- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …to day operations and issue resolution. Escalate issues as appropriate to senior management . + Proactively source and develop ideas to improve fleet program, based ... ensure the fleet program supports field deployment needs. **Samples Management & Compliance** + Ability to operate independently in...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 market positioning. **Key Responsibilities** + **Brand Strategy & Lifecycle Management :** Lead marketing for established brands like Nuedexta, ensuring strategic ... insights, and implement cost-effective promotional strategies. + **Vendor & Agency Management :** Oversee agency relationships to ensure effective execution of brand… more
- Molina Healthcare (Fort Worth, TX)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES** + Generates and prepares… more
- AECOM (Dallas, TX)
- …projects on schedule and minimize client exposure. + Proactively work to avoid claims and resolve claims expeditiously to minimize client exposure. + Prepare ... and submit to senior management and/or DFW-DCC monthly report(s) detailing the progress, accomplishments,...and concur in the proposed settlement of change orders, claims , and revisions to the design and/or construction scope,… more
- Caris Life Sciences (Irving, TX)
- …billing department, ensuring timely and accurate resolution of denied or underpaid claims . This role requires a strong understanding of payer guidelines, excellent ... team success. This role ensures timely and accurate follow-up on outstanding claims while also supporting team development through audits, training, and regular… more
- Highmark Health (Austin, TX)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... and industry regulatory changes and assess their potential impact on Claims Operations, Customer Service and other operational areas processes and collaborate… more
- AECOM (Dallas, TX)
- …Construction Manager to be based in Dallas, TX. **SUMMARY** Responsible for the management of all construction phase services for one or more aviation and/or ... to minimize client exposure + Proactively work to avoid claims and resolve claims expeditiously to minimize...and budget + Evaluate and provide recommendations to senior management and/or DFW-DCC for changes and/or modifications to the… more
- Sedgwick (Austin, TX)
- …partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work ... medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- USAA (Plano, TX)
- …for consultation on and programming of instructions and alerts within the Claims Center (Guidewire) and Training Environments. These alerts will be programmed within ... + Evaluates and identifies the gaps from one Learning Management System to another, recommends a solution for filling...apart:** + 2 years of experience adjusting or managing Claims within Guidewire. + 2 years of experience programming… more
- Prime Therapeutics (Austin, TX)
- …to be a part of our JUDI Team.** **The first role will be focused on Claims Compare - analyzing data to identify key points. Our second role will focus on ... interfacing with clients and Senior Leadership, while utilizing project management skills.** The Senior Solution Strategist is responsible for partnering with… more