- ManpowerGroup (Houston, TX)
- …Business Operations and Leadership Epic Certifications and Experience Claims , Contracts, Benefits (preferred) Demonstrated configuration experience in contracts, ... of the system for provider contracts, benefits and fee schedules Claims adjudication experience (preferred) Skilled in using technology to provide/ improve… more
- Prime Healthcare (Dallas, TX)
- …and solution oriented, able to work with business units to solve legal challenges. This attorney must actively manage, supervise and coordinate outside counsel ... Preferred qualifications: 1. Minimum of 5 years of prior legal experience in law firm, public sector, and/or in-house...to the Stark Law, the Antikickback Statute, the False Claims Act, and other Fraud, Waste and Abuse laws… more
- Prime Therapeutics (Austin, TX)
- …stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners ... required + 5 years of progressive work experience in legal or compliance related roles for a healthcare or...+ PBM/health care experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional … more
- Entergy (The Woodlands, TX)
- **Work Place Flexibility:** Hybrid ** Legal Entity:** Entergy Services, LLC This position may be domiciled in any of Entergy's service territories in Texas, ... various other third-party contracts. Provide vendor oversight and management of warranty claims and quality. Ensure adequate repair parts and supply chain capacity… more
- HCA Healthcare (Houston, TX)
- …which includes coordinating insurance coverage;** + You will work with defense legal counsel to coordinate claim investigations; Process claims against the ... Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction.… more
- Community Health Systems (Lufkin, TX)
- …a culture of safety and compliance. + Oversee the investigation and management of legal claims and suits, ensuring timely and accurate responses to legal ... and addressing risk trends **Licenses and Certifications:** + CPHRM (Certified Professional in Healthcare Risk Management) preferred **What We Offer:** + Competitive… more
- WTW (Dallas, TX)
- …management, pricing and funding strategies, data analytics, valuation support, and legal compliance and governance strategies. We also provide specialty consulting ... management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy… more
- Sysco (Houston, TX)
- …work processes, ensuring a smooth process for colleagues while adhering to legal requirements and company policies. This role involves coordinating with HR, business ... + **Return to Work:** Review and audit Return to Work process for claims , including Return to Work transitional program, process with external vendor and internal… more
- Lincoln Financial (Austin, TX)
- …74854 **The Role at a Glance** We are seeking a strategic and detailed-oriented professional to join our Total Rewards team to lead critical components of our ... * Ensure compliance with applicable regulations such as IRC 409A and coordinate with legal , tax advisors and third-party administrator as needed. * Serve as a member… more
- Houston Methodist (Houston, TX)
- …and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/ government regulations. **PEOPLE ESSENTIAL ... of audiences as required including HM Board, Medical staff, Finance and Legal departments, various committees and all insurance company underwriters as needed. +… more