- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for ... managing SIU investigations of complex fraud schemes involving providers, vendors, attorneys and others;...degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI),… more
- Lincoln Financial (Austin, TX)
- …#:** 74680 **The Role at a Glance** We are excited to bring on a highly motivated Claims Director to our Claims Organization! * As a Claims ... manage will oversee and ensure the fair, ethical and timely management of complex claims for your assigned area(s) of responsibility. You will also be directing… more
- Humana (Austin, TX)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to … more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …Founded on Otsuka's rich history in delivering breakthrough innovations to solve complex problems for patients, Otsuka Precision Health (OPH) is the next step ... health experience, one connection at a time, together. The ** Director , Digital Health Corporate Counsel** will be responsible for...with other members of the OPH Legal team on complex matters and matters of first impression, as well… more
- Humana (Austin, TX)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Humana (Austin, TX)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Associate Director , Brand and Sales Analytics will be part of a high performing team that provides actionable, innovative solutions to address key business ... questions & opportunities. The Associate Director , Sales & Marketing Analytics should be able to...and effectively with limited supervision, while working across a complex matrix environment that includes areas in marketing, sales,… more
- Audi (Austin, TX)
- Director , Autonomous Driving Safety (Job Number: SDS000007) Description VW. Two letters. Endless opportunities. A bright future. Innovation. Sophistication. ... part of Volkswagen Group's future success. Role Summary The Director , Autonomous Driving Safety oversees and ensures that ADMT...learnings; ensure that ADMT’s product and operations fulfill the claims included in the VSSA. · Review the global… more
- CVS Health (Austin, TX)
- …**This role is responsible for ensuring the accuracy and compliance of medical claims , which involves applying various editing rules and guidelines to ensure proper ... coding and payment. The lead director manages a team of claim editors, develops and...and delivery of new edits + Ensure that medical claims are reviewed and edited according to established guidelines… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …Specialty Pharmacy operations for OAPI The position will report to the Executive Director , Channel Strategy and Patient Affordability We are seeking a highly skilled ... and motivated Director of Specialty Pharmacy Operations to lead and oversee...diverse teams and stakeholders. + Demonstrated ability to manage complex projects, prioritize tasks, and meet deadlines. + Knowledge… more
- Sedgwick (Austin, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director As a Business Development Director at Sedgwick, you'll have ... opportunity to take on new challenges and help solve complex problems for the world's best brands. + Deliver...+ Ten (10) years of relationship building in the claims management or risk management area or equivalent combination… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …medical needs and nutraceutical products for the maintenance of everyday health. As a Director , US Market Access Strategy and Innovation you will be a champion of ... responsible for driving the optimization of Otsuka's understanding and navigation of the complex access landscape and dynamics. Through a wide range of pipeline and… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- Director of Field Reimbursement Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director of Field ... space + Experience in training and developing teams on complex reimbursement topics + Understanding of the "Buy and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Associate Director , TLL, Renal Rare Disease, is a field-based, customer facing, non-sales position on Otsuka's Rare Renal team focused on enhancing and improving ... present and educate/present to KOLs and customer groups on complex and scientific/clinical information. + Assess and understand KOL...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to optimize ... digital, HCP, and DTC strategies. + Ability to translate complex data insights into clear business recommendations. + Strong...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Austin, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director As a Business Development Director at Sedgwick, you'll have ... opportunity to take on new challenges and help solve complex problems for the world's best brands. + Deliver...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Evolent (Austin, TX)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... insights. We value curiosity, creativity, and independence, working collaboratively to solve complex challenges and enhance the impact of our specialty programs and… more
- Evolent (Austin, TX)
- …humility, adaptability, intellectual curiosity, and accountability as we solve complex business problems. **Collaboration Opportunities:** The Director , ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Director of Market Access Patient Experience and Reimbursement Analytics is an individual contributor role focused on analyzing and optimizing patient experience ... specialty pharmacy and hub services. + Ability to translate complex data insights into clear business recommendations + Strong...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Austin, TX)
- …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... operational efficiencies + Collaborates with upstream business partners such as Claims , Clinical Guidance, and the Provider Network to identify opportunities and… more