- 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
- Kemper (Dallas, TX)
- …office and will work closely with and report directly to the Director of Claims , Arbitration and Subrogation. The Senior Manager will assist the leadership team ... that delivers on our promises._ Kemper is seeking a Senior Manager for our Arbitration and Subrogation Department. The...strategic initiatives. The role involves a strong focus on Audit , Reporting, as well as Quality and… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for developing and delivering the Global Quality strategic plan, ... The ideal candidate will have a strong background in quality management within the pharmaceutical industry and a proven...improvement and governance to areas such as training and audit . Foster a culture of operational excellence, ensuring best… more
- CVS Health (Austin, TX)
- …customer and regulatory guidelines. + Owns responsibility for supporting targeted quality audit projects, reporting overall results, and making recommendations ... regarding training needs, quality controls, and procedures to senior management....and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School… 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)
- …has an exciting opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. 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
- JPMorgan Chase (Plano, TX)
- …a team that is results-oriented, with a focus on attention to detail and quality . As a Senior Administrative Assistant in Consumer and Community Banking-Chase ... will engage with all members of the CABO team and support other senior leaders throughout the Auto organization across Retail and Commercial Sales, Underwriting and… 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