• Onsite Member Services Representative (Bilingual…

    Health Care Service Corporation (Mesquite, TX)
    …office/facility - up to 5 days a week for the entire workday. Minimal working hours will be spent in a work-from-home office or in a Luminare Health office. The ... associate meets face-to-face with members to resolve claim issues, assist with understanding of benefits, assist with...the client(s) office/facility on a regular basis. + Prior claim processing/health insurance experience + Ability to work in… more
    Health Care Service Corporation (09/27/25)
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  • Financial Coordinator

    HCA Healthcare (Austin, TX)
    …**Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Financial Coordinator with St. ... cases to ensure proper insurance filing and complete follow-up on claim status until claim has finalized.. + Obtains relevant insurance from patient. + Verifies… more
    HCA Healthcare (09/05/25)
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  • Workers' Compensation Coordinator II

    The City of Houston (Houston, TX)
    …611 Walker St., 4th Floor Annex, Houston, TX 77002 Workdays Hours : MONDAY-FRIDAY 8:00AM-5:00PM**Subject to Change DESCRIPTION OF DUTIES/ESSENTIAL FUNCTIONS This ... with the following skillset(s): Previous experience adjusting workers' compensation claims and/or previous experience in Risk Management, including but not… more
    The City of Houston (10/08/25)
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  • Risk Manager RN Full-time

    Texas Health Resources (Fort Worth, TX)
    …Stroke & Chest pain certified, Hip & Knee Orthopedics certified. * **Work hours :** Full Time Exempt position, Monday-Friday Business Hours , mainly 8:00AM-5:00PM ... Continuous Quality/Patient Safety and Risk Management programs. * Participates in THR claims management process by investigating and identifying events that may lead… more
    Texas Health Resources (10/02/25)
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  • Manager, Fraud and Waste

    Humana (Austin, TX)
    …to make an impact** **WORK STYLE:** Work at home/remote with 15-20% travel required **WORK HOURS :** Regular business hours are in EST (8 hours per day, ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...management skills + Strong Analytical skills + Core business hours align to Eastern Standard Time (EST) + Able… more
    Humana (09/24/25)
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  • Hospital AR Follow up - remote

    Cognizant (Austin, TX)
    …you will perform advanced level work related to resolution of hospital claims . You will be responsible for resolving aged hospital accounts receivables, identifying ... outcomes, and resolution activities. *Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. *Analyze denial trends and… more
    Cognizant (10/07/25)
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  • Clinical Provider Auditor II

    Elevance Health (Grand Prairie, TX)
    …an accommodation is granted as required by law._ **Schedule:** Standard hours , Monday-Friday The **Clinical Provider Auditor II** is responsible for identifying ... abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses… more
    Elevance Health (10/05/25)
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  • Vice President, Regulatory Affairs - Oncology

    Sumitomo Pharma (Austin, TX)
    …and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling + ... comments and any other interactions regarding use of promotional claims for assigned products, including pre-clearance of launch materials....shut-down period during the last week of December, 80 hours of paid sick time upon hire and each… more
    Sumitomo Pharma (09/23/25)
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  • Commercial Project Manager

    Stantec (Plano, TX)
    …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... written communications, including Change notifications, Change Requests, responses to Claims notifications, etc. within the timeframes required by the Contract… more
    Stantec (08/07/25)
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  • Physician-Section Chief Anesthesiology-EDRP…

    Veterans Affairs, Veterans Health Administration (Dallas, TX)
    …The position requires heavy lifting (45 pounds and over), straight pulling (0.5 hours ), reaching above shoulder, use of fingers, both hands required, walking (4 ... hours ), standing (4 hours ), crawling (0.5 ...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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