- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …management oversight of all personnel assigned to the contract and ensure high- quality and acceptable task completion and deliverables in compliance with the ... characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,...of services which are performed with a focus on quality results. Headquartered in Springfield, VA, we are a… more
- Molina Healthcare (San Antonio, TX)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases...supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other… more
- BrightSpring Health Services (Lufkin, TX)
- …needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply ... personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce… more
- Humana (Austin, TX)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and… more
- Sedgwick (Austin, TX)
- …disclosures, and state-level insurance regulations + Participate in coaching, quality reviews, and process improvement initiatives **ADDITIONAL FUNCTIONS and ... + Performs other duties as assigned. + Supports the organization's quality program. **QUALIFICATIONS** + Active Property & Casualty or Personal Lines… more
- EFI Global (Fort Worth, TX)
- …and environmental services teams around the world share a dedication to expertise, quality and demonstrating to customers that caring counts(R). Each of our more ... + Performs other duties as assigned. + Supports the organization's quality program(s). + Travel as required. **SUPERVISORY RESPONSIBILITIES** + Administers company… more
- Sedgwick (Bedford, TX)
- …+ Performs other duties as assigned. + Supports the organization's quality program(s). **SUPERVISORY RESPONSIBILITIES** + Administers company personnel policies in ... Knowledge: + Strong organizational and conflict resolution skills + Production and quality -driven mentality + Excellent customer service skills + Good knowledge of… more
- Kelsey-Seybold Clinic (TX)
- …members, providers and various customers while consistently meeting productivity, quality and service standards. Representatives utilize various internal and ... to health plan operations including benefit interpretation for providers, claims resolution, referral inquiries, general plan benefits, Kelsey-Seybold Clinic… more
- Houston Methodist (Houston, TX)
- …the daily work activities of the work unit/department staff, ensuring quality , productivity, functional excellence and efficiency while assisting management in ... research revenue cycle process, including research and non-research professionals. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Ensures a safe and effective working… more
- Walgreens (Frisco, TX)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more