- Humana (Austin, TX)
- …operations, technology, communications, and processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider ... make an impact** **Required Qualifications** + Bachelor's degree in healthcare administration, public health, information systems, business, policy administration or… more
- Molina Healthcare (TX)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- TEKsystems (West Lake Hills, TX)
- …data scientists, and legal consultants to shape the future of medical claims review and healthcare resource optimization. Job Responsibilities: * Analyze ... Economics, Health Economics, Public Policy, or related field. + Experience in healthcare analytics, insurance economics, or medical claims analysis. +… more
- Catholic Health Initiatives (Brenham, TX)
- …and objectives. Responsible for assisting patients with questions on insurance claims , home healthcare , and medical equipment. Responsible for administering, ... directing, planning, and coordinating all office activities. Provides information to patients so they may fully use and benefit from clinic/office services. **Qualifications** **_Education_** Required: High school graduate **_Experience_** Minimum 1 year… more
- Molina Healthcare (TX)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Molina Healthcare (Fort Worth, TX)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards set by the… more
- HCA Healthcare (Mckinney, TX)
- …as a(an) Billing Specialist? At MSO - Comprehensive OB/GYN, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Posting NumberSRGV8399 Working TitleSENIOR LEGAL OFFICER & MANAGING ATTORNEY- HEALTHCARE Number of Vacancies1 LocationMcAllen, Texas DepartmentLegal Affairs FTE1 ... reimbursements, including governmental and private payors; accreditation-related issues; false claims ; tax; anti-trust; tissue or organ transplantation; collections; risk… more
- Molina Healthcare (TX)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Austin, TX)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more