- Travelers Insurance Company (Austin, TX)
- …and Innovation: + Design and direct innovative, outcome focused strategies and business plans for medical related product development and enhancements. ... coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations and medical guidelines to establish medical review policies.… more
- CenterWell (Austin, TX)
- …develop market-specific strategies to promote accurate clinical documentation, ensures all state , federal and internal policies and procedures are followed, and ... of Documentation (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners… more
- Molina Healthcare (TX)
- …Resolution; and Provider/Member Appeals and Grievances. * Coordinates with Corporate and Business Development teams to ensure that Molina grows faster ... * Agree to sign standard provider services agreements approved by applicable state /federal agencies and built on Molina's business standards that include… more
- Highmark Health (Austin, TX)
- …Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required based on business need. **Preferred** + ... cases that require physician expertise. + Participate in protocol and guidelines development to ensure consistency in the review process. + Actively manage projects… more
- Mass Markets (TX)
- POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our ... to ensure high performance. + Ensure staff receive ongoing training and development to maintain performance excellence. + Foster a positive work environment and… more
- Vistra (Irving, TX)
- …a mix of strategic oversight and hands-on involvement in use case development and trading activities, with a strong emphasis on delivering profitable outcomes ... and analytics professionals, fostering a collaborative, high-performance culture, and development of a "center of excellence" within the organization. *Ensure… more
- AbbVie (Houston, TX)
- …Finance, Field Sales etc. + Account Planning: + Develop and execute customer business plans for targeted customers through needs assessment, and the development ... opportunities and goals with target customers, creating customer specific business plans, designing mutually agreed to Key Strategic Initiatives, deploying… more
- Sysco (Houston, TX)
- …to design high-volume, high availability microservices in AWS to meet the business requirements. Drive tribe-level development methodology. * Partner with ... Essential Functions: * Own, oversee, and execute the development , testing, deployment, and delivery of large-scale software...veteran status or any other protected factor under federal, state or local law. This opportunity is available through… more
- Molina Healthcare (Austin, TX)
- …**Job Summary** Leads the market's strategy and planning in the successful development of the provider network, including development , contracting and management ... access to member choice in compliance with federal and state laws. Negotiates and services larger and more complex...Leads the market's strategy and planning in the successful development of the provider network including development ,… more
- Acxiom (Austin, TX)
- …a blend of strategic vision, technical expertise, and operational acumen to drive business results and foster client success. *This role can be located almost ... + Consult with architects and engineers on project planning and future state enhancements/road mapping. + Engage directly in resolving client issues, ensuring a… more
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