- CVS Health (Austin, TX)
- …systems and on daily operations and programs + Responsible to support targeted quality audit projects. Report results and make recommendations eg, training ... service to our internal and external customers. **Position Summary** + Performs routine quality audits for network operations and claim testing for PPO … more
- Molina Healthcare (Austin, TX)
- …time and quality . + Audit loaded provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more
- Cardinal Health (Austin, TX)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... and continuous improvement. Accurately score interactions to gauge employee's quality performance based on organizational and departmental policies and requirements.… more
- Highmark Health (Austin, TX)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all...in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of… more
- Cardinal Health (Austin, TX)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... point of contact handling inbound calls, with ability to determine needs and provide one call resolution + Process enrollments via inbound fax, phone, and… more
- Amazon (Austin, TX)
- …tenant improvement (TI), and engineering deployment for new facilities within the network * Provide technical direction concerning engineering design / AutoCAD, ... Fulfillment (NACF) design parameters *Survey facilities, develop and document procedures to audit the facility, provide evaluations and analysis, and recommend… more
- Humana (Austin, TX)
- …with upstream business partners such as Claims, Clinical Guidance, and the Provider Network to identify opportunities and drives initiatives that will ... midst of a people, process and technology transformation that will improve quality , timeliness and the overall experience for our associates, members and providers.… more
- PwC IT Services Co. (Austin, TX)
- …a centralized model to provide security services across the entire member firm network . Mandated at the network level, Network Information Security (NIS) ... strategies. They work to identify vulnerabilities, develop secure systems, and provide proactive solutions to safeguard sensitive data. Those in application security… more
- Grant Thornton (Austin, TX)
- …UI / UX in mind + Establishing best practices for data governance, quality assurance, and analytics methodologies within the GTM Analytics ecosystem + Building and ... + Managing resources effectively to optimize productivity and output quality + Leading and mentoring a team of GTM...a licensed, certified public accounting (CPA) firm that provides audit and assurance services ― and Grant Thornton Advisors… more
- Cardinal Health (Austin, TX)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced...inquiry + Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related… more
- Grant Thornton (Austin, TX)
- …teams to ensure engagements are staffed to optimize utilization and support quality execution, while delivering a remarkable experience for our people. You will ... team to ensure they are successfully performing in their role and to provide them with opportunities for professional development + Setting the hiring strategy and… more
- Grant Thornton (Austin, TX)
- …management consulting, corporate strategy, or other highly strategic roles that provide the analytical, leadership, and cross-functional skills needed for success. + ... sales) to investigate and address challenges and opportunities. + Delivering high- quality verbal and written communications that concisely and transparently cover… more
- Cardinal Health (Austin, TX)
- …experience, preferred. Diploma or degree in relevant field desirable. + 3+ years' call quality audit experience strongly preferred. + 3+ years' experience in a ... remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer...that can be improved or celebrated. + Analyze and provide weekly & monthly trend analysis to leadership. +… more
- Datavant (Austin, TX)
- …presenting to leadership, clients, and your Team via Video or in person. + Solution provider and forward thinking + Detail and quality oriented as it relates to ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...with leadership on issues, opportunities, or challenges. + Lead Audit Team which receives requests from Payors + Review… more
- Grant Thornton (Austin, TX)
- …adoption + Conduct training classes to prepare end users for deployment + Provide post-production support + Manage full life cycle implementations + Manage resources ... Grant Thornton LLP, a licensed, certified public accounting (CPA) firm that provides audit and assurance services ― and Grant Thornton Advisors LLC (not a licensed… more
- Nelnet (Austin, TX)
- …with the industry standards for compliance and information security issues to provide our customers with world class information security & compliance services. ... with the industry standards for compliance and information security issues to provide our customers with world class information security & compliance services. The… more
- Grant Thornton (Austin, TX)
- …Grant Thornton LLP, a licensed, certified public accounting (CPA) firm that provides audit and assurance services ― and Grant Thornton Advisors LLC (not a licensed ... Trans-Atlantic advisory and tax practice, as well as independent American and Irish audit practices. With $2.7 billion in revenues and more than 50 offices spanning… more
- Grant Thornton (Austin, TX)
- …Grant Thornton LLP, a licensed, certified public accounting (CPA) firm that provides audit and assurance services ― and Grant Thornton Advisors LLC (not a licensed ... Trans-Atlantic advisory and tax practice, as well as independent American and Irish audit practices. With $2.7 billion in revenues and more than 50 offices spanning… more
- Grant Thornton (Austin, TX)
- …Grant Thornton LLP, a licensed, certified public accounting (CPA) firm that provides audit and assurance services ― and Grant Thornton Advisors LLC (not a licensed ... Trans-Atlantic advisory and tax practice, as well as independent American and Irish audit practices. With $2.7 billion in revenues and more than 50 offices spanning… more
- Grant Thornton (Austin, TX)
- …Grant Thornton LLP, a licensed, certified public accounting (CPA) firm that provides audit and assurance services ― and Grant Thornton Advisors LLC (not a licensed ... Trans-Atlantic advisory and tax practice, as well as independent American and Irish audit practices. With $2.7 billion in revenues and more than 50 offices spanning… more