- Evolent (Austin, TX)
- …when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert . + Discusses determinations (peer to peer phone ... in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent… more
- Bank of America (Dallas, TX)
- …consumer, commercial and wholesale bank businesses or services functions. Is seen as a subject matter expert and good resource for peers. Responsibilities ... with information on the in-office expectations associated with your role. These expectations are subject to change at any time and at the sole discretion of the… more
- Black & Veatch (Houston, TX)
- …recommendations for remediation of aging infrastructure. + Serve in the role of Subject Matter Expert during Comprehensive Assessment of existing hydropower ... projects under the FERC Part 12D dam safety program including performing dam safety evaluations, risk analysis, and structural stability assessments. + Collaborate with process and systems engineers in the execution of multi-disciplinary design projects,… more
- Molina Healthcare (Houston, TX)
- …issues that may cross departmental lines and involve Senior Leadership. + Serves as a subject matter expert for other departments. + Trains other Provider ... and engage as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise. + Resolves complex provider… more
- ADP (Dallas, TX)
- …advisors and client's prior recordkeeper to ensure a successful implementation and is the subject matter expert for all functional areas through ADP for ... the conversion. + Perform welcome call and explain the implementation process to the client, ensuring the client understands actions they need to take in order to ensure a successful implementation, and identify/introduce other team members who will interact… more
- Molina Healthcare (Fort Worth, TX)
- …to communicate key business impacts and drive strategic resolutions. + Serves as the subject matter expert to Program Managers and in functional areas; ... internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process… more
- Bank of America (Plano, TX)
- …production failure scenarios, vulnerabilities, and opportunities for improvement + Serves as a subject matter expert for applications within a portfolio, ... with information on the in-office expectations associated with your role. These expectations are subject to change at any time and at the sole discretion of the… more
- CVS Health (Austin, TX)
- …and/or specialized claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training, coaching, or responding ... to complex issues. May handle customer service inquiries and problems. **Additional Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. + Applies medical necessity guidelines,… more
- USAA (San Antonio, TX)
- …a supplement or triage to field provider method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as ... a resource to team members on escalated issues of a routine nature. + Partners with vendors and internal business partners to facilitate highest complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation… more
- Molina Healthcare (Austin, TX)
- …in or leads quality improvement efforts to improve processes and/or policies. + Serves as subject matter expert and provide feedback to team and provide ... training as needed. + Reviews deficiencies and makes recommendations on increasing efficiencies and provider satisfaction. + Supports leading the team to have exemplary customer service and ensure the team is meeting metrics and compliance measures. + Partners… more