- Texicare Health Insurance Company (Austin, TX)
- …as well as work in conjunction with third parties including: MGU, TPA, consultant actuaries and network partners. You will benefit from this experience by: Launching ... Job Functions In this role, you will be responsible for: Monitoring: Claims trends and investigating aberrations On-going analysis and monitoring of utilization… more
- The Hartford (San Antonio, TX)
- Consultant Claims - CH08CE We're determined...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Consultant , you will be responsible for...involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties… more
- Sedgwick (Austin, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Consultant (Examiner) | Public Entity | Remote **Are you looking ... AN IDEAL CANDIDATE?** If you have 10+ years of experience handling high-exposure, complex claims involving serious injuries and legal inquiries or disputes, and… more
- The Hartford (San Antonio, TX)
- …our team as we help shape the future. The Claim Consultant is a claim handling role within the Complex Claims Unit (CCU). CCU Construction is a ... Consultant Claims - CH08CE We're determined...manage and can involve higher exposures. RESPONSIBILITIES : The Claim Consultant will demonstrate the ability to… more
- Sedgwick (Dallas, TX)
- …Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and ... executive, professional liability, error and omissions, and liability claims ; to provide resolution of highly complex ...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- The Hartford (San Antonio, TX)
- …Administrator (TPA) Auto/General Liability Consultant is responsible for oversight of claims , including high exposure and complex claims , handled by ... The Hartford's unbundled business), and the handling of excess claims . The TPA Consultant is responsible for...trials and mediations as necessary + Contribute to broader claim and enterprise goals by participating in audits, projects… more
- The Hartford (San Antonio, TX)
- Sr Consultant Perf Analytics - GB07AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... to apply. If uncertain, consider discussing it with your manager. The Claims Liability Performance Analytics team is seeking a Senior Performance Analytics … more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Consultant **PRIMARY PURPOSE** : To address and handle high end cases with ... serious injuries, complex coverage scenarios and legal inquiries or disputes; to...years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and… more
- Highmark Health (Austin, TX)
- …coupled with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A ... needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop,… more
- Norstella (Austin, TX)
- Senior RWD Analytic Consultant Company: Norstella Location: Remote, United States Date Posted: Jan 6, 2026 Employment Type: Full Time Job ID: R-1665 **Description** ... responsive to patient needs. **The Role: Senior RWD Analytic Consultant ** We are currently seeking a high energy, motivated...unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be… more
- Oracle (Austin, TX)
- …and techniques for delivering functional and technical solutions in complex application and technology implementations. Collaborate with consulting sales team ... to provide domain expertise and resolve complex customer issues by designing and implementing solutions. The...healthcare payer. An Oracle Health Insurance (OHI) Senior Principal Consultant must be proficient in US healthcare domain knowledge… more
- Sedgwick (Houston, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Consultant **PRIMARY PURPOSE** **:** To lead the business analysis efforts for managing ... for data accuracy. + Maintain and verify client parameters in the claims management system; research and resolve issues. + Communicate process and procedural… more
- CVS Health (Austin, TX)
- …professional with strong coding skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud, waste, and abuse (FWA) ... manipulate, and analyze large healthcare datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and… more
- Oracle (Austin, TX)
- **Job Description** **Evidence Generation Lead/Snr Research Consultant , RWE, Health Outcomes** **Remote/Work from home** Oracle Life Sciences is seeking a qualified ... studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external… more
- Wells Fargo (San Antonio, TX)
- **About this role:** Wells Fargo is seeking a Senior Lead Business Executive Consultant in Fraud Detection Operations team. This role will act as a Business ... outside of FCM to effectively deliver on key priorities + Manage highly complex and unique challenges using expert communication and organizational skills, and lead… more
- Zurich NA (Austin, TX)
- Senior Incident Response Consultant 130226 This role joins SpearTip, the cybersecurity consulting segment within Zurich Resilience Solutions. Blending cutting-edge ... the US and extend up to 20% travel. As a Senior Incident Response Consultant , you will deliver expert incident response and digital forensics services to external… more
- Cardinal Health (Austin, TX)
- …data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that ... gaps + Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted HCPs/accounts touched)… more
- Oracle (Austin, TX)
- **Job Description** As a senior principal consultant on the HDI Implementation team within the Analytics Center of Excellence, you will be responsible for working ... the Health Data Intelligence platform and the solutions of Health Data Warehouse, Claims Analytics, and Determinants of Health among other disciplines. You will work… more
- Oracle (Austin, TX)
- …provide quality work products to an engagement as well as perform varied and complex duties and tasks that need independent judgment, in order to implement Oracle ... the continuum of pharmacists, pharmacy technicians, and pharmacy managers. As a Principal Consultant , you will play a key role in consulting with clients on… more
- AECOM (Houston, TX)
- …infrastructure consulting firm, partnering with clients to solve the world's most complex challenges and build legacies for future generations. There has never been ... **AECOM** is seeking a highly experienced and dynamic **Senior Mechanical Cost Consultant ** as a subject matter expert in the field of Mechanical Estimating,… more
