- Humana (Austin, TX)
- …Humana Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical ... individual leverages a broad understanding of managed care and pharmacy benefit management (PBM) to develop and implement strategies and programs that mitigate cost… more
- CDM Smith (Fort Worth, TX)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...other duties as assigned. \#LI-LP2 **Job Title:** FEMA Disaster Management Accountant **Group:** WAF Field Mod Fringe **Employment Type:**… more
- Sedgwick (Fort Worth, TX)
- …or GED required. **Experience** One (1) year of experience in construction management , restoration and/or insurance claims and customer service required. ... not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the… more
- Sedgwick (Fort Worth, TX)
- …or GED required. **Experience** One (1) year of experience in construction management , restoration and/or insurance claims and customer service required. ... not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** Under the direction of the Director/Associate Director of Clinical Management , the Senior Clinical Study Manager is responsible for the oversight and ... management of Otsuka clinical studies, including coordination with other...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Houston Methodist (Houston, TX)
- …and accurate manner. **ESSENTIAL FUNCTIONS** **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with management to target complex claims and reduce aging of accounts ... responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- Director, Training Management Operations Lead The Director, Training Management Operations Lead, is a senior leader within the Learning Center of Excellence ... Quality. This role is responsible for overseeing the end-to-end management of global training operations, ensuring compliance with regulatory...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …and internal standards. As a key member of the Global Quality Management team, the Audit Manager will collaborate with cross-functional stakeholders to identify ... & Reporting** : Maintain audit metrics and contribute to management reporting on audit outcomes, trends, and compliance risks....you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** The Senior Manager of Global Quality Management (GQM) supports the execution of clinical quality activities to ensure compliance with Good Clinical ... quality systems, SOPs, and policies. + Assist with deviation management , root cause analysis, and CAPA tracking related to...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- KPH Healthcare Services, Inc. (Longview, TX)
- **Overview** The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more