- CVS Health (Austin, TX)
- …it all with heart, each and every day. About the Role: Join Aetna's Network Management team as a Contract Negotiator and play a key role in building and maintaining ... with key providers, ensuring timely resolution of escalated issues such as claims , contract interpretation, and provider data accuracy. + Negotiate settlements and… more
- Caris Life Sciences (Irving, TX)
- …of three years direct or indirect compliance and conflict of interest program management or applicable experience + Bachelor's degree in a relevant field or ... Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. + Strong writing skills, especially in… more
- CVS Health (Richardson, TX)
- …responsible for managing the technical needs across PBM or Pharmacy Benefits Management space. They have accountability for the development, operations and support ... with other technical leaders of the PBM space & Claims Adjudication team to assess business goals, strategic objectives...Jenkins, CircleCI + 3+ years of experience with source management tools like GitHub, GitLab + 3+ years of… more
- JE Dunn Construction Company (El Paso, TX)
- …with the external insurance company contacts in reporting and managing safety-related claims and assists Safety team members in monitoring medical treatment of ... hazardous conditions. Issues reports to field superintendent and project management staff detailing hazards and abatement techniques. Follows-up with the… more
- Guidehouse (San Antonio, TX)
- …and we're Great Places to Work certified. At Guidehouse, coding is more than charts and claims - it's about making an impact. As a coder here, you'll be part of a ... opportunity! **What You Will Do** **:** + Assists coders, compliant documentation management staff, and the Internal Revenue Integrity team with complex patient care… more
- Boardwalk Pipeline Partners (Houston, TX)
- …or coordinate deliveries. + Facilitate the resolution of disputes and claims . + Address all Sarbanes-Oxley documentation requirements for qualifying transactions. + ... + 5-10 years of experience in procurement, strategic sourcing, contract management and/or supplier relationship management REQUIRED EDUCATION: + Bachelors… more
- Caris Life Sciences (Irving, TX)
- …Vice President of Clinical and Scientific Marketing is responsible for the management of clinical and scientific content (both up-stream and down-stream) in support ... the strategy for advisory boards and scientific KOL engagement. + Align clinical claims and product attributes with the product marketing team as they develop… more
- Philadelphia Insurance Companies (Plano, TX)
- …Commercial Property and Casualty Insurance. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and ... and various clerical issues within the Unit as necessary. 9. Effectively communicates with management on all issues both within and outside the Unit as needed. 10.… more
- GAP Solutions Inc (Austin, TX)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... employees. Research waiver and hearing requests. + Conduct desk audits, review management requests for various position management and classification actions and… more
- AIG (Houston, TX)
- …new and renewal business to help drive the profitable growth of our Management Liability business. + You will be responsible for assessing the desirability of ... close co-ordination with AIG subject matter experts and robust reviews of claims history and general company information. + Your relationships with brokers will… more