- Sedgwick (Dallas, 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 ... Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five… more
- Evolent (Austin, TX)
- …insights from product strategy analyses and translating them to complex risk -based contract development, and they will partner closely with executives across ... value-based care pursuits. + Support the development of capitated risk partnerships, focusing on cost and use trends, and...and estimate Evolent's ability to reduce costs and improve quality . + Develop models to quantify and articulate value… more
- Sedgwick (Dallas, 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 ... + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- HCA Healthcare (Kingwood, TX)
- …of acute care clinical experience preferred. + * Experience in patient safety, risk management and/or quality required. Healthcare experience should be recent ... Summary and Qualifications** We are seeking a Manager within Risk for our facility to ensure that we continue...that we continue to provide all patients with high quality , efficient care. We are an amazing team that… more
- Molina Healthcare (Fort Worth, TX)
- …and you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer ... grievances, and member communications. * Exposure to downstream domains: Enrollment, Claims , Pharmacy/PDE, Network, Stars quality metrics. * Proven record… more
- Molina Healthcare (Fort Worth, TX)
- …the organizational health care costs for all lines of business and directly impacting Risk Revenue and Quality Compliance. Partner with VP Encounter to ensure ... **Job Description** **Job Summary** The AVP, Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of… more
- HCA Healthcare (Houston, TX)
- …of acute care clinical experience required.** + Experience in patient safety, risk management and/or quality preferred. Healthcare experience should be recent ... and Qualifications** **We are seeking a Manager (RN) within Risk for our facility to ensure that we continue...that we continue to provide all patients with high quality , efficient care. We are an amazing team that… more
- Sedgwick (Bedford, 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 ... Case Coordinators. We help auto customers through the manufacturing claims process. **_We offer benefits on day one:_** +...3rd party issues to manager as appropriate + Ensure quality of service on all phone calls + Ability… more
- Wells Fargo (Irving, TX)
- …seeking a Lead Software Engineer with deep expertise in Pega to join our Claims Technology team within the Technology for the Chief Operating Office (TCOO). This ... anAgile environmentwith architects, developers, and product owners to deliver high- quality solutions. + Championbest practicesin software development, deployment, and… more
- Sharecare (Austin, TX)
- …(eg, No PCP, discussing switching from low quality PCPs to high quality PCPs, reminder for completion of health risk assessment, reminders for exams/tests ... supporting each individual through the lens of their personal health and making high- quality care more accessible and affordable for everyone. To learn more, visit… more