- CVS Health (Austin, TX)
- …in contract management systems per Aetna's established policies. . * Conducts research , analysis and/or audits to identify issues and propose solutions to protect ... data, contract integrity and performance. * Manages contract performance and supports the development and implementation of value-based contract relationships in support of business strategies. * Collaborates cross-functionally to manage provider compensation… more
- RELX INC (Houston, TX)
- …and vast data sets with analytics to support visionary science and research , health education and interactive learning, as well as exceptional healthcare and ... clinical practice. At Elsevier, your work contributes to the world's grand challenges and a more sustainable future. We harness innovative technologies to support science and healthcare to partner for a better world. We are committed to providing a fair and… more
- Molina Healthcare (Fort Worth, TX)
- …impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the development/maintenance of Member Materials. ... **Knowledge/Skills/Abilities** * Serves as an advocate for members to resolve issues and complaints. Works with enrollees and providers to facilitate the provision of Medicaid benefits and ensure enrollee's rights are upheld. Helps enrollees understand their… more
- Anywhere Real Estate (San Antonio, TX)
- …advocate for the best user experience. You're skilled in conducting user research , usability testing, and gathering feedback to continuously improve the product. + ... **Strategic Thinking** : You can see the big picture and align product strategy with business goals. You're capable of setting long-term vision and short-term objectives. + **Agile Methodology** : You're experienced in Agile development practices and can… more
- ARAMARK (Plano, TX)
- …changes to the plan are deliberate and effective. . Conduct ad hoc research , and develop and present information to communicate insights and implications. . Train ... key stakeholders on the approaches, processes, and tools, guide them through their responsibilities, and assist in identifying and managing any challenges. . Serve as representative for client presentations and internal sales meetings as appropriate. Project… more
- Molina Healthcare (San Antonio, TX)
- …membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment ... questions or concerns received via claims, call tracking, or e-mail. Maintain records in the enrollment database. **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include… more
- Molina Healthcare (Austin, TX)
- …healthcare operations as well as enhancing member experience. **Job Duties** * ** Research and Development:** Stay current with the latest advancements in AI and ... machine learning and apply these insights to improve existing models and develop new methodologies. * **AI Model Deployment, Monitoring & Model Governance:** Deploy AI models into production environments, monitor their performance, and adjust as necessary to… more
- US Anesthesia Partners (Dallas, TX)
- …assigned to Level One for approval and handles them accordingly. + Provides research and answers to questions and concerns of team members. + Facilitates training ... and access of new employees, working with the senior manager for direction. + Accountable for timely completion of exception/error reports. + Summarizes and communicates issues by payor-state and/or arbitration law to leadership. + Resolves escalations and… more
- Molina Healthcare (Fort Worth, TX)
- …business analysts, to integrate AI solutions into existing systems and processes. * ** Research and Development:** Stay current with the latest advancements in AI and ... machine learning and apply these insights to improve existing models and develop new methodologies. * **Documentation and Reporting:** Create comprehensive documentation of models, methodologies, and results; communicate findings clearly to non-technical… more
- Molina Healthcare (San Antonio, TX)
- …business analysts, to integrate AI solutions into existing systems and processes. * Research and Development: Stay current with the latest advancements in AI and ... machine learning and apply these insights to improve existing models and develop new methodologies. * Documentation and Reporting: Create comprehensive documentation of models, methodologies, and results; communicate findings clearly to non-technical… more