• Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …and abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud ... aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/26/25)
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  • Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (San Antonio, TX)
    …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... that drive measurable improvement. + Partners with finance and compliance to develop business cases and support reporting that...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
    Molina Healthcare (09/28/25)
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  • PPS Coordinator

    Select Medical (Fort Worth, TX)
    …presence of supporting documentation, and provides staff education to ensure compliance with CMS guidelines. Coordinates all efforts for immediate issue resolution ... review of IRF-PAI related data, and assists the PPS Manager with IRF-PAI completion. **Job Duties:** + Confers with...and admission ICD-10 codes to assure congruence and proper Coding for the IRF-PAI. Makes any necessary changes in… more
    Select Medical (09/19/25)
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  • Software Engineer II

    Bank of America (Plano, TX)
    …include ensuring that software is developed to meet functional, non-functional and compliance requirements, coding solutions, unit testing, and ensuring the ... is a automation development and quality assurance role. The resource will be coding and configuratons with Selenium, RAFT tools for the automation of the functional… more
    Bank of America (10/01/25)
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  • Lead Software Engineer - Angular / API Integration…

    PNC (Dallas, TX)
    …SonarQube . Compliance & Security: Audit ready workflows and securing coding PNC will not provide sponsorship for employment visas or participate in STEM ... the field on a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. As a Lead Software Engineer, you will be part of a team… more
    PNC (08/22/25)
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  • Infrastructure Operations Citizen Developer

    Citigroup (Irving, TX)
    …automation of manual touch points and streamlining the processes using your coding capabilities. This is all done from our state-of-the-art regional Command Centre ... are being completed on time. + Support the Shift Lead/ Manager /Staff manager /Regional leadby automating the manual touch...of judgement and autonomy. + Acts as SME in coding to senior stakeholders and /or other team members.… more
    Citigroup (08/13/25)
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  • Supervisor Clinic

    Catholic Health Initiatives (Lake Jackson, TX)
    **Job Summary and Responsibilities** The Supervisor Clinic assists the Practice Manager with general supervision, direction, and support of the daily operations of ... with established policies, procedures and standards. In the absence of the Manager , the supervisor has oversight of clinic operations. 1. Coordinates clinic… more
    Catholic Health Initiatives (08/31/25)
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  • Java Full Stack Feature Lead

    Bank of America (Plano, TX)
    …As an App Manager own the responsibility of managing a critical compliance application , working closely with compliance and operations on Regulatory ... align technical solutions to business objectives, and ensure that coding practices/quality comply with software development standards. Job expectations include… more
    Bank of America (08/20/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud ... aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/06/25)
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  • Cardiovascular Data Abstractor

    HCA Healthcare (San Antonio, TX)
    …clinical knowledge of various abstracted measures. + Communicate in a timely manner with manager to achieve measure compliance . + Submit data timely through the ... agencies (eg, CMS, TJC, NHSN, etc.). + Performs timely abstraction to ensure compliance with standards. + Completes edit checks and makes appropriate changes on a… more
    HCA Healthcare (09/23/25)
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