- Ally (Austin, TX)
- …your opportunities be, too? **The Opportunity** The Investigations & Recovery Manager involves leading a team of Fraud Supervisors and investigators, overseeing ... the corporate directive regarding fraud investigations and recoveries, the Investigations & Recovery Manager will serve as a subject matter expert in a broad array… more
- RWE Clean Energy (Austin, TX)
- …permanent** **Functional area:** Project Management **Remuneration:** Exempt The **Senior Manager , Project Execution** role will oversee the estimating, planning, ... budget, and schedule + Supervise direct reports as a manager in both project and business contexts + Travel...setting + Oversee Residential Business Workmanship warranty and production claims + Negotiate with subcontractors or EPCs as appropriate… more
- Parexel (Austin, TX)
- …. Completes timesheets on time . Completes/approves project related expense claims **Metrics for success** . Utilization/billability target . Contribution to ... specific goals . Working within budgeted hours, monitor and communicate CIS's to Manager . Client satisfaction **Competencies** . Client Focus . Integrity and Ethics… more
- Sedgwick (Austin, TX)
- …Best Workplaces in Financial Services & Insurance Management and Executive Risk Claims Manager **PRIMARY PURPOSE** **:** To manage the Professional Liability ... including direct operational responsibility of an office in the location where the manager resides; to manage the staffing and training needs; and to manage budget… more
- Molina Healthcare (Austin, TX)
- …they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span ... and measurable success criteria (eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: Lead… more
- Ascension Health (Austin, TX)
- …cumulative leadership experience required. **Additional Preferences** + This Revenue Cycle Manager will need a combination of technical, analytical, and leadership ... skills, including knowledge of medical billing and coding, proficiency in healthcare software, and strong financial acumen. + Key skills also include problem-solving, attention to detail, strategic planning, communication, and the ability to manage teams to… more
- Centene Corporation (Austin, TX)
- …States.** **Position Purpose:** Manage the day to day operations of the assigned Claims Department to accurately and timely process members' medical claims and ... staff duties as necessary. + Assist in development of annual budget for Claims Department. + Drives change initiatives to address future-oriented business needs. +… more
- CVS Health (Austin, TX)
- …project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along ... join our Commercial Claim Adjudication team. As a Release Manager , you will contribute to product strategy by: +...of work experience. + **5+ years of experience with Claims in software development** , collaborating with various stakeholders… more
- Baylor Scott & White Health (Round Rock, TX)
- …Management, investigates to evaluate patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM will help ... the 'lessons learned' from studying the event. + Assists the Manager of Insurance in managing claims related to property loss and visitor injury. + Clinical Risk… more
- Zurich NA (Austin, TX)
- …organizations. **This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate ... Claims Construction, Professional Liability Claims (Senior or AVP level) 128423 **Zurich North America is expanding its nationwide Construction Professional… more
- CDM Smith (Austin, TX)
- …to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS ... **Requisition ID:** 42230BR **Business Unit:** CCI **Job Description:** The Commercial Manager - Pacific will be responsible supporting the project management teams… more
- Molina Healthcare (Austin, TX)
- …cluster components and services (like HDFS, YARN, ZOOKEEPER, AMBARI/CLOUDERA MANAGER , SENTRY/RANGER, KERBEROS, etc.) * Ability to participate in troubleshooting ... technical issues while engaged with infrastructure and vendor support teams. **Job Qualifications** **REQUIRED QUALIFICATIONS:** * 3 years of progressive experience using data, building ETLs (extract, transform, load), using disparate data sources for data… more
- Sedgwick (Austin, TX)
- …General Liability / Casualty Adjuster **PRIMARY PURPOSE** **:** To be an Account Manager with General Liability Claims experience responsible for the end-to-end ... management of liability claims involving both primary and excess coverage. This role ensures timely and accurate claim handling, mitigates financial exposure,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …to defy limitation so that others can too._ In this exciting role, as a Manager within the OAPI supply chain team, you will look to acheive operational goals while ... with key vendors / suppliers. Working closely with program / project manager , product development, new product introduction, technical operations, site quality and… more
- Sedgwick (Austin, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Capture Manager **PRIMARY PURPOSE OF THE ROLE** **:** The Capture Manager serves ... Partnership team with responsibility across the full sales cycle. The manager gathers and analyzes business intelligence, develops pipeline forecasts, and leverages… more
- Sedgwick (Austin, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- Molina Healthcare (Austin, TX)
- **Job Summary** The Manager , Medical Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business issues ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Molina Healthcare (Austin, TX)
- …**I** **E** **N** **C** **E:** + Min. 6 years' experience in healthcare claims review and/or member dispute resolution. + 2 years leadership experience + Experience ... reviewing all types of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims... claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims , Stop Loss, Surgery, Anesthesia, high dollar complicated … more
- Molina Healthcare (Austin, TX)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. + Assist in design and development… more
- Walgreens (Austin, TX)
- …others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company ... maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager , responsible for recordkeeping and ensuring security safeguards are in-place.… more
