- Walgreens (Fort Worth, TX)
- …+ Ensure all required documentation for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement ... experience with Walgreens. + Experience in processes related to submitting medical claims , including but not limited to Medicare submission, knowledgeable in EOB… more
- UTMB Health (Galveston, TX)
- …Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a plus. **Licenses, ... for query opportunities for documentation clarification or missing elements in the medical record. * Utilizes the encoder and/or Optum software to correctly assign… more
- Humana (Austin, TX)
- …in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. The Actuary, Analytics/Forecasting ensures data integrity ... community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to… more
- Sedgwick (Irving, TX)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... growth opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K, PTO and more. **APPLICATION PROCESS** You will… more
- CVS Health (Austin, TX)
- …review a clinical determination and understand rationale for decision. + Able to research claim processing logic and various systems to verify accuracy of claim ... efforts both internally and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state or federal regulatory… more
- Molina Healthcare (Austin, TX)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **Job Summary** The Manager, Medical Economics provides support and consultation to the...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Associate Director, Congress and Medical Education Strategy & Execution is responsible for executing and contributing to the global medical strategy and ... with global and regional cross-functional stakeholders - including Global Medical Affairs, Clinical Development, Global Integrated Evidence & Innovation (GIE&I)… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Manager, Medical Core Content is a team-level operational role responsible for the development, maintenance, and day-to-day quality assurance of all core ... scientific and medical content for the relevant therapeutic area. This role...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** The Senior Director, Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... directing the development and dissemination of all core scientific and medical content (eg, global slide decks, congress abstracts/presentations, publications, … more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- The Director, Strategic Planning & Operations is a pivotal role within the Medical Excellence & Operations team within Global Medical Affairs. This role is ... responsible for overseeing 3 medical business unit specific Strategic Planning roles (CNS, Nephrology...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more