- Elevance Health (Grand Prairie, TX)
- …negotiates for human capital resources, and partners with care management, network, claims & operational teams, IT, and business partners. + Builds and leverages ... experience with managed care, trend & healthcare analytics, provider networks, claims , finance, and operations strongly preferred. + Healthcare payer experience… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Molina Healthcare (Austin, TX)
- …likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge ... with the chief medical officer for administrative law judge pre-hearings, state insurance commission, and meet and confers. * Represents Molina and presents cases… more
- Sedgwick (Dallas, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager-Sign-on Bonus Eligible **This Field Case Manager will cover our ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Evolent (Austin, TX)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- ThermoFisher Scientific (Austin, TX)
- …regulatory strategies accounting for global requirements and desired marketing claims . + Author and/or review regulatory submissions, specifically device master ... + Propose innovative regulatory options for new products or claims . + Manage departmental budget. + Determine work priorities...and 8 weeks for caregiver leave), accident and life insurance , and short- and long-term disability in accordance with… more
- UIC Government Services and the Bowhead Family of Companies (San Angelo, TX)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Sedgwick (Fort Worth, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Sedgwick (Fort Worth, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Mgr IT Applications Join us in delivering cutting-edge technology solutions for ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Fujifilm (Austin, TX)
- …Code of Conduct, Interactions with Healthcare Professionals Policy, Anti-Kickback, False Claims Act, HIPAA, Anti-Corruption Policy and Antitrust Policy among others, ... + Strong understanding of healthcare regulations (eg, Anti-Kickback Statute, False Claims Act) and global compliance frameworks (eg, FCPA, UK Bribery Act).… more