- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...Company policy and strategy and gain a consensus of risk mitigation approaches. **Key Responsibilities:** + **Inspection Readiness:** Ensure… more
- Banner Health (TX)
- …different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of acute care ... team that values growth and development! This is a Quality position, not a day-to-day coding production role but...to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials… more
- Defense Contract Management Agency (San Antonio, TX)
- …may be filled from this announcement. Responsibilities Administers the quality assurance provisions of contracts by designing, implementing, and maintaining ... a risk -based surveillance program and assessment plan. Identifies opportunities for...multi-functional or technical team. Responsible for implementing the overall Quality Program for products and services at one or… more
- AUI Partners (TX)
- …action. Oversee and assist in the management of mitigating and resolving potential claims . Assist in reviewing Plans do quality review of drawings when ... The Field Quality Manager is responsible for developing and implementing...skills in effective troubleshooting. Studies problems and recommends solutions. Risk Management: Identify, assess, and document project risks and… more
- Sedgwick (Austin, TX)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... to ensure matters are resolved optimally while creating a culture of continual quality improvement designed to elevate the overall claim handling to benefit our… more
- Sedgwick (Irving, TX)
- …reviews, and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... contract requirements, and quality standards. + Acts as second level of appeal...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Evolent (Austin, TX)
- …for the culture. **What You'll Be Doing:** Job Description **Analyst, Integration Quality ** Integration testing in the healthcare ecosystem requires complete end to ... test execution + Consult with the manage and report risk , issues, and decisions with the lead / manager...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Sedgwick (Irving, TX)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Sedgwick (Irving, TX)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more
- Sedgwick (San Antonio, TX)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more