- Merck (Austin, TX)
- …those options on patients. + Analyze and identify trends in a complex buying environment, including multiple channels of drug distribution (Oncology group purchasing ... organizations, wholesalers, and specialty pharmacies). + Review and evaluate patterns for products purchased and prescribed (outpatient vs in-patient infusion, as… more
- Broadcom (Plano, TX)
- …vulnerabilities within the testing process, tools, and application under test. + Prepare complex test data and ensure test case execution aligns with ... identifying newly introduced defects. + Analyze automated test results, including the review and resolution of false positives and the refactoring of fragile tests.… more
- Brink's (Coppell, TX)
- …Compensation claims with the TPA's (claim administrators) and carriers. + Review and challenge reserve recommendations, develop resolution strategies, and coordinate ... claim activity for timely and compliant handling, including escalation of high-exposure or complex claims to Sr. Manager, Risk Management & Insurance. + Reserve &… more
- Veterans Affairs, Veterans Health Administration (Mcallen, TX)
- …group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management. Ability to incorporate complex multiple causation in ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Social Work:… more
- Molina Healthcare (Houston, TX)
- …potential fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types ... will ensure the Manager is aware of any major case developments, and ensure cases are being investigated according...techniques, tools, or strategy. + Effectively investigate and manage complex and non- complex fraud allegations. + Develop… more
- Houston Methodist (Houston, TX)
- …base to meet and develop business intelligence and document business case /scope/plan. Sets expectations and coordinates team members utilizing teamwork and ... and distribution of ad-hoc reports and financial models as needed. + Analyzes complex data sets to identify trends and variances to support optimal reimbursement.… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …DLO is responsible for advising, counseling, and instructing subordinates on complex administrative matters. The DLO will complete performance appraisal, identify ... Provides a full range of psychological services for Veterans within the medical center. 2. Performs psychological evaluations for individuals with psychological or … more
- Sedgwick (Irving, TX)
- …referrals for appropriate disability and federal/state leave of absence eligibility review ; and to ensure the ongoing processing of claims. **ESSENTIAL FUNCTIONS ... by phone, written correspondence and/or claims system. + Reviews medical information to determine if the claimant meets the...a qualifying condition. + Makes claim determinations to approve non- complex ADA claims or makes a recommendation to team… more
- UTMB Health (Galveston, TX)
- … medical education (CME) requirements. . Participate in peer review and morbidity/mortality conferences. **Professional Development & Community Engagement** . ... within the Department of Cardiovascular Medicine at the University of Texas Medical Branch (UTMB). These duties align with UTMB's mission of excellence in… more
- HCA Healthcare (San Antonio, TX)
- …position crucial in bridging the gap between intensive care and general medical -surgical units. Stepdown nurses play a pivotal role in managing patients who ... depending on their condition. Our professionals are adept at handling complex patient needs, administering critical medications, and interpreting vital signs to… more