- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …And that mission is to get people the right interventions at the right time in their health journey through data and technology, leveraging the power of personal ... deep, data-driven understanding of the patient condition. OPH is part of Otsuka Holdings. Leverage your expertise to help...fix some of the fragmentation in care delivery. The time is now. **What you will do (Job Description)**… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost ... improvement initiatives and develop educational materials. This is a full- time , remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor… more
- Elevance Health (Grand Prairie, TX)
- …and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for identifying and developing ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
- Elevance Health (Grand Prairie, TX)
- …and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and ... to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
- USAA (San Antonio, TX)
- …loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated ... **Facilitator I** , you will support Property Claims New Hire and Upskill classes. Facilitates and delivers training programs to attain learning objectives and meet… more
- Stantec (Plano, TX)
- …world around us. Join us and redefine your personal best. **Benefits Summary:** Regular full- time and part - time employees have access to medical, dental, and ... be based on Project/Client needs as well as proactive Claims /Risk mitigation. + Oversee and approve the development and... membership fee coverage and paid family leave. Regular full- time and part - time employees will… more
- Zurich NA (Austin, TX)
- …distinct accountability for business results and works with Managed Care and Claims leadership to create and align utilization and pharmacy cost containment ... to escalated customer and regulatory inquiries accurately and in a professional manner by researching issues, determining root causes and implementing solutions.… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …insights shared within the ecosystem. **Key Activities and Responsibilities** + As part of the ecosystem team contributes a clinical and scientific perspective to ... training and evaluation of promotional and disease state speakers. + Serve as part of Otsuka's internal speaker bureau in support of product educational needs across… more
- Elevance Health (Grand Prairie, TX)
- …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- CBRE (Dallas, TX)
- …Counsel Job ID 221549 Posted 29-May-2025 Service line Corporate Segment Role type Full- time Areas of Interest Legal Location(s) Chicago - Illinois - United States of ... **About The Role:** Under general direction of and as part of the Global Litigation team, the Senior Counsel...Counsel will be responsible for all aspects of handling claims and litigation in the US and internationally. This… more