- Turner & Townsend (Houston, TX)
- …in the world. **Job Description** **Turner & Townsend** are seeking an experienced ** Director -Project Controls** to join our team. The ideal candidate has a proven ... Review construction progress and approve recovery plans. + Review the claims resolutions recommendations. + Collaborate with appropriate internal and external… 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 ... 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
- Kyndryl (Austin, TX)
- …a key leadership role across multi-disciplinary teams, guiding them through complex consulting engagements and be responsible for creating and positioning strategic ... Kyndryl's largest accounts across the C-suite, spanning the intersection between complex Business and IT customer solutions, transformations that impact across the… more
- The Cigna Group (Austin, TX)
- …at enterprise scale. + **Executive presence** with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a ... to Have** + Prior **PBM/specialty pharmacy** platform knowledge (eg, claims /benefit management, care coordination, specialty workflows). + Earlier **hands‑on… more
- Kemper (Mcallen, TX)
- …Litigation Adjuster will investigate, evaluate and handle to conclusion attorney represented injury claims , complex injury claims , and litigated claims . ... and demonstrated high quality results. **Position Responsibilities:** + Successfully handle any complex coverage or liability claims investigation. + Evaluate … 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 ... requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting,… more
- Stantec (Plano, TX)
- …with Earned Value management and forecasting. - Experience with scheduling large, complex projects. - Experience with claims management for design projects. ... - airports, transit and rail, ports and marine, highway and bridge, including complex bridges, interchanges, and managed toll projects. Join our Major Projects Team… 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
- 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...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Molina Healthcare (Fort Worth, TX)
- …This role has decision-making accountability for ensuring compliance with complex regulatory requirements, protecting the integrity of enterprise revenue, and ... + Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing … more