• Associate Director, Commercial Data Management

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (08/13/25)
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  • Lead Data Scientist - Research and Development…

    Highmark Health (Austin, TX)
    …leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights ... databases (eg, Neo4j, ArangoDB, Amazon Neptune, Ontotext GraphDB), distributed graph processing frameworks (eg, Apache Spark GraphX, Dask-Graph), and leading GML… more
    Highmark Health (08/29/25)
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  • Director, Managed Markets Operations

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (10/10/25)
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  • Utilization Management Coordinator Remote (Strong…

    Sedgwick Government Solutions (Dallas, TX)
    …you have experience in medical records, triage, customer service, authorizations, claims and billing, patient health assessment, or other related healthcare support ... and triage as necessary. + Enter demographics and UR information into claims or clinical management system; maintains data integrity. + Obtains all necessary… more
    Sedgwick Government Solutions (10/10/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …associated with fraud and abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related questions as… more
    Elevance Health (10/09/25)
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  • Branch Manager

    Allegion (Houston, TX)
    …for all employee performance planning/reporting, overseeing/maintaining OSHA logs, payroll processing and approving of branch personnel expense reports + Manage ... all workman's comp claims and participate in depositions pertaining to claims against the branch + Conduct all hiring, discipline, and termination of personnel.… more
    Allegion (10/05/25)
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  • Manager Billing and Funding - HNAS

    Highmark Health (Austin, TX)
    …(ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements ... and activities that impact the Sales and Operations and claims finance business unit functions. HNAS (Health Now Administrative...and be able to multi task with daily work processing deadlines + High energy level and ability to… more
    Highmark Health (09/30/25)
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  • Senior Manager Medical Writing

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/26/25)
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  • Project Lead - Business Analytics

    CVS Health (Irving, TX)
    …applications is required. Desired proficiencies and experience include: All Payer Claims Database (APCD) experience, Audit Command Language (ACL), or SQL; knowledge ... of claim processing , claim quality audit program, patient management, and/or a...+ Support regulatory data requests related to All Payer Claims Databases (APCD) + Continuous monitoring of key day… more
    CVS Health (09/25/25)
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  • Director, Global Integrated Evidence Strategy

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (09/13/25)
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