- Molina Healthcare (Austin, TX)
- …focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and… more
- BrightSpring Health Services (San Antonio, TX)
- …leads staff, coordinates individualized supports, ensures quality outcomes, manages risk , and supports strategic initiatives, census development, and operational ... care and service delivery. + Identify and report incidents and potential risk situations promptly, ensuring timely and accurate documentation in compliance with… more
- AIG (Dallas, TX)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Senior Endpoint Security Engineer to play your part in that transformation. It's an ... is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues with the latest tools… more
- AIG (Dallas, TX)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Cybersecurity Engineer to play your part in that transformation. It's an ... is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues with the latest tools… more
- Travelers Insurance Company (Dallas, TX)
- …to keep the business informed of emerging threats that could lead to cyber claims . + Stay current on evolving risk trends and partner with Underwriting, ... AVP, Threat Intelligence role is a senior level role reporting to the VP, Cyber Risk Officer for Specialty Cyber where you will play a pivotal role in safeguarding… more
- USAA (Plano, TX)
- …are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + Bachelor's ... management standards and policies, and knowledge of applicable regulations and risk management practices. + Demonstrated experience with Lean, Business Process… more
- Siemens (Dallas, TX)
- …successful resolution to high impact, complex and/or cross-functional problems. Develops risk mitigation plans to preempt potential problems through the application ... from Sales. Will assist and support in warranty related claims while balancing best bottom-line results and customer experience....of Distribution Direct and Indirect and is aware of risk of litigation, makes key managers aware of and… more
- Humana (Austin, TX)
- …to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
- Siemens (Grand Prairie, TX)
- …Knowledge Understands our Channels of Distribution Direct and Indirect and is aware of risk of litigation, makes key managers aware of and works to mitigate exposure ... successful resolution to high impact, complex and/or cross-functional problems. Develop risk mitigation plans to preempt potential problems through the application… more
- USAA (Plano, TX)
- …are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + Bachelor's ... management standards and policies, and knowledge of applicable regulations and risk management practices. + Demonstrated experience with utilizing various systems to… more