• Clinical Provider Auditor II

    Elevance Health (Grand Prairie, TX)
    …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (08/19/25)
    - Related Jobs
  • Business Process Owner Senior

    USAA (San Antonio, TX)
    …to collect and analyze data. **What sets you apart:** + P&C Property Claims Operations and/or Optimization experience. + 2+ years Manager Claims Operations ... experience. + Deep operational knowledge of end-to-end Property Claims processes. + Demonstrated knowledge of new and emerging industry technology solutions. +… more
    USAA (08/19/25)
    - Related Jobs
  • Patient Nurse Case Manager- West Region

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $146,955.00 - Maximum $210,100.00, ... 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. (08/19/25)
    - Related Jobs
  • Recovery Audit Analyst I

    Elevance Health (Houston, TX)
    …Analyst I** is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible for research, ... **How you will make an Impact:** + Audits paid claims for overpayments using various techniques including systems-based queries,...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (08/19/25)
    - Related Jobs
  • Associate Director, Quantitative Pharmacology,…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $164,530.00 - Maximum $245,985.00, ... 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. (08/16/25)
    - Related Jobs
  • Revenue Cycle Management Specialist - Collections

    KPH Healthcare Services, Inc. (Longview, TX)
    …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
    KPH Healthcare Services, Inc. (08/16/25)
    - Related Jobs
  • Senior Manager, Fleet & Sample Operations

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $131,153.00 - Maximum $187,550.00, ... 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. (08/15/25)
    - Related Jobs
  • Financial Operations Recovery Specialist III

    Elevance Health (Houston, TX)
    …SPECIALIST III** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... **How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems-based queries,...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (08/15/25)
    - Related Jobs
  • Associate Director, Established Brands Marketing

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $164,530.00 - Maximum $245,985.00, ... 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. (08/15/25)
    - Related Jobs
  • Executive Director of R&D Global Quality (Remote)

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $245,454.00 - Maximum $381,110.00, ... 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. (08/14/25)
    - Related Jobs