• General Product and Liability Complex Claim…

    Sedgwick (Austin, TX)
    medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Product and Liability Complex Claim Advisor - Multi-State Licensing… more
    Sedgwick (08/29/25)
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  • Provider Reimbursement Adm-Certified Professional…

    Elevance Health (Grand Prairie, TX)
    …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes.… more
    Elevance Health (08/20/25)
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  • Clinical Provider Auditor II

    Elevance Health (Grand Prairie, TX)
    …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
    Elevance Health (08/13/25)
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  • Medical Director, Global Medical

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization in Psychiatry and/or Neurology. Accountable for a… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Executive Director, CNS Strategy, Global…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k)… more
    Otsuka America Pharmaceutical Inc. (07/11/25)
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  • Clinical Provider Auditor II

    Elevance Health (Houston, TX)
    …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines...to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in… more
    Elevance Health (08/26/25)
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  • Workforce Absence Team Lead

    Sedgwick (Irving, TX)
    medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workforce Absence Team Lead **PRIMARY PURPOSE** **:** To supervise the operations… more
    Sedgwick (08/20/25)
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  • Health Economist

    TEKsystems (West Lake Hills, TX)
    Health Economics, Public Policy, or related field. + Experience in healthcare analytics, insurance economics, or medical claims analysis. + Proficiency in ... scientists, and legal consultants to shape the future of medical claims review and healthcare resource optimization....- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
    TEKsystems (08/30/25)
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  • Manager Insurance

    Houston Methodist (Houston, TX)
    …area Yes **Company Profile:** Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight ... At Houston Methodist, the Manager Insurance position is responsible for managing and supporting...a variety of audiences as required including HM Board, Medical staff, Finance and Legal departments, various committees and… more
    Houston Methodist (06/28/25)
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  • Medical Collections Specialist

    HCA Healthcare (Houston, TX)
    …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... join an organization that invests in you as a Medical Collections Specialist? At HCA Healthcare, you come first....Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (08/31/25)
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