- EFI Global (Austin, TX)
- …and environmental services teams around the world share a dedication to expertise, quality and demonstrating to customers that caring counts(R). Each of our more ... **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional… more
- Highmark Health (Austin, TX)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in… more
- Molina Healthcare (San Antonio, TX)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines ... on utilization, outcomes, and cost drivers across the organization. + Ensure data quality , governance, and documentation standards are met in all analytics work. +… more
- AUI Partners (Fort Worth, TX)
- …safe and respectful working environment at all times by implementing safety, EEO, risk management, training, and quality control programs + Document best ... Project Schedules (Resource Load when appropriate) + Assists Project Managers with claims resolution 4) Estimating Support: + Perform product and vendor research +… more
- Humana (Frisco, TX)
- …safeguarding Humana's data and technology assets. The team manages cybersecurity, risk management, and regulatory compliance through advanced technologies and best ... core insurance operations by developing and maintaining systems for claims processing, underwriting, policy administration, and member enrollment. Projects often… more
- Conduent (San Antonio, TX)
- …by monitoring card alerts and fraud prevention reports. + Process disputes and fraud claims in line with client policies and guidelines. + Escalate issues to the ... appropriate channels when a risk review, exception handling, or further analysis is needed....in your career and join a team that values quality service and continuous growth. Apply today to become… more
- Baker Construction (Houston, TX)
- …management of cost and schedule, constructability, technical evaluations, quality , safety, work planning, procurement, contract management, regulatory compliance, ... to identify and determine impact of potential contract changes, disputes, and claims + Leads LEAN/SQP committee and identifies improvement opportunities + Ensures… more
- Robert Half Legal (Dallas, TX)
- …across multiple states, offering guidance on compliance matters. * Analyze risk exposure and liability concerns, providing expert advice to proactively address ... potential issues. * Manage legal correspondence, claims , and disputes, engaging external counsel as necessary. *...law. * Proven ability to negotiate effectively and draft high- quality legal documents. * Exceptional organizational skills to manage… more
- HUB International (Argyle, TX)
- …a global insurance broker providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management ... reports to client (annually, quarterly or monthly) + Manages claims and coverage issue resolution for clients' employees when...opportunities; Asks for and offers help when needed. + Quality Management - Demonstrates attention to detail. + Project… more
- Prime Therapeutics (Austin, TX)
- …the best technologies to use for our environment considering future direction, risk , consistency and return on investment. + Takes into account the technology ... be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more