- AECOM (San Antonio, TX)
- …project completion. + Review of controversial and/or complex change orders and claims to ensure they are adequately documented and justified. + Attendance of all ... week (est. 2080 total hours per year).** **Duties Shall Generally Include:** + Review of plans and specifications and oversight of work to ensure construction… more
- Houston Methodist (Houston, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... oral reports to a variety of audiences as required including HM Board, Medical staff, Finance and Legal departments, various committees and all insurance company… more
- Western Digital (Austin, TX)
- …in San Jose, Irvine or remote. ESSENTIAL DUTIES AND RESPONSIBILITIES: + Review , draft and advise on advertising and marketing materials, including packaging, press ... strong familiarity with intellectual property and privacy matters + Prepare, review , and negotiate complex agreements including those for software licensing,… more
- Healthfirst (TX)
- …productivity and quality for each Specialist against expectations + Prepare cases for Medical Director Review ensuring that all pertinent information (ie case ... + Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management. +… more
- Highmark Health (Austin, TX)
- …action to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + ... as needed to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and… more
- Guidehouse (San Antonio, TX)
- …to patient accounting within an EHR. + Performs configuration support and review /update Patient Accounting builds within Oracle Health (Cerner) EHR for insurance ... verification, claims submission, payment processing, account follow-up, records maintenance, and...related to the sustainment of the MHS GENESIS. + Review and make recommendations to improve end-to-end workflows that… more
- Samsung SDS America (Plano, TX)
- …responsible for coordinating the entire contract lifecycle, from initial drafting and review to negotiation and documentation. The position will also be responsible ... Inc. please visit www.samsungsds.com/en/logistics/logistics.html Key Responsibilities: Contract Management + Review contract request forms and collect information necessary for… more
- Cardinal Health (Austin, TX)
- …Health's At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions ... AHS business unit is comprised of four complementary business units: (1) Edgepark Medical Supplies, a leading mail order supply company that specialize in serving… more
- Deloitte (Austin, TX)
- …and business terms) with PBMS + Experience performing analytical analysis of medical & pharmacy claims , including understanding financial impact of network ... emerging trends and cost drivers + Work directly with medical and PBM vendors to analyze the program offering...+ Implement competitive vendor search and selection initiatives + Review of health plan renewals including assisting in rate… more
- Defense Health Agency (TX)
- **Overview** This job is located at Carl R. Darnell Army Medical Center, Fort Hood, TX. The Carl R. Darnall Healthcare System, located at Fort Hood, Texas, values ... Killeen Chamber of Commerce (http://www.killeenchamber.com/) Carl R. Darnall Army Medical Center Ft Hood is nicknamed The Great Place...providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within… more