- JE Dunn Construction Company (Austin, TX)
- …safety-related claims and assists Safety team members in monitoring medical treatment of injured employees. * Conducts regular safety audits of construction ... with 'Entering the Work Zone' program and in the management of Workers' Compensation claims . + Acts as a liaison between the employees, the Company and external… more
- CenterWell (Austin, TX)
- …help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care ... variable factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately… more
- Sedgwick (Austin, TX)
- …evaluates, negotiates, and resolves recreational marine or personal watercraft claims internationally, regardless of complexity and quantum. **ESSENTIAL FUNCTIONS ... and RESPONSIBILITIES** + Investigates recreational marine or personal watercraft claims thoroughly using technical expertise and complex analysis. + Examines… more
- Veterans Affairs, Veterans Health Administration (Temple, TX)
- …Temple, Texas is seeking a full-time Physician (Home Base Primary Care Medical Director) to provide clinical oversight of all Non-Institutional Care (NIC programs ... authorized for a highly qualified candidate. Responsibilities The HBPC Medical Director is the senior clinician leader and is...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- CVS Health (Austin, TX)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Molina Healthcare (Fort Worth, TX)
- …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable...Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If… more
- MD Anderson Cancer Center (Houston, TX)
- …outcomes and organizational success. MD Anderson offers our employees: * *Paid Medical Benefits* for employees and eligible dependents * *Generous Paid Time Off ... identify possible avenues of appeal. * Contact third-party payers, insurance medical directors, case management, and utilization review to request reconsideration… more
- Molina Healthcare (Houston, TX)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- CVS Health (Austin, TX)
- …**This is a remote based (work at home) based anywhere in the US.** The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a background ... post-graduate direct patient care experience specifically. This role expands Aetna's medical management programs to address member needs across the continuum of… more
- Norstella (Austin, TX)
- Sr. Medical Analyst, RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more