- 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
- Molina Healthcare (San Antonio, TX)
- …assurance for all reports generated by staff reporting to this position * Functions as subject matter expert on finance and analytics topics. Able to teach ... financial/technical information * Escalates gaps in projects to VP and senior management when identified * Implements strategies to ensure service level benchmarks for report turn-around are met. Demonstrates best practices and collaboration on projects. **Job… more
- Microsoft Corporation (Austin, TX)
- …two years thereafter **Preferred qualifications:** + Technical Skills: Demonstrated hands-on experience with Subject Matter Expert level expertise in one or ... technical questions, and serve as an escalation resource in areas of subject matter expertise. + Conduct in-depth root cause analysis of issues and translates… more
- Molina Healthcare (Austin, TX)
- …corrective actions or process improvements, including documentation of required activities + Subject matter expert on all regulatory requirements related ... in a highly matrixed organization **Required Knowledge, Skills, and Abilities:** + Expert level of proficiency in clinical pharmacy, Rx cost management strategies… more