- NTT America, Inc. (Houston, TX)
- …we know that with the right people on board, anything is possible. The quality , integrity, and commitment of our employees are key factors in our company's growth, ... here. NTT DATA, Inc. currently seeks a "TEMP BPO Senior Specialist **"** to join our team. **Client's business...business problem to solve?** Our client provides access to high- quality healthcare, innovative programs and a wide range of… 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
- ManpowerGroup (Houston, TX)
- …with the Compliance Program, and with HHSC, TDI, NCQA and Health Plan Senior Management. * Ensure ongoing compliance with federal and state regulations and provide ... Health Plan in developing an auditing and monitoring program. Develop comprehensive audit tools to objectively measure internal performance and performance of third… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across… more
- Citizens (Irving, TX)
- …and Home Equity products. Working closely with Loss Mitigation strategies, senior management, Product Owners and support teams, you will drive industry-leading ... department and takes ownership for producing high volume and high- quality work while adhering to investor and regulatory guidelines....progress + Prepares and presents workflow and results to Senior Management and clients as needed + Assists in… more
- Prime Therapeutics (Austin, TX)
- …in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse ... Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Target (Houston, TX)
- …Distribution Center Operations, where process and problem solving drive our results; Quality Management, which influences and maintains our good name in the retail ... work closely with building leaders to order operational supplies, the Senior Administrative Assistant for building administrative tasks, and the Computerized… more
- Bowman (Austin, TX)
- …complex assignments, tasks, and execution. Work is frequently reviewed by more senior staff to ensure application of sound techniques and principles. Review work ... produced by junior staff for quality assurance. **At the Operational and Company Level** +...that may arise as it relates to disputes, or claims + Act as liaison between operations and many… more