- Fujifilm (Austin, TX)
- …Code of Conduct, Interactions with Healthcare Professionals Policy, Anti-Kickback, False Claims Act, HIPAA, Anti-Corruption Policy and Antitrust Policy among others, ... + Strong understanding of healthcare regulations (eg, Anti-Kickback Statute, False Claims Act) and global compliance frameworks (eg, FCPA, UK Bribery Act).… more
- Elevance Health (Grand Prairie, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- BrightSpring Health Services (Denton, TX)
- …personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims for assigned service site(s) + Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...Must Have a Current Texas Driver's License, auto liability insurance and a driving record acceptable to the company… more
- UIC Government Services and the Bowhead Family of Companies (Austin, TX)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- UNUM (Austin, TX)
- …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to… more
- Sedgwick (Fort Worth, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Power Platform Engineer **PRIMARY PURPOSE OF THE ROLE** The Power Platform ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Elevance Health (Grand Prairie, TX)
- …Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with SQL, SQL Server,… more
- PennyMac (Carrollton, TX)
- …Business Control Specialist will : + Utilizing investor guidelines, research repurchase claims and defects from investors/insurers to determine if the claim is valid ... + Write rebuttal letters to investors/insurers to refute cured and invalid claims + Analyze current Production processes and provide recommendations on policies &… more