- Molina Healthcare (Fort Worth, TX)
- …CMS, HHS to reconcile data. + Responsible for encounter submissions, rejection management & resolution for all lines of business including internal strategic ... Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …coding specialist teams. Coach, develop and make recommendations to the director regarding employee performance and evaluations. + Determines educational needs for ... and to summarize departmental coding and billing results/activities. Assist the Coding Director with daily tasks to keep coding productivity current and ensure 6mely… more
- Houston Forensic Science Center, Inc (Houston, TX)
- Job Descriptions: POSITION SUMMARY Reporting to the HFSC General Counsel and Director of Government Affairs (GC and DGA), the Staff or Senior Attorney is responsible ... and DGA in matters related to property and evidence management and destruction. + Provide assistance, support and guidance...of the Public Information Act, Open Meetings Act, Tort Claims Act, and Local Government Code. + Demonstrated understanding… more
- Cardinal Health (Austin, TX)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... communication of audit results to physicians, physician leadership, senior leadership, management , and staff; physician and coder education; and the making of… more
- Evolent (Austin, TX)
- …technical experts to find the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may be engaged in any testing effort ... system processing in detail + provide summary information to stakeholders & management answering business questions + create & maintain queries supporting precise… more
- Sedgwick (Austin, TX)
- …staffing activities within a designated region and partners with Operational management to implement timely, cost-effective initiatives aligned with regional and ... database, + Development and initiation of a candidate relationship "pipeline management " strategy, + Utilization of current and future staffing technology. +… more
- Zurich NA (Austin, TX)
- …based in any of our Zurich Offices. Responsibilities include: + Portfolio management for assigned line of business + Monitor product and pricing/rating performance. ... technical training + Provide input into improvements for portfolio management and tiering + Handle the most complex casualty...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Molina Healthcare (San Antonio, TX)
- …+ Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management , clinical indicators, industry benchmark, ... plans, and all product timelines. + Works with the Director to manage contacts within the plan(s) and/or Molina...medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and… more
- Molina Healthcare (San Antonio, TX)
- …building regulatory compliance audit procedures. * At the direction of management , coordinates and performs oversight audits and validation activities to ensure ... and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general development of the Operational Oversight… more
- BrightSpring Health Services (San Angelo, TX)
- …personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims for assigned service site(s) + Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...area regulations. Exceptions must have written approval from Regional Management . + A minimum of two years of verifiable… more