- HCA Healthcare (Austin, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Workers Compensation Claims Resolution Specialist? At Parallon, you come ... you have the opportunity to make a difference. We are looking for a dedicated Workers Compensation Claims Resolution Specialist like you to be a part of… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor is ... responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting downstream claim… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst is ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
- Highmark Health (Austin, TX)
- …internal audit and regulatory requirements. Audits consist of contract, commissions, surveillance, workers ' compensation and IME. In addition, this position will ... + Responsible for completing all necessary field (externally) investigative work for resolution or alleged fraud/waste and abuse cases or special projects. +… more
- Vighter Medical Group (Austin, TX)
- …the extension of job offers. + Oversight of benefits administration to include claims resolution , change reporting, approving invoices for payment, and annual ... is instrumental in overseeing recruitment, employee relations, performance management, training, compensation , benefits, and HR compliance on a national scale. This… more