- 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
- Intermountain Health (Austin, TX)
- …FMLA, ADA, FLSA, NLRA, and Title VII.** + **Prior experience in healthcare labor & employee relations-specific workplace investigations (preferred).** + **Prior ... for conducting full-cycle, thorough, and timely high-volume employee relations investigations company-wide, across all lines of business and geographies. The… more
- Prime Therapeutics (Austin, TX)
- …and initial handling of allegations of fraud, waste or abuse. Conducts preliminary investigation to assess the merit of an allegation through fact gathering and ... analysis of data. Uses independent judgment to conclude preliminary investigation in accordance with procedures or to present to management to recommend for audit or… more
- Texas A&M University System (Bryan, TX)
- …and Abilities: + Strong operational understanding of risk management and compliance across multiple areas, including university, healthcare , and research. ... organizational structure, economy, and efficiency studies . + Assists leadership in compliance and ethics investigations and reviews. + Evaluates potential risks… more
- Experian (Allen, TX)
- …We help to redefine lending practices, uncover and prevent fraud, simplify healthcare , create marketing solutions, and gain deeper insights into the automotive ... We operate across a range of markets, from financial services to healthcare , automotive, agribusiness, insurance, and many more industry segments. We invest in… more
- Adecco US, Inc. (Irving, TX)
- …an assigned territory focused on supporting specific drug (including Benefit Investigation , Prior Authorization, Claims Assistance, and Appeals) and educating the ... Act as a strategic reimbursement advisor and primary liaison for healthcare providers, proactively identifying and resolving complex access and reimbursement… more
- Elevance Health (Houston, TX)
- …+ Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and ... you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies...changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of… more
- Elevance Health (Grand Prairie, TX)
- …+ Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and ... you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies...changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of… more
- Universal Engineering Sciences (Irving, TX)
- …a variety of environmental projects such as Due Diligence, Site Investigation , Remediation, UST, and/or Permitting/ Compliance . The Senior Environmental Project ... and inspection, we collaborate on transformative projects across transportation, energy, water, healthcare , and more. Learn more about the benefits of joining Team… more
- Highmark Health (Austin, TX)
- …to develop and implement policies, procedures, and training programs that ensure compliance with applicable regulations. Assist in the investigation and ... IT, Legal and other departments, proactively identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their… more