- Molina Healthcare (Austin, TX)
- …programs, initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health ... care delivery. * Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required. *… more
- Molina Healthcare (San Antonio, TX)
- …timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests and reviews ... detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of… more
- Molina Healthcare (Houston, TX)
- …and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases outcomes. . * Requests ... and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response. * Meets claims production standards set… more
- Molina Healthcare (Dallas, TX)
- …SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information ... / GED (or higher) **Required Experience** + 3+ years CPT coding experience (surgical, hospital , clinic settings) or 5+ years of experience working in a FWA / SIU… more
- Community Health Systems (Longview, TX)
- …currently hiring **RN House Supervisor PRN Nights.** Are you looking to join a hospital that delivers world-class patient care? Do you enjoy working with people who ... House - RN provides critical leadership during assigned shifts to oversee hospital operations and ensure the delivery of safe, high-quality patient care. This… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- **Overview** SR. SYSTEMS ENGINEER (BAMCIT): Bowhead seeks a Sr. Systems Engineer to support the Geographic Service Providers (GSP) Brooke Army Medical Center ... division supports the continued management and administration of DHA systems , applications, networks, cybersecurity, and telecommunications services for the PEO… more
- Molina Healthcare (San Antonio, TX)
- …of VBCs, issue escalations and JOCs on exception. Synchronizes data among multiple systems when applicable and ensures adherence to business and system ... with respect to financial and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with… more
- TEKsystems (Dallas, TX)
- …will be taking in information from clients, and entering it into their systems . Most of the information are independent Medical Reviews. When new cases come ... Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth...and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business … more
- The Cigna Group (Plano, TX)
- **JOB SUMMARY** The Director Health Systems Sales will lead a Sales Manager and a team of Account Managers and Business Development Managers responsible for the ... and relationship management to lead our efforts in the hospital and health system space. As a Director Health...and communicated. + May compile reports on customer retention, business opportunity and market trends for senior management. +… more
- Philips (Houston, TX)
- **Sales, Area Manager /Capital Sales- Image Guided Therapy Device Systems Sales (Houston)** The Area Manager is responsible for leading the business ... information to customers. Assists in the development and execution of regional hospital staff training courses. **You're the right fit if:** + You've acquired… more