- Sedgwick (Dallas, TX)
- …Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss experience reports to help… more
- Prime Therapeutics (Austin, TX)
- …Responsible for executing utilization management programs on behalf of health plan/payor customers, while utilizing additional clinical knowledge pertaining to ... a set list of managed medications across all health plans, with additional training for each medication and therapeutic class. Primary activities center on reviewing… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- We are seeking a hands-on Health Information Management (HIM) Director to lead the organizational and administrative operations of our Medical Records Department. ... responsible for ensuring the accuracy, accessibility, confidentiality, and compliance of patient health records while overseeing a team of HIM professionals. The HIM… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …team to develop global regulatory plans, address global regulatory issues, health authority queries, and regulatory obligations. **J** **ob Responsibilities** - ... need and obtains regulatory intelligence, researches precedent approvals and prior health authority decisions to assess applicability to support development of… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …(student/trainee), and litigation-related issues associated with medical, podiatric, or allied- health practices and education. Description of Duties + Provide ... (student/trainee) and litigation-related issues arising in medical, podiatric, and allied- health education and related clinical practice(s), and on UTRGV's current… more
- Molina Healthcare (Austin, TX)
- …**Job Summary** The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to ... Healthcare products. Analyzes data and dashboard reports to monitor health plan performance and identify the root causes of...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Otsuka America Pharmaceutical Inc. (Abilene, TX)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... needs and nutraceutical products for the maintenance of everyday health . In its evolved customer engagement model, a Neuroscience...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
- Norstella (Austin, TX)
- …in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to ... goals. + Drive the integration of diverse data sources, including lab, EMR, claims , and SDoH data, to create comprehensive and actionable datasets + Identify and… more
- Molina Healthcare (TX)
- …The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to ... Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more