- Sedgwick (Irving, TX)
- …of contested claims . + Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more
- Sedgwick (Dallas, TX)
- …combines strategic vision with operational rigor, leveraging data-driven insights to solve complex challenges and deliver measurable results And acts as a trusted ... advisor to the C-suite, championing cultural change, fostering collaboration,...+ Applies analytical rigor to diagnose root causes, solve complex business problems, and inform data-backed decision-making. + Drives… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- …Management: * Serve as the primary point of contact and trusted advisor for high-profile clients, understanding their unique challenges and objectives. * Develop ... long-term relationships with key client stakeholders, including executive leadership, claims operations, finance, compliance, and clinical teams. * Lead client… more
- Baylor Scott & White Health (Dallas, TX)
- …and civil litigation matters. Reporting to the system Vice President overseeing claims for Baylor Scott & White Health (BSWH). The Director-Assistant General Counsel ... practices in assigned areas. + Prepares, reviews, and assists in negotiating complex contracts. Assesses liability and damages. Develops defense to resolve claims… more
- Sedgwick (Irving, TX)
- …relationships and implementing retention strategies. + Act as a trusted advisor to clients, resolving escalations and driving continuous improvement in service ... Account Executive experience on national accounts and five (5) years claims /supervisory experience. **Skills & Knowledge** + In-depth understanding of workers… more
- Norstella (Austin, TX)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... of the US healthcare ecosystem. **Responsibilities:** *Lead the delivery of complex RWD engagements across the life sciences industry, leveraging Norstella's unified… more
- Adecco US, Inc. (Irving, TX)
- …focused on supporting specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer ... client expectation. **Key Responsibilities** 1. Act as a strategic reimbursement advisor and primary liaison for healthcare providers, proactively identifying and… more
- Evolent (Austin, TX)
- …and **Product Management** , leveraging advanced analytics to solve complex healthcare challenges and support impactful decision-making that enhances organizational ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Comerica (Dallas, TX)
- …and procedures to aid in the completion and resolution of the most complex HR assignments and issues. The HR environment is fast-paced, sometimes under pressure, ... Position Responsibilities: Business Partnership Serves as the primary strategic HR advisor to business unit leaders. Collaborates with senior leadership to… more
- Cummins Inc. (Houston, TX)
- …of diagnostic work. + Apply documented procedures and policies to complete complex repairs, including identifying and preparing required parts and tools. + ... required documentation, such as work completed documents, time sheets, warranty claims , quality documents via handwritten forms or business system input screens.… more
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