- HCA Healthcare (San Antonio, TX)
- …Westover Hills which is part of the nation's leading provider of healthcare services, Methodist Healthcare . **Benefits** Methodist Hospital Westover Hills, ... 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
- HCA Healthcare (Live Oak, TX)
- …Hospital Northeast which is part of the nation's leading provider of healthcare services, Methodist Healthcare . **Benefits** Methodist Hospital Northeast, offers ... 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
- Elevance Health (Houston, 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
- Vighter Medical Group (San Antonio, TX)
- …and personal growth. Vighter's Mission is to provide efficient, fast, high quality healthcare staffing to our clients. Our Culture's 5 key elements are crucial to ... Office (PMO) staff to manage a large workforce of healthcare professionals (HCPs) who conduct basic screening assessments and...accordance with the Statement of Work (SOW). + Ensures compliance with the Fair Labor Standards Act, Americans with… more
- USAA (Plano, TX)
- …records and medical claims, and provide expert advice. Conducts review of complex healthcare fraud investigations and providing claims support + Medical Coding ... Regulatory Experience: Experience working with Medicare state and federal regulations. + Investigation Skills: Ability to conduct complex healthcare fraud … more
- Baylor Scott & White Health (Round Rock, TX)
- …which may include issues related to policy concerns, team member investigations , advisement, training and other TMR activities. The individual will communicate ... which may include issues related to policy concerns, team member investigations , training, disciplinary actions and other TMR activities. Communicates directly with… more
- Fujifilm (College Station, TX)
- …Overview** The QC Investigator/CAPA Specialist is responsible for supporting deviation investigations to ensure accurate, thorough, and on time completion. The ... techniques inclusive of Human and Organizational Performance principles to each investigation . **Company Overview** The work we do at FUJIFILM Diosynth… more
- Elevance Health (Grand Prairie, 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
- Highmark Health (Austin, TX)
- …3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis ... of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and… more
- J&J Family of Companies (San Angelo, TX)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more