- Marriott (Dallas, TX)
- …improvement. **Conducting Human Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management . * Brings issues ... **Schedule** Full Time **Located Remotely?** N **Position Type** Management **Pay Range:** $74,000 - $100,000 annually **Bonus Eligible:**… more
- Oracle (Austin, TX)
- …of AI agents and multi-agent systems that orchestrate complex RCM workflows ( claims processing, charge capture, revenue integrity, denial management , and ... and modernize health systems globally. We are seeking a Senior Software Director to lead our AI engineering efforts across healthcare reimbursement, patient… more
- Johnson, Mirmiran, and Thompson Inc. (Longview, TX)
- …services in Texas. CM services include c onstruction and p rogram management , construction inspection, claims s upport, scheduling and cost estimating, ... 500 Design Firms. JMT is seeking Regional CM/CEI Practice Director for any of our Texas locations. The successful...project controls and other related construction management responsibilities. You will be responsible for driving growth… more
- Evolent (Austin, TX)
- …outcomes and a more connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The candidate selected for this role ... You'll Be Doing:** + Serve as the lead for medical cost and revenue projections for Performance Suite business...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more
- Evolent (Austin, TX)
- …of our specialty programs and administrative platform. **Role Overview** The Senior Director role on Client Analytics will lead the development and execution of ... + 10+ years of analytics & reporting experience in healthcare, including medical economics, cost/utilization analysis, and membership trend reporting. + 5+ years of… more
- Kyndryl (Austin, TX)
- …oversight of delivery, ensuring high performance and customer satisfaction **Leadership, Management , People:** + Lead by example; Fostering a culture of continuous ... vaccination policies. Those who believe they are eligible may apply for a medical or religious accommodation prior to the start of employment. **Who You Are**… more
- The Cigna Group (Austin, TX)
- …**Nice to Have** + Prior **PBM/specialty pharmacy** platform knowledge (eg, claims /benefit management , care coordination, specialty workflows). + Earlier ... Risk & Compliance** : Integrate **CIP** standards (eg, change management , supplier security, data handling) into architecture guardrails and developer‑facing… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …**Core Content Development** + Under the guidance of the Associate Director , Medical Communications, draft and maintain high-priority, foundational scientific ... The Manager, Medical Core Content is a team-level operational role...external regulations. This position reports directly to the Associate Director , CNS Scientific Communications. **Job Description** **Key Responsibilities Include:**… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- THIS IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, ... correspond with insurance companies to obtain accurate reimbursement for healthcare claims . This person will also be responsible for analyzing, abstracting,… more
- Cognizant (Austin, TX)
- …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The… more