- Molina Healthcare (Fort Worth, TX)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- HUB International (Irving, TX)
- …existing accounts while uncovering opportunities for increasing business in the financial field , as our client base are banks and credit unions. **About HUB** ... not limited to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management), Market Analysis,… more
- Baylor Scott & White Health (Plano, TX)
- …investigates to evaluate patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM will help conclude on ... incidents. Works to resolve issues before they become liability claims . + Receives information from team members who manage...**Key Success Factors** + Bachelor's Degree in a healthcare field and four years of clinical experience. Or, an… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …objectives. **Qualifications** + BS or MS in Analytical Sciences, Chemistry, or related field with a minimum of 12 years of experience in the biopharmaceutical ... industry + PhD in Analytical Sciences, Chemistry, or related field with a minimum of 7 years of experience...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Molina Healthcare (Fort Worth, TX)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Centene Corporation (Austin, TX)
- …clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business ... science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. Master's degree preferred. 4+ years of… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public,...and compliance updates + Leverage emerging technologies in the field of occupational safety. Environmental: + Inspect and update… more
- Kemper (Houston, TX)
- …agency appointments, personal visits to existing agencies, and through other field sales activities. + Collect, organize and disseminate market intelligence and ... with peers in the sales organization, State Product Managers, Claims , Agency Support and Licensing, Marketing, and Customer Service/Underwriting....of a Sales Executive is to be in the field , engaging face to face with our agencies and… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with ... processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and workflow processes to ensure accuracy, completeness, and… more
- CDM Smith (Austin, TX)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... in regular FEMA meetings by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether the claim is eligible. Assists… more