- USAA (San Antonio, TX)
- …reserving model that considers all available information of the event, exposures, and claims at the time of the event and continuously refreshes the estimates with ... for the work of assigned employees. + Perform personnel management functions, including employee selection, team building, project/workload assignment, employee… more
- Molina Healthcare (Houston, TX)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... enforcement. + Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation… more
- Royal Electric (Dallas, TX)
- …buyout from estimate; include subcontract terms and conditions that limit company risk and clearly identify project scope inclusions and exclusions to set project ... but not limited to submittals, RFI's, delay notices, potential claims , and extended overheads. + Maximize cash flow by...+ Free peer coach support - (mental health, stress management , substance use, and suicidal ideation) + CancerCARE 1:1… more
- Fujifilm (Austin, TX)
- …and handle a large volume of contracts, to ensure agreements mitigate legal risk and support business objectives. + Advise, counsel and report to Division General ... Counsel and senior business management on general legal and regulatory risks affecting the...respect to healthcare regulatory compliance, anti-kickback statutes, the False Claims Act, US government programs and contracting compliance requirements,… more
- DHS Headquarters (Grand Prairie, TX)
- …requirements must be met by the closing date of this announcement. Qualification claims will be subject to verification. NOTE: Experience refers to paid and unpaid ... a Top-Secret clearance as a condition of placement in this Critical-Sensitive/ High Risk position. This review includes financial issues such as delinquency in the… more
- Meta (Austin, TX)
- …a key contributor to Meta's Global Energy Team, specifically the Clean Energy Asset Management Team. You will be responsible for managing a portfolio of clean and ... 4. Respond to counterparty inquires and manage contract amendments, collateral, force majeure claims , and other issues as needed 5. Surface and resolve issues in… more
- Conduent (San Antonio, TX)
- …been identified using comprehensive training, customer records, and our knowledge management systems. + Analyze potential fraud and suspicious activity by monitoring ... and fraud prevention reports. + Process disputes and fraud claims in line with client policies and guidelines. +...+ Escalate issues to the appropriate channels when a risk review, exception handling, or further analysis is needed.… more
- Molina Healthcare (TX)
- …the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing… more
- Curtiss-Wright Corporation (Round Rock, TX)
- …full procurement lifecycle: from issuing purchase orders to resolving claims , over-shipments, and engineering changes. + Collaborate cross-functionally with Program ... on complex procurement issues. + Ensure compliance, mitigate supply chain risk , and proactively manage vendor relationships in a fast-paced, regulated manufacturing… more
- Evolent (Austin, TX)
- …team to maintain a complete and prioritized backlog + Participate in issue/ risk mitigation and creative solutioning to deliver within established time and resource ... Degree + 2+ years' experience in healthcare, IT business analyst, and/or product management + Experience working with FHIR - based solutions in the Healthcare IT… more