- Oracle (Austin, TX)
- …and regulatory knowledge (eg, medical necessity, level of care, clinical validation) to lead the appeals initiative to review denied claims , create write-ups for ... coding by applying power of generative AI. Our diverse team of creators and inventors are building the future...this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical… more
- Fluor (Lewisville, TX)
- …provides oversight for contract management activities on Fluor projects or as lead contract manager on individual Fluor contracts. This role assures, through ... and prepare contract recommendations, and present recommendation to project team and/or client * Perform contract management post-award activities through… more
- AON (Houston, TX)
- Account Executive/ Broker II, Construction Practice As part of an industry-leading team , you will help empower results for our clients by delivering innovative and ... and client socialization. Position resides within a non-conformed dedicated client service team . The unit is a very flat organization where members' roles and… more
- DXC Technology (Plano, TX)
- …proposals, and value updates that highlight performance, risk areas, and opportunities. ** Team Leadership & Cross-Functional Influence** + Lead virtual teams ... relationships with senior leaders across L&A customers, including Operations, IT, Claims , Actuarial, Distribution, Policy Admin, and Customer Experience. + Conduct… more
- Elevance Health (Grand Prairie, TX)
- **Be Part of an Extraordinary Team ** Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …President, CNS Business & Customer Engagement Operations business unit. **Job Description** + Lead a team responsible for developing access strategies and access ... is staffed with top talent within the industry + Lead a team to define the strategies...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- USAA (San Antonio, TX)
- …assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer ... influence appropriate roadmap(s). + Apply expert knowledge of the business and lead the alignment and development of business deliverable processes and capabilities… more
- AON (The Woodlands, TX)
- Aon Is Looking For A Customer Service Specialist As part of an industry-leading team , you will help empower results for our clients by delivering innovative and ... the world. As an organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed. What the… more
- Prime Therapeutics (Austin, TX)
- …The Senior Clinical Research Analyst works closely with Prime's Health Outcomes Research team to lead clinical research projects that measure, and report ... the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety...various levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …customers + Develop an CNS wide portfolio value proposition for market access customers + Lead the team to develop and implement payer pull-through material + ... Lead the team to develop and refine...Lead the team to develop and refine the payer value proposition...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more