- Guidehouse (Richardson, TX)
- …Parental Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + ... Will Do** **:** + Conduct quality assurance reviews of fraud recovery cases handled by analysts to ensure accuracy,...use of analytical tracking and data management tools. + Review developing cases, identify and analyze points of compromise,… more
- Highmark Health (Austin, TX)
- …incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud , waste and abuse case, ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations...+ 1 year in Financial Analysis in an acute care hospital or health insurance setting +… more
- Highmark Health (Austin, TX)
- …This job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The ... claims and related documents requiring investigations based on pre-determined criteria, including review of suspect claims, Fraud Hot Line and internal… more
- Methodist Health System (Dallas, TX)
- …of legal issues including, but not limited to, state specific health care laws and regulations, Medicare/Medicaid rules, fraud and abuse including Stark and ... Office of Legal Affairs liaison to the System Quality Review Committee, a committee of the MHS Board, the...operational and strategic issues and challenges currently affecting hospitals, health systems, providers, health care … more
- Methodist Health System (Dallas, TX)
- …on continuous improvement of processes in identified risk areas. + Provide input, review and approve entity level annual compliance work plans. + Carry out the ... in areas vulnerable to error or noncompliance such as billing, coding, Stark laws, fraud & abuse laws, false claims, patient privacy, or other identified risk areas.… more
- JPMorgan Chase (Fort Worth, TX)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... You will manage of a team of investigators responsible for the review and investigation of potentially suspicious activity from various lines of businesses (LOB)… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering breakthrough innovations to solve complex problems for patients, Otsuka Precision ... Health (OPH) is the next step in our evolution. We are a...do our part to fix some of the fragmentation in care delivery. The time is now. **What you will do (Job… more
- Cardinal Health (Austin, TX)
- …by federal, state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- ... oversight, leadership and direction within the Legal function. **_Job Summary_** Cardinal Health is seeking a driven and skilled attorney with expertise in… more
- Texas Health Resources (Dallas, TX)
- **Director Compliance and Privacy - Texas Health Physicians Group** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ...practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the… more
- RELX INC (Houston, TX)
- …Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits* Health Savings, Health Care , Dependent Care and Commuter ... Principals About the team, this team supports LexisNexis(R) Emailage(R) a fraud prevention and identity verification solution that leverages email intelligence to… more