- Providence (TX)
- …other liability claims against the organization as assigned or directed by the Director of Risk & Claims ; maintaining up-to-date and accurate claims ... procedures and required regulations; and providing feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department… more
- Morley (Houston, TX)
- …required)_** Ready to take your creative career to the next level? As a remote Art Director on Morley's award-winning in-house creative team, you'll lead with ... deliverables + **Experience:** + Five years as an Art Director in an agency or in-house creative environment +...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- Sanofi Group (Houston, TX)
- **Job Title:** Associate Director , National Account Operations CVS - US Remote **Location:** Remote /Field Based **About the Job** The **Associate Director ... knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We… more
- Zurich NA (Austin, TX)
- … Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- DIRECTOR #LI- REMOTE EOE Disability / Veterans ... Sr. Claims Specialist - Complex Construction 126105 Zurich North...North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex Liability Claims… more
- Centene Corporation (Austin, TX)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Molina Healthcare (Fort Worth, TX)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- USAA (San Antonio, TX)
- …truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager Senior** (Western States), you will responsible for managing ... setting appropriate expectations, proactive communications, advice and empathy. This role is ** remote ** eligible in the **Central, Mountain or Pacific time zones** ,… more
- Molina Healthcare (San Antonio, TX)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include employee reviews, coaching sessions and disciplinary actions. + Monitors and enforces compliance with… more
- Molina Healthcare (Fort Worth, TX)
- …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... reporting, Risk Adjustment (RA), and Health Plan Reporting.** + **_Azure Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License, Certification, Association** Microsoft Technology, Mobility, ITIL To all current Molina employees: If you… more