- Elevance Health (Mesquite, TX)
- …services and long term services and supports. + Identifies members for high risk complications and coordinates care in conjunction with the member and the health ... + May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Entergy (The Woodlands, TX)
- …various other third-party contracts. Provide vendor oversight and management of warranty claims and quality. Ensure adequate repair parts and supply chain capacity ... Responsibility:** Develop realistic annual budgetary estimates with an ongoing risk and opportunity list prioritized to support efficient operations. Management… more
- Highmark Health (Austin, TX)
- …areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and… more
- Adecco US, Inc. (Houston, TX)
- …to HIPAA regulations, and organizational policies always. . Utilize prescription claims data to generate clinical recommendations according to Medication Therapy ... pertaining to, but not limited to, gaps in care, high risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic… more
- Wolters Kluwer (Houston, TX)
- …business, HR Operations, and Legal functions for policy/process development or modification, manager and employee training, and other risk mitigation and ... matters that are raised internally, EEOC and DOL charges, state agency claims , hotline complaints. In collaboration with the Global Compliance & Legal Department… more