- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and ... abusive practices. The Senior Fraud and Waste Professional work assignments...CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in… more
- DXC Technology (Plano, TX)
- …trusted relationships with senior leaders across L&A customers, including Operations , IT, Claims , Actuarial, Distribution, Policy Admin, and Customer ... (NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT, optimizing data architectures, and ensuring security and… more
- Elevance Health (Grand Prairie, TX)
- …and medical policy guidelines strongly preferred + BA/BS preferred + Medical claims review with prior health care fraud audit/investigation experience preferred ... **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit**...and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review.… more
- Wells Fargo (San Antonio, TX)
- …role:** Wells Fargo is seeking a Senior Lead Business Executive Consultant in Fraud Detection Operations team. This role will act as a Business Execution ... process improvement across Detection Operations in collaboration with the broader Fraud & Claims Management team **Required Qualifications:** + 7+ years of… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** The Senior Director, Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership** + Act as a thought leader… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Senior Director, Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the assigned ... and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Medical Information Content Generation:** + Oversee the… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Senior Manager, External Engagement Strategic Planning will play a critical role in shaping and executing strategic initiatives that enhance the impact of ... **Cross-Functional Collaboration** + Work close with Medical Excellence and Operations team to facilitate cross-functional workshops and planning sessions to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **_Sr. Director, Brand Lead, Neuroscience_** **Position Summary** The Senior Director, Brand Lead, Neuroscience is responsible for leading the commercial strategy, ... the commercial go-to market model and overall cross-functional launch plan. The Senior Director will lead a cross-functional team, working closely with market… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …as compliance, operations , IT, sales leadership, and marketing partners. The Senior Manager of National Systems Training will report to the Director, of ... and provide insight on our business processes that support our business. The Senior Manager of National Systems Training work with the field sales teams to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** The Senior Manager of Global Quality Management (GQM) supports the execution of clinical quality activities to ensure compliance with Good Clinical ... issues, protocol deviations, and potential noncompliance. + Collaborate with Clinical Operations , Regulatory Affairs, and Medical Affairs to embed quality practices… more
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