- Molina Healthcare (Fort Worth, TX)
- …or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards. + Manages defect reduction by ... **REQUIRED EXPERIENCE:** 2-3 years customer service, claims, provider and investigation /research experience. Outcome focused and knowledge of multiple systems. 1+… more
- Texas Health Resources (Arlington, TX)
- …Employee Relations Department, including Grievances, Alternate Dispute Resolutions (ADRs), Corporate Compliance , and Exit Survey investigations in a neutral and ... and at 612 E. Lamar, Arlington, Texas 76011 and occasionally transfer to healthcare facilities throughout the metroplex Work hours: Monday - Friday, 8:30am - 5:00pm… more
- Humana (Austin, TX)
- … sector, preferably with government agencies. + Strong understanding of healthcare IT standards, interoperability, and compliance requirements. + Expertise ... complex IT solutions that support the VA's mission to provide high-quality healthcare services to veterans. This role involves close collaboration with business… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Are you passionate about the patient experience? At Methodist Healthcare , we are committed to caring for patients with purpose and ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to review. You will… more
- NASCO (Austin, TX)
- …campaigns. Creates and delivers training programs for employees + Assists in the investigation of compliance issues and works to resolve any identified ... **Overview** The Senior Corporate Counsel, Compliance & Commercial operates under general direction and...the legal subject matter expert on federal and state healthcare laws and regulations, including HIPAA + Provides legal… more
- HCA Healthcare (San Antonio, TX)
- …Methodist Hospital which is part of the nation's leading provider of healthcare services, Methofdist Healthcare . **Benefits** Methodist Hospital, offers a total ... reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to review. You will perform accurate audits… more
- BioBridge Global (San Antonio, TX)
- …conjunction with Quality Management, oversee the business continuity and risk & compliance program to ensure the organization is prepared for disasters and ... Specialist in HR and the Quality team to ensure safety and ergonomic compliance , colead safety meetings and the safety governance committee, and establish safety… more
- Elevance Health (Grand Prairie, TX)
- …to Legal on associate relations matters. + Regularly partners with Ethics and Compliance on crossover investigations . + Partners with AR leadership and HRBP ... for associate relations issues including but not limited to: investigations , agency charges (EEO, DOL), employment litigation, associate complaints, performance… more
- Elevance Health (Houston, TX)
- …+ Researches new healthcare related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Biomat USA, Inc. (Odessa, TX)
- Would you like to join an international team working to improve the future of healthcare ? Do you want to enhance the lives of millions of people? Grifols is a global ... healthcare company that since 1909 has been working to...level of quality inspection and control - ensures center compliance with quality standards and regulations. + Collaborates with… more