- The Cigna Group (Plano, TX)
- …and data informatics and data exchange using healthcare and clinical data such as Claims , Membership, Audit , Client Structure, and Benefits. If you will be ... job profile for this position is Data Management Strategy Senior Advisor, which is a Band 4 Senior...Looker to create dashboards for campaigning and other internal audit reports; using Python to understand the ETL workflow;… more
- CVS Health (Austin, TX)
- …claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Consults cross-functionally with other ... regulatory guidelines. + Owns responsibility for supporting targeted quality audit projects, reporting overall results, and making recommendations regarding training… more
- Keurig Dr Pepper (Frisco, TX)
- …Oversight: Audit and approve transportation invoices and process freight claims . + Process Optimization: Maintain SOPs and partner with providers to drive ... including evenings, weekends, and holidays. Join Keurig Dr Pepper as a Senior Global Logistics Specialist, where you'll manage international import and export… more
- Centene Corporation (Austin, TX)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... Monday - Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles… more
- WM (Houston, TX)
- ** Senior Paralegal & Legal Operations Specialist** This dual-role position combines advanced paralegal expertise with strategic legal operations responsibilities, ... Settlement Filings 7. Review class action settlements for WM claims . 8. Collaborate internally to collect information needed to...backup for the matter intake process. 12. Reserve / Audit Reports 13. Collaborate with VP of Litigation to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …ready, oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. ... sites, and vendors (including contract research organizations) and ensure that audit results are communicated, and appropriate corrective actions are implemented and… more
- ManpowerGroup (Houston, TX)
- …with the Compliance Program, and with HHSC, TDI, NCQA and Health Plan Senior Management. * Ensure ongoing compliance with federal and state regulations and provide ... Health Plan in developing an auditing and monitoring program. Develop comprehensive audit tools to objectively measure internal performance and performance of third… more
- EMCOR Group (Manchaca, TX)
- …systems for semi-conductor manufacturers, high-tech fabrication, pharmaceutical companies, medical complexes, and other highly specialized facilities. **SUMMARY** ... concern or liability to the company and recommend appropriate modifications to senior management. + Ensure executed contracts and all executed change orders, bond,… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across… more
- Citizens (Irving, TX)
- …and Home Equity products. Working closely with Loss Mitigation strategies, senior management, Product Owners and support teams, you will drive industry-leading ... progress + Prepares and presents workflow and results to Senior Management and clients as needed + Assists in...that are noted + Respond to internal and external audit findings by preparing formal responses and ensuring remediation… more