top 500 Design Firms. JMT is seeking Regional CM/CEI Practice Director for any of our Texas locations. The successful leader will be r esp ... CM services include c onstruction and p rogram management, construction inspection, claims s upport, scheduling and cost estimating, project controls and other… more
- Turner & Townsend (Houston, TX)
- …in the world. **Job Description** **Turner & Townsend** are seeking an experienced ** Director -Project Controls** to join our team. The ideal candidate has a proven ... Review construction progress and approve recovery plans. + Review the claims resolutions recommendations. + Collaborate with appropriate internal and external… more
- The Hartford (San Antonio, TX)
- …and Homeowners Insurance Program serving more than 37 million members. The Assistant Director is a key member of the Countrywide Auto Product Team within Personal ... include State Product Management, Agency and Direct Distribution Channel and Marketing, Claims , Legal and Compliance, Operations including Billing Ops, IT, DS and… more
- Ascension Health (Cedar Park, TX)
- …safety information. Collect, evaluate, and maintain data concerning injuries, complaints, claims , and/or other patient safety-related data. + Educate and train the ... with legal counsel to coordinate the investigation, processing, and defense of claims against the organization. + Enhance the organization's and the larger… more
- Molina Healthcare (San Antonio, TX)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include employee reviews, coaching sessions and disciplinary actions. + Monitors and enforces compliance with… more
- Ally (Austin, TX)
- …* Familiarity with Reg E and Mastercard's dispute rules to support accurate claims management and loss recovery. * Strong analytical skills including SQL, Python, or ... other data science tools to interpret fraud KPIs, develop dashboards, and present insights to stakeholders. * Skilled at working cross-functionally with product, risk, compliance, operations, customer service, and external partners. * Client-Centric Mindset.… more
- Kyndryl (Austin, TX)
- …Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is ... $159,240 to $286,560 based on a full-time schedule. Your actual compensation may vary depending on your geography, job-related skills and experience. For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be… more
- Molina Healthcare (Fort Worth, TX)
- …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... reporting, Risk Adjustment (RA), and Health Plan Reporting.** + **_Azure Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License, Certification, Association** Microsoft Technology, Mobility, ITIL To all current Molina employees: If you… more