- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …+ **Market Access:** Partner with market access teams to ensure payer engagement, reimbursement strategy alignment, channel strategy, development of affordability ... and access programs, patient support solutions, and pull-through execution. + **Cross-Functional Leadership:** Collaborate closely with medical, regulatory, commercial operations, and finance teams to ensure cohesive brand execution. + **Performance… more
- Cognizant (Austin, TX)
- …management and managing clinical denials from Providers to the Health Plan/ Payer . The comprehensive process includes analyzing, reviewing, and processing medical ... necessity denials for resolution. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and other teams. **In this role, you will:** + Maintain ownership and responsibility for assigned accounts. + Maintain working… more
- CenterWell (Austin, TX)
- …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization, and specialist network solutions. This role is critical to ... shaping how our patients and care teams experience internal and external specialty care. The ideal candidate combines strong business acumen, deep customer empathy, and a proven ability to create measurable value in highly matrixed healthcare settings. You… more
- Cognizant (Austin, TX)
- …and academic/university-level cases Hospital. + Strong knowledge of federal, state, and payer regulations. + Ability to interpret medical records, reports, and chart ... entries accurately. + Demonstrated ability to work independently and collaboratively. + Strong judgment and decision-making skills. + Proficiency in **MS Office** (Word, Excel, Outlook). + Ability to manage workload and multiple projects effectively. +… more
- Oracle (Austin, TX)
- …bring products to market quickly, navigate the regulatory pathway and negotiate payer reimbursement and coverage. KEY OUTCOMES As a Senior Research Consultant, you ... will: + Be the Principal Investigator, lead the design and execution of health outcomes studies including writing research proposals, designing questionnaires, overseeing statistical analysis plan (SAP) development, overseeing data analysis, providing… more
- Oracle (Austin, TX)
- …closely with product, architecture, and domain experts to transform complex payer -provider processes into intelligent, automated systems. This role is critical to ... driving innovation, optimizing healthcare financial performance, and accelerating digital transformation across the health-tech landscape. **Responsibilities** Key Responsibilities + **Leadership and strategy** Define and drive the AI engineering vision,… more
- Amgen (Dallas, TX)
- …of our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a Senior Specialty Representative to ... deliver on our commitment to serve patients. The Senior Specialty Representative acts as the primary customer contact and is responsible for implementing marketing strategy and promoting Amgen products as led by the District Manager. Responsibilities include:… more
- Robert Half Finance & Accounting (Kingwood, TX)
- …Collaborate with revenue cycle management to verify the accuracy of charges, payer reimbursements, and write-offs. * Develop and maintain fixed asset schedules, ... manage capital expenditure tracking, and conduct cost accounting analyses. * Ensure compliance with healthcare industry regulations and internal controls to safeguard financial data and assets. * Assist in budgeting and forecasting processes, providing… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …faculty on-boarding including but not limited to: EMR access, payer enrollment, provider templates, and Values-Based Culture integration. + Professionally ... and effectively interact with all levels of TTUHSC El Paso executive leadership and with PLFSOM Administration, physicians, administrative support staff, patients and members of the community. + Assist with development and execute departmental contracts and… more
- Deloitte (Fort Worth, TX)
- …experience * Experience in Epic integration is preferred + Experience with Payer /Provider applications + Experience with ANSI transactions + Experienced in ITIL ... service methodology or Service NOW + Familiarity with HIPAA and other regulations + Basic knowledge of messaging formats used in healthcare integration (HL7, EDI, CSV, XML, etc.) + Experience working in the US health care domain and managed care setup +… more
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