- GAF (Ennis, TX)
- …demonstrating skills in plant troubleshooting, process design, continuous improvements and quality management. The incumbent's primary focus is to maintain control ... over the product quality in combination with a proper process control and...Maintain communication with main lab at Parsippany to track claims , elaborate reports, and lead improvement projects associated with… more
- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance… more
- Sedgwick (Austin, TX)
- …demands, wages and benefits, and availability. + Thoroughly reviews contested claims . + Assists as needed with submission of accommodation recommendations to ... + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an… more
- Molina Healthcare (Houston, TX)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for quality and financial accuracy and provides documented feedback. + Assists… more
- Molina Healthcare (Dallas, TX)
- …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more
- ManpowerGroup (Irving, TX)
- …vendors and internal teams to validate labor and invoices related to damage claims . + Analyze performance data and identify opportunities for improvement in the ... new methods for data collection to enhance the efficiency of claims processing. **What's Needed?** + Comprehensive knowledge of telecommunications equipment,… more
- UTMB Health (Galveston, TX)
- …programs, clinical issues, device and equipment, incident management, and claims /lawsuits. **Job Duties:** + Administrative liaison for Risk Management issues. ... participates in committees as assigned related to risk management, safety, and quality improvement. + Provide support to clinical risk management programs for device… more
- Amazon (TX)
- …Support Specialist II Billing Specialist, you'll execute our mission of delivering high- quality care and service. Specifically, you'll take patient phone calls and ... needs via 1Life's tasking system to provide the best customer service. Investigating claims through insurance to ensure they were processed according to the patient… more
- BrightSpring Health Services (Grand Prairie, TX)
- …other specialized care centers nationwide. If your passion is service excellence and top- quality care come join our team and apply today! Responsibilities + Triage, ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...May produce reports and keep management informed of unpaid claims and claims pending follow-up + Provides… more
- Norstella (Austin, TX)
- …service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard ... by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data *Your… more