- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …processes. + Assist with determining and measuring unit goals; perform regular quality audits while ensuring established goals are met. Perform random internal ... prior to filing deadlines. + Prepare and distribute reports to assure quality and productivity expectations are being met, and to summarize departmental coding… more
- Walmart (Lewisville, TX)
- …in accordance with company policies and procedures by properly handling claims and returns; zoning the area; stocking, arranging and organizing merchandise; ... and securing fragile and high-shrink merchandise. Monitors food and merchandise quality by ensuring product rotation, code dating, product recalls, and sanitation… more
- Prime Therapeutics (Austin, TX)
- …to support clinical program using eligibility, medical, and pharmacy administrative claims . This position is responsible for performing work that includes study ... sound data sets, analysis methods, and scientific reports, assess quality of data analysis programs, and develop automated analysis...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Molina Healthcare (Austin, TX)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... on utilization, outcomes, and cost drivers across the organization. * Ensure data quality , governance, and documentation standards are met in all analytics work. *… more
- Caris Life Sciences (Irving, TX)
- …Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. + Strong writing skills, especially in ... focused on fulfilling the promise of precision medicine through quality and innovation. Caris is committed to quality... quality and innovation. Caris is committed to quality and excellence at our state-of-the-art laboratories. Learn more… more
- Caris Life Sciences (Irving, TX)
- …Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. * Strong writing skills, especially in ... focused on fulfilling the promise of precision medicine through quality and innovation. Caris is committed to quality... quality and innovation. Caris is committed to quality and excellence at our state-of-the-art laboratories. Learn more… more
- Encore (Coppell, TX)
- …with Encore Policies and Procedures to minimize company's exposure to liability claims and property damage, theft and misappropriation. _Administrative & Training_ * ... Acumen * Detail Oriented * Problem Solving * Drives Quality Results * Communicates Effectively * Plans and Aligns...Aligns * Hospitality * Builds Effective Teams * Decision Quality * Responsiveness * Manages Complexity **Physical Requirements **… more
- CVS Health (Richardson, TX)
- …as questions arise on audits by manufacturers and clients. + Adhering to quality control process in review of formulary rebate eligibility and contributing to ... enhancing our quality control processes. + Review contract language necessary to...Rebate knowledge beneficial. + Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an… more
- Paccar Winch Inc. (Mckinney, TX)
- …global technology leader in the design, manufacture and customer support of high- quality light-, medium- and heavy-duty trucks under the Kenworth, Peterbilt and DAF ... program, including investigations, reporting, and collection of information for claims management. + Oversee the various safety committees ensuring effectiveness… more
- Zurich NA (Dallas, TX)
- …management including utilizing data analytics to inform strategy, stewarding underwriting quality , and partnering in tool & product innovation efforts. This position ... of tiering results. + Spearhead SBU led efforts in underwriting quality , including file/regulatory documentation and Technical Underwriting Reviews/Audits + Work… more