• Senior Strategy Analyst - Pharmacy Programs

    Highmark Health (Austin, TX)
    …in business, Economics, Engineering or Life Sciences or related field + Experience in Health Insurance operations and technology + Experience in operational ... In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (05/14/25)
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  • Medical Specialist Principal - Life Company…

    USAA (San Antonio, TX)
    …Ability to conduct complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations , particularly Medicare Supplement claims ... you'll do:** + Interprets relevant medical literature for application to appropriate health insurance underwriting policies and guidelines. + Applies advanced… more
    USAA (06/07/25)
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  • Risk Adjustment Trainer

    Datavant (Austin, TX)
    …and Medicaid risk adjustment business logic and coding + Knowledge and understanding of health insurance plans operations + Deep expertise in finding coding ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...Our platform is powered by the largest, most diverse health data network in the US, enabling data to… more
    Datavant (05/07/25)
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  • Complex Case Manager RN - Oncology (Remote)

    Highmark Health (Austin, TX)
    …any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience ... In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (05/31/25)
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  • Transplant Care Nurse RN - Stem Cell, Bone Marrow…

    Highmark Health (Austin, TX)
    …of clinical, case/utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience + 1 ... In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (04/25/25)
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  • Vice Chair for Clinical Operations - Ob/Gyn

    UT Health San Antonio (San Antonio, TX)
    …Chair for Clinical Operations - Ob/Gyn San Antonio (https://uthscsa.referrals.selectminds.com/faculty/jobs/12903/other-jobs-matching/location-only) Faculty School of ... Share this Job Sign Up for Job Alerts UT Health San Antonio Joe R. and Teresa Lozano Long...Department of Obstetrics and Gynecology Vice Chair for Clinical Operations - Open Rank The Joe R. and Teresa… more
    UT Health San Antonio (03/28/25)
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  • Director of Onshore Operations

    CRC Insurance Services, Inc. (Dallas, TX)
    …America) **Please review the following job description:** The Director of Operations will have day-to-day responsibility for running state-side operational teams. ... and metrics + Run the Business + Oversee daily operations of the company + Establish policies that promote...perform the essential functions. + Bachelor's degree in Business, Insurance , or a related field (required) + 8-10 years… more
    CRC Insurance Services, Inc. (04/11/25)
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  • Open Rank Assistant Medical Director of Clinical…

    UT Health San Antonio (San Antonio, TX)
    …Director of Clinical Staffing and Operations San Antonio (https://uthscsa.referrals.selectminds.com/faculty/jobs/12849/other-jobs-matching/location-only) Faculty ... Share this Job Sign Up for Job Alerts UT Health San Antonio Joe R. and Teresa Lozano Long...of Medicine Assistant Medical Director of Clinical Staffing and Operations The Department of Anesthesiology, Joe R. & Teresa… more
    UT Health San Antonio (03/29/25)
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  • Operations Production Support Specialist…

    PNC (Dallas, TX)
    …and have an opportunity to contribute to the company's success. As an Operations Production Support Specialist within PNC's Midland organization, you will be based ... options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature), dental and vision options; employee and… more
    PNC (06/04/25)
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  • Trainer, Health Plan Operations

    Kelsey-Seybold Clinic (Pearland, TX)
    …development. Preferred: N/A **Experience** Required: Four (4) years of experience in a health insurance or managed care environment with knowledge of health ... maintenance of organization knowledge management system **Job Title: Trainer, Health Plan Operations ** **Location: Pearland Administrative Office**… more
    Kelsey-Seybold Clinic (05/14/25)
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