- Parker Hannifin Corporation (Nacogdoches, TX)
- …Notes preferred. + Prefer Lean manufacturing, Six Sigma, project management, FMEAs, and quality systems experience. + This position is subject to meeting US ... recommendations and implement changes. + Assure product and process quality by designing testing methods, testing finished product and...near miss immediately to your Group Lead or EHS Manager . Report all unsafe conditions immediately to a Group… more
- Travelers Insurance Company (Houston, TX)
- …evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and ... resolving assigned serious and complex General Liability claims. Provides quality claim handling throughout the claim life cycle (customer...facts or allegations of each case. + Consult with Manager on use of Claim Coverage Counsel as needed.… more
- US Anesthesia Partners (Dallas, TX)
- …provides the department leadership, oversight, and guidance. The supervisor assists the manager with the department's day-to-day operations and serves as a point of ... contact when the manager is unavailable. This person will be the "go-to"...to): + Assists in monitoring arbitration deadlines to ensure compliance . + Assists in delegating work assignments. + Monitors… more
- Encore (Coppell, TX)
- …and logistical planning from client approved scope of work to Producer/Project Manager handoff. * Source and secure specialty vendors for unique production elements. ... deliverables as outlined in the SOW to the Producer/Project Manager . * Inform the Project Manager of...knowledge base and experience of Project Managers. * Ensure compliance with established Technical Standards and Production Standards. *… more
- Humana (Austin, TX)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues ... Engineer will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies.… more
- Highmark Health (Austin, TX)
- …support to maintain more complex applications that meet the service levels, system availability, performance and quality levels required by their customers. ... minimal or no defects. + Utilizes and participates in the more complex full system development life cycle, per current Highmark SDLC standards. + Takes a lead role… more
- BrightSpring Health Services (Denton, TX)
- …Area Supervisors, Qualified Intellectual Disabilities Professional, Program Coordinator, and Program Manager . + Ensures regular quality assurance reviews of ... + Conducts monthly site visits and client chart reviews for accuracy and compliance . + Ensure all financial documents are completed and submitted timely. + Ensure… more
- ICON Clinical Research (San Antonio, TX)
- …we help to accelerate the development of drugs and devices that save lives and improve quality of life. Our people are our greatest strength, are at the core of our ... knows when to notify lab management. + Understands, performs, and practices quality control management to include running controls, evaluating data, documentation of… more
- Molina Healthcare (TX)
- …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is… more
- Houston Methodist (Houston, TX)
- …Portability and Accountability Act (HIPAA) and Payment Card Industry (PCI) compliance regulations. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Reviews third party ... and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. Collaborates… more