- Evolent (Austin, TX)
- …growth opportunities at customer accounts + Strong knowledge of health plan operations , care/utilization management, claims processing, value-based care, and the ... Provider Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations , Medical, Quality, and Call Center Teams) to identify new… more
- Texas A&M University System (Bryan, TX)
- …of risk management and compliance across multiple areas, including university, healthcare , and research. + Ability to multitask and work cooperatively with ... Qualifications: + Advanced degree in applicable fields related to business operations . + Experience in dealing with complex organizational structures and/or academia… more
- Walgreens (Waxahachie, TX)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. Operations + Under the supervision by the pharmacist, assist in the practice ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Elevance Health (Grand Prairie, TX)
- …are strongly preferred. + Knowledge of SAS. + Knowledge of systems capabilities and Healthcare business operations . + ASC X12 837 EDI experience. + Intermediate ... The **Business Information Analyst Senior** is responsible for analyzing and validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid… more
- Walgreens (Houston, TX)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. Operations + Under the supervision by the pharmacist, assist in the practice ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Frisco, TX)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. Operations + Under the supervision by the pharmacist, assist in the practice ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Prime Therapeutics (Austin, TX)
- …to be a part of our JUDI Team.** **The first role will be focused on Claims Compare - analyzing data to identify key points. Our second role will focus on ... **Responsibilities** + Oversee one strategic initiative in partnership with Operations and/or IT + Collaborate with cross-functional stakeholders to advance… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka ... etc.** + Excellent working knowledge of phase I clinical operations , drug development, multi-region regulatory requirements. + Good working...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Houston Methodist (Houston, TX)
- …for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple ... Medicare, Medicaid and commercial payors, and applicable department's revenue cycle operations . + Ensures protection of private health and personal information.… more
- Baylor Scott & White Health (Dallas, TX)
- …individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core ... of the provider network strategy and development, provider contracting, network operations (which includes credentialing and provider data management), and provider… more