- Molina Healthcare (Fort Worth, TX)
- …responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of ... regulatory compliance adherence (in conjunction with functional counterparts) and quality metrics. Accountable for offering innovative guidance and solutions to… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …other departments to ensure smooth workflow and efficient production. + Enforce quality control standards and procedures for responsible department. + Enforce safety ... 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
- Moore County Hospital District (Dumas, TX)
- …Rural Hospitals named MCHD to the Top 20 Rural Hospitals in the US for Quality (#9)! MCHD serves a population base that covers six counties and consistently performs ... TORCH Light award, the Joint Commission Top Performer award, the Texas Healthcare Quality Improvement Award, the Studer Healthcare Partner of the Month award, the… more
- Evolent (Austin, TX)
- …trend selection/development, and estimation of Evolent's ability to reduce cost and improve quality + Leading a team in the analysis and interpretation of cost and ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related… more
- ManpowerGroup (Houston, TX)
- …Business Operations and Leadership Epic Certifications and Experience Claims , Contracts, Benefits (preferred) Demonstrated configuration experience in contracts, ... of the system for provider contracts, benefits and fee schedules Claims adjudication experience (preferred) Skilled in using technology to provide/ improve… more
- Molina Healthcare (Austin, TX)
- …Management program and action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the most appropriate care at ... internally and externally. Responsible for the investigation of adverse incidents and quality of care concerns. Participates in preparation for NCQA and URAC… more
- JBS USA (Cactus, TX)
- …ensure that all packages meet customer specifications **Principle Responsibilities:** . Run quality control area and delegate tasks within the area . Organize and ... train all people within the quality assurance area . Implement government regulations regarding ...ways to produce products . Oversee all raw material claims and product/ingredient receiving procedures . Knowledge, background, and… more
- Walgreens (Fort Worth, 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
- Walgreens (Katy, 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
- Walgreens (Houston, TX)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more