• Qualified Intellectual Disabilities Professional…

    BrightSpring Health Services (Denton, TX)
    …personnel costs, consultant services + 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...Other duties as assigned Qualifications + BA/BS in Business, Health Care Administration, or Social Services. High school diploma… more
    BrightSpring Health Services (07/28/25)
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  • Clinical Risk Manager

    Baylor Scott & White Health (Temple, TX)
    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest ... to time off benefits At Baylor Scott & White Health , your well-being is our top priority. Note: Benefits...works to resolve issues before they develop into liability claims . + Receives information from other team members who… more
    Baylor Scott & White Health (06/26/25)
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  • Disability Clinical Specialist

    Sedgwick (Houston, TX)
    …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of ... disability. + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made… more
    Sedgwick (07/31/25)
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  • HC & Insurance Operations Processing Sr Rep

    NTT America, Inc. (Plano, TX)
    …include medical , dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, ... an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
    NTT America, Inc. (08/01/25)
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  • Specialty Loss Adjuster

    Sedgwick (Austin, TX)
    …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
    Sedgwick (07/30/25)
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  • Branch Coordinator Home Health

    CenterWell (Athens, TX)
    …experience in the health care industry and one year experience in home health . Desired: . Six months medical records experience in a clinic, hospital, or ... teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working… more
    CenterWell (08/01/25)
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  • Remote Medical Director- Texas

    Centene Corporation (Austin, TX)
    …everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization ... implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial,… more
    Centene Corporation (08/02/25)
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  • Medical Necessity Coding Compliance…

    HCA Healthcare (Pasadena, TX)
    **Description** **Introduction** Do you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current employer? We ... Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (07/20/25)
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  • Branch Coordinator, Home Health

    CenterWell (Mineral Wells, TX)
    …teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working ... part of our caring community and help us put health first** The primary function of the **Branch Coordinator**...Coordinator** is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day… more
    CenterWell (08/08/25)
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  • TVC - Health Care Advocate (Veterans…

    Texas Veterans Commission (Houston, TX)
    medical information. . Understands and is experienced navigating the VA Health Care System, including working knowledge of medical terminology and VA ... As a member of the Texas Veterans Commission (TVC) Health Care Advocacy Department (HCAD), this position will act...manner. . Consults with TVC staff, VA Patient Advocates, medical , and legal staff to gather pertinent evidence to… more
    Texas Veterans Commission (07/09/25)
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