- Wells Fargo (Irving, TX)
- …investigation + Provide substantiation and background for specific client inquiries, claims , disputes, cases and proceedings under the direction of an attorney ... focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as… more
- HCA Healthcare (Kingwood, TX)
- …Apply Today! **Job Summary and Qualifications** We are seeking a Manager within Risk for our facility to ensure that we continue to provide all patients ... do in this role: + * As the Patient Safety/ Risk Manager, you will be responsible for the hospital's...with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation of records,… more
- Wells Fargo (Irving, TX)
- …these groups to support modernization and optimization. Within TCOO, the Fraud and Claims Technology team is seeking a Senior Infrastructure Engineer to help drive ... focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as… more
- HCA Healthcare (Houston, TX)
- …of Texas! **Job Summary and Qualifications** **We are seeking a Manager (RN) within Risk for our facility to ensure that we continue to provide all patients with ... will do in this role:** + As the Patient Safety/ Risk Manager, you will be responsible for the hospital's...with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation of records,… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** The AVP, Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of ... integrity of enterprise revenue, and enabling the organization's overall risk adjustment strategy. Knowledge/Skills/Abilities + Responsible for encounters accuracy &… more
- Intermountain Health (Austin, TX)
- …and follow up on accounts, monitor workflow to ensure timely processing and mitigate risk to organization- + Act as a resource and assigns daily work tasks- + ... **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on… more
- Samsung SDS America (Plano, TX)
- …advanced supply chain solutions. As Junior Legal Counsel, you will focus on claims management and HR-related legal matters while also supporting contract review and ... other commercial agreements + Handle and manage transportation and cargo claims , including drafting demand letters, settlement agreements, and coordinating with… more
- Molina Healthcare (Fort Worth, TX)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- Axis (TX)
- …insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We ... and other areas. Ensure underwriting decisions align with the company's risk appetite and strategic objectives. * Collaborative Development: Partner with the… more
- Elevance Health (Grand Prairie, TX)
- …Auditor II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + ... Examines claims for compliance with relevant billing and processing guidelines...concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.… more