• Medical Bill Review Analyst

    TEKsystems (West Lake Hills, TX)
    Job Summary: We are seeking a Medical Bill Review Analyst/Expert to join our team and contribute to our mission of delivering accurate, defensible, and ... cost-effective medical valuation services. As a Medical Bill Review Analyst/Expert, you will evaluate...valuation findings. * Serve as an expert witness in legal proceedings, clearly communicating complex analyses to jurors. *… more
    TEKsystems (08/15/25)
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  • Special Investigation Unit (SIU) Coding…

    CVS Health (Austin, TX)
    …for guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on ... resolve intricate issues with sensitivity, including claim reviews for legal , compliance, or rework projects. + Ensure staff provide...projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the… more
    CVS Health (08/08/25)
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  • Plan Review Specialist - Planning

    City of Baytown (Baytown, TX)
    Plan Review Specialist - Planning Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/4643621) Apply  Plan Review Specialist - Planning Salary ... Questions Job Summary We are seeking a meticulous Plan Review Specialist to join our team, responsible for evaluating...live and work well - 365 days a year. Medical + United Healthcare + Effective the first day… more
    City of Baytown (07/13/25)
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  • Pro Fee Coding Quality Review Educator

    HCA Healthcare (Round Rock, TX)
    …to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (08/14/25)
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  • Senior Director Development - Foundation - Hybrid…

    Houston Methodist (Houston, TX)
    …are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations. **PEOPLE ESSENTIAL FUNCTIONS** ... associated actions upon non-compliance (ie, licensure/certification compliance, focal point review requirements, disaster plan, in-services, influenza immunization, wage and… more
    Houston Methodist (08/19/25)
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  • Senior Counsel ( Medical Device)

    Fujifilm (Austin, TX)
    …Overview** We are hiring a Senior Counsel to be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare ... commercial transactions lawyer, responsible for working independently and collaboratively on legal issues affecting the Medical Device businesses to minimize… more
    Fujifilm (08/08/25)
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  • Medical Wealth Advisor II (Houston…

    Truist (Houston, TX)
    …of healthcare, and anticipating the issues and trends most important to the medical community. The Legal Specialty Group (LSG) provides financial advice and ... $3MM-$4.5MM in revenue with emphasis on family wealth relationships of tenured partners within Legal or Medical client firms. 2. Develop a business plan annually… more
    Truist (07/30/25)
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  • Manager Medical Staff Services

    Houston Methodist (Sugar Land, TX)
    …responsibility of this position may include many of the following: credentialing; Medical Staff governance, including peer review ; accreditation and regulatory ... resolution of physician issues, working with Director, risk management, patient safety, system legal , and medical staff leadership as appropriate related to Peer… more
    Houston Methodist (06/06/25)
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  • Sr. Professional Liability Medical Claims…

    Providence (TX)
    …Program:** + Communicate with patients, claimants, caregivers, providers, leadership + Review and analyze medical records, interview witnesses, assist with ... Set appropriate indemnity and expense reserves + Select appropriate medical experts for case review + Develop...and experience in the insurance industry; claims management; or legal handling of claims issues. + 7 years of… more
    Providence (07/15/25)
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  • Chief Medical Officer/Chief Quality Officer

    Houston Methodist (The Woodlands, TX)
    …Outcomes and collaborates with all disciplines, hospital leadership, and the medical staff to promote identification of organizational vulnerabilities, health care ... initiatives are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations. **PEOPLE ESSENTIAL FUNCTIONS**… more
    Houston Methodist (07/12/25)
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