• Director Managed Care Contracting

    Houston Methodist (Houston, TX)
    …resource-based revenue value scale (RBRVS) values, current procedural terminology (CPT) coding , discounts, carve outs, new procedures, new drugs, diagnosis related ... that incorporates fee-for-service and value-based designs. + Partners with hospital clinical performance executives in creating performance measurements for new care… more
    Houston Methodist (09/12/25)
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  • Charge Description Master (CDM) Senior Solution…

    Guidehouse (San Antonio, TX)
    …of experience in project management + FIVE (5) or more years of Medical Coding experience for like size healthcare organizations with current Medical Coding ... with development, modification, optimization, and integration of RCM workflows into clinical workflows. This requirement also involves knowledge of system errors… more
    Guidehouse (07/17/25)
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  • PRN Registered Nurse Home Health

    HCA Healthcare (Kingwood, TX)
    …or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer ... care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager. **What you will do in this role** : + Assesses home care… more
    HCA Healthcare (09/27/25)
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  • Registered Nurse Home Health PRN

    HCA Healthcare (Fredericksburg, TX)
    …or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer ... care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager. **What you will do in this role** : + Assesses home care… more
    HCA Healthcare (09/26/25)
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  • Home Health Quality Assurance Auditor

    Humana (Corpus Christi, TX)
    …caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to ensure high ... accountability of compliance and quality. The Quality Assurance, Clinical Professional 1 work assignments are often straightforward and of moderate complexity. The… more
    Humana (10/01/25)
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  • LCSW

    MPAC Healthcare (San Antonio, TX)
    …to patient-centered care come join us! MPAC Healthcare is looking for LCSWs- Licensed Clinical Social Workers who are excited to set a new bar for the quality ... Benefits of working at MPAC - LCSWs - Licensed Clinical Social Workers: * 5 weeks of paid time...workshops, one-on-one or small group education sessions, and weekly Coding Corner updates. * A fun and diverse culture… more
    MPAC Healthcare (10/01/25)
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  • Nurse Reviewer Associate

    Elevance Health (Houston, TX)
    …delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. **Work Schedule:** Monday ... reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. **How you will make an...PPO, and POS and with ICD-9 and CPT 4 coding preferred. For candidates working in person or virtually… more
    Elevance Health (09/26/25)
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  • Postdoctoral Fellow (Computational Biology)…

    MD Anderson Cancer Center (Houston, TX)
    …response and improving patient outcomes. Primary duties will include the development, coding , and data analysis of mechanistic computational models of systemic and ... exciting opportunity to lead collaborative projects between the research team, clinical staff, and industry partners. Successful applicants will demonstrate a… more
    MD Anderson Cancer Center (08/21/25)
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  • Assist/Assoc/Professor- Pediatric Neurologist

    Texas Tech University Health Sciences Center - Lubbock (Lubbock, TX)
    …of Clinical Operations, Associate Administrator of Finance, Billing and Coding team, Departmental HR and license renewals, and education coordinators. Located ... and referral team members. The department operates in 6 clinical locations, 2 Cancer Centers, 2 Hospitals, a Cytogenetics/Genomics...outside of the clinical space, but designated departmental space is the managed… more
    Texas Tech University Health Sciences Center - Lubbock (08/15/25)
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  • RCMI Senior Solution Technical Expert - Order…

    Guidehouse (San Antonio, TX)
    …rules, including Discern Rules, within Oracle Health (Cerner) to support clinical and administrative needs, including those related to billing and compliance. ... recommendations to improve end-to-end workflows that meet expected outcomes (eg, clinical needs, data quality) and patient/provider experience. + Support data… more
    Guidehouse (07/17/25)
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