- Molina Healthcare (Fort Worth, TX)
- …Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. + Provides ... discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding, for example. +...2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working… more
- Option Care Health (Austin, TX)
- …and revenue cycle teams in order to insure success of clean claims payment. Manage external implementations and foster ongoing relationships with assigned accounts ... for assigned third party contracts. Recommends course of action to reduce/minimize risk to the organization. Identifies, and assesses impact of potential changes in… more
- Citigroup (Irving, TX)
- …colleagues in other areas and occasional external customers. Has responsibility for volume, quality , timeliness and delivery of end results of an area. May have ... require interaction with other counterparties around positions and outstanding balances/ claims + Subject matter expert who develops and implements business… more
- Baylor Scott & White Health (Killeen, TX)
- …a favorable work/ training history. The ideal candidate should be focused on quality , and be able to effectively partner with referring physicians, agencies and ... anxiety, chronic disease management, substance use, sleep difficulties). + Conduct risk assessments and crisis interventions as needed. + Address lifestyle and… more
- Burns & McDonnell (Houston, TX)
- …Coordinator will assist with the administration of project safety, quality , schedule, cost control, contracts, subcontractors, suppliers, procurement, proposals, ... Assist with the development and implementation of the Project Execution Plan, Quality Assurance Plan, Safety & Health plan, Subcontracting Plan, Project Staffing… more
- CVS Health (Richardson, TX)
- …a focus on performance, reliability, and maintainability; write and review high quality code and perform unit and/or automation testing; develop and deploy ... support applications, systems, and databases used to process prescriptions, claims , and related healthcare activities; and collaborate with cross-functional teams… more
- Path Construction (Dallas, TX)
- …Additionally, our unmatched customer satisfaction and, most importantly, the development and quality of our people drive our success. For more about us, please ... assuming responsibility for profits and losses + Analyzing and mitigating risk on projects + Project scheduling, including pre-construction activities + Oversight… more
- Molina Healthcare (Austin, TX)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... on utilization, outcomes, and cost drivers across the organization. * Ensure data quality , governance, and documentation standards are met in all analytics work. *… more
- Caris Life Sciences (Irving, TX)
- …supports the evolution of Caris' compliance program by assisting in assessing risk as well as developing and implementing compliance work plan initiatives; + ... Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. + Strong writing skills, especially in… more
- Caris Life Sciences (Irving, TX)
- …trends and root causes from investigation data to inform compliance training and risk mitigation strategies. * Assist in the development and delivery of training ... Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. * Strong writing skills, especially in… more