- Houston Methodist (Houston, TX)
- …risk and identify and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for...to more junior team members, assisting with onboarding and training as needed. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for developing and delivering the Global Quality strategic plan, ... and process excellence. The ideal candidate will have a strong background in quality management within the pharmaceutical industry and a proven track record of… more
- The Hartford (San Antonio, TX)
- …talents new purpose by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and ... Sr Ability Analyst - C409ANAbility Specialist - C409BN...determinations using vocational, medical, and financial claim management. The Senior Ability Analyst supports our mission of helping our… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Required Experience:** **Communications and Training ** **Job Summary** Provider Network Administration is responsible for the accurate and ... timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements… more
- Caris Life Sciences (Irving, TX)
- …than yourself, Caris is where your impact begins.** **Position Summary** The Sr . Compliance Specialist, Conflicts and Provider Auditing will provide support to the ... Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. + Strong writing skills, especially in… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission ... considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims… more
- Houston Forensic Science Center, Inc (Houston, TX)
- …General Counsel and Director of Government Affairs (GC and DGA), the Staff or Senior Attorney is responsible for supporting the legal department in its efforts to ... in all aspects of HFSC operations. The Staff or Senior Attorney will collaborate daily with the GC and...At the direction of the GC and DGA, provide training to internal and external audiences on substantive legal… more
- Norstella (Austin, TX)
- Senior Analytic Consultant Company: MMIT Location: Remote, United States Date Posted: Aug 21, 2025 Employment Type: Full Time Job ID: R-1436 **Description** **About ... The Netherlands, Japan, China and India. **The Role: RWD Senior Analytic Consultant** We are currently seeking a high...unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be… more
- Walgreens (Austin, TX)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training and completes PPLs requested ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (San Antonio, TX)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Strictly adheres to the Walgreen Co. policy regarding Good ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more