- Providence (TX)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... claims environment, and respond positively to change.** **The Senior Quality Analyst performs all duties in...and propose opportunity solutions and success replication. Propose monthly audit focus topics to claims leaders based… more
- Houston Methodist (Houston, TX)
- …risk and identify and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of ... specific practices. Serves a subject matter expert. + Effectively communicates audit results to faculty and staff. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS**… more
- WTW (Dallas, TX)
- **Description** As a Lead Auditor you will apply your audit , project management and client management skills to lead client audits. You will serve as the team leader ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
- CRC Insurance Services, Inc. (TX)
- …5. Train claims staff on new policies or procedures. 6. Oversee and audit claims process ensuring proper documentation was created in the system and/or ... Coordinators reviewing allocation of staff to ensure productivity and quality standards meet or exceed expected goals. 4. Review,...order to provide account loss ratios and claims history to senior management.… more
- The Cigna Group (Plano, TX)
- …and data informatics and data exchange using healthcare and clinical data such as Claims , Membership, Audit , Client Structure, and Benefits. If you will be ... job profile for this position is Data Management Strategy Senior Advisor, which is a Band 4 Senior...system analysis, and data retention processes to assure data quality standards. + Collaborate with other departments to ensure… more
- CVS Health (Austin, TX)
- …an exciting opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...reporting using SQL and SAS. You will continuously improve quality controls and accuracy of reported data, looking for… more
- Cushman & Wakefield (Austin, TX)
- **Job Title** Senior Facility Manager **Job Description Summary** This position has managerial oversight of multiple facilities, an entire campus, or a portfolio of ... Facilities Manager and/or Assistant Facilities Manager reporting into it. The Senior Facilities Manager has the overall responsibility for overseeing the… more
- 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...oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical… 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 ... measures when necessary and recommend action. Prepare and present reports on quality performance, trends, and improvement initiatives to senior management.… more
- Toyota (Plano, TX)
- …brands, Toyota is growing and leading the future of mobility through innovative, high- quality solutions designed to enhance lives and delight those we serve. We're ... Insurance & Risk Management Department within the Compliance & Audit seeks a passionate and highly motivated **Insurance Risk...highly motivated **Insurance Risk Analyst** . Reporting to the Senior Risk Manager, the person in this role will… more
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