- NTT America, Inc. (Plano, TX)
- …while transitioning mission-critical systems supporting core banking, payments, trading, underwriting, claims , actuarial, and financial operations . **Day to Day ... applications into Managed Services, including core banking, policy administration, claims , underwriting, billing, payments, trading, risk, and financial reporting… more
- Centene Corporation (Austin, TX)
- …teams to improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Identifies specific practice needs where ... Centene can provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to… more
- Elevance Health (Grand Prairie, TX)
- …Prior experience with Cost of Care, provider network contracting, provider networks, claims , finance, and operations preferred. + Pharmacy actuarial experience ... strongly preferred _Corporate Title:_ _Staff VP Actuarial Cost of Care and Analytics_ For candidates working in person or remotely in the below locations, the salary* range for this specific position is $183,040 to $329,472 Locations: California; Illinois,… more
- Centene Corporation (Austin, TX)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations . Project ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more
- Robert Half Legal (Irving, TX)
- …legal support to the General Counsel and various business units, ensuring smooth operations in contract management, claims handling, and compliance. The ideal ... documentation repositories. * Collaborate with the General Counsel to manage claims , including coordinating with insurers, adjusters, and external counsel. * Assist… more
- Cardinal Health (Austin, TX)
- …is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid ... data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software… more
- Towne Park (San Antonio, TX)
- …initiatives and Towne Park cultural perspectives are incorporated within the area's operations . The Senior Account Manager is responsible for escalating issues to ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** The Associate Director, Quality Operations will lead initiatives that drive operational excellence, enhance risk management practices, and optimize ... organization. This role is instrumental in ensuring that quality operations are efficient, compliant, and aligned with strategic business...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)
- The Associate Director, Strategic Planning & Operations will support the assets of varying lifecycle stages in the relevant therapeutic area portfolio. This role is ... who in turn reports into the Medical Excellence & Operations Lead. **Job Description** **Key Responsibilities Include:** **Strategic Planning...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)
- Director, Training Management Operations Lead The Director, Training Management Operations Lead, is a senior leader within the Learning Center of Excellence ... responsible for overseeing the end-to-end management of global training operations , ensuring compliance with regulatory requirements, operational efficiency, and… more