- Humana (Austin, TX)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... standards, and contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health… more
- HNTB (Dallas, TX)
- …country. With our historic growth, it is an exciting time to join our team of employee-owners. This specific Senior Field Engineer position will run a TxDOT project ... focused on TxDOT CEI projects. This position is a lead role to direct, mentor and train junior staff....to; assists change manager and project manager in contractor claims and disputes. Tracks, reviews, processes RFIs and submittals,… more
- Caris Life Sciences (Irving, TX)
- …needed to complete coverage verification. + Verifies insurance eligibility to ensure claims are billed accurately and in accordance to payer guidelines. + Ensures ... Ensure procedures and processes are in place that will lead to delivery of quality results and continually reassess...+ Teamwork - Commitment to the successful achievement of team and organizational goals through a desire to participate… more
- Aerotek (Grapevine, TX)
- …+ Manage carrier relationships by comparing rates, tracking shipments, filing claims , and maintaining strong partnerships with carriers and freight forwarders. + ... throughput. + Support order fulfillment by confirming purchase orders, providing lead times and shipping estimates, and coordinating changes or expedited requests.… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …duties as assigned. Supervision Received General supervision from assigned supervisor and team lead . Supervision Given May included direct or indirect ... reimbursement, including governmental and private payors; accreditation-related issues; false claims ; tax; antitrust; tissue and organ transplantation; collections). +… more
- Prime Therapeutics (Austin, TX)
- …management, profit drivers and the organization's financial value statement** ** Lead the development of financial analytic pricing methodologies, models, reports ... 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 years of...want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.… more
- Elevance Health (Grand Prairie, TX)
- …of Care initiatives to financial statements including operating gain and trends. ** Team Scope** 10+ direct reports / 20+ total FTE's **Position Responsibilities** + ... experience with Cost of Care, provider network contracting, provider networks, claims , finance, and operations preferred. + Pharmacy actuarial experience strongly… more
- US Army Corps of Engineers (Edinburg, TX)
- …and assistance and will organize, assign, and control the work of a team typically consisting of three or more engineers and/or construction quality assurance ... on Professional Engineering: A. Degree: Engineering. To be acceptable, the program must: (1) lead to a bachelor's degree in a school of engineering with at least one… more
- US Army Corps of Engineers (Fort Worth, TX)
- …strategies, and approaches for the overall acquisition program. Serves as lead negotiator, planning the negotiation strategy, coordinating strategy with the ... negotiation team , and leading the negotiations conducted with contractors to...involved. Process Termination Settlements and Contract Disputes Act (CDA) Claims . Requirements Conditions of Employment Qualifications Who May Apply:… more
- CVS Health (Austin, TX)
- …speed to market efficiency. In this role, you will be joining a business tech team that focuses on out of the box management and integration solutions for our ... but not limited to the following: - Applies in-depth knowledge to lead and manage cross-functional projects, ensuring successful planning, execution, and delivery… more