- Humana (Austin, TX)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Sedgwick (Austin, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... of statutory requirements of state's jurisdiction/ERISA regulations + Knowledge about general claim practices. + Knowledge of pharmacy processes and pharmacy benefit… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …other. It's this deep-rooted dedication that drives us to uncover answers to complex , underserved medical needs, so that patients can push past the limitations of ... innovative marketing professional to bring their skills to a complex and difficult to treat category. **Job Description** +...**Disclaimer:** This job description is intended to describe the general nature and level of the work being performed… more
- Public Consulting Group (Austin, TX)
- …www.publicconsultinggroup.com . PCG Health team helps our clients meet the complex financial, regulatory, and operational challenges of today's changing health care ... Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory...Supplemental Payment Strategies + Healthcare Access and Markets This director will run the office of the CIO with… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …datasets in US and EU, and Japan. + Demonstrated ability to explain complex ideas and statistical results to diverse audiences ranging from executives to technical ... **Disclaimer:** This job description is intended to describe the general nature and level of the work being performed...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Celestica (Houston, TX)
- …Hampshire City: Remote Employee US **Summary** The Global Customer Business Unit General Manager leads a team of multiple Global Customer Business Unit Directors, ... Connectivity and Cloud Solutions business. The GM must deal with complex and controversial negotiations, problem resolution, and project/program implementations all… more
- Catholic Health Initiatives (Houston, TX)
- **Responsibilities** This job is responsible for developing in‐depth and complex financial analyses in support of the Texas Division Physician Enterprise Revenue ... hoc reports/databases consistent with industry standards, internal policies/procedures and general requirements. Reports are produced for Revenue Cycle functions… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...missing charts. + Clarify documentation with the Physician and Director as needed. + Completes reports and logs as… more
- Siemens (Grand Prairie, TX)
- …Dynamic Project Manager for Electrical Products. This position reports to the Director of GGCS(Government, General Contractor, Solutions) vertical in the Project ... Products **Req ID:** 473784 Position Title: Project Manager, Electrical Products and General Contractor Location: Peachtree Corners, GA/Remote Are you looking for a… more
- Evolent (Austin, TX)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may...Computer Science or equivalent years of work experience + General knowledge of data flow and healthcare end to… more