• Analyst , Business Quality (Remote)

    Molina Healthcare (Dallas, TX)
    …etc. **PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare , Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is ... generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.… more
    Molina Healthcare (08/24/25)
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  • Senior Analyst , Special Investigative Unit

    CVS Health (Austin, TX)
    …Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal Justice or ... equivalent experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the… more
    CVS Health (08/24/25)
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  • Lead Analyst , Claims / Regulatory…

    Molina Healthcare (Austin, TX)
    …experience on researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding experience is ... highly preferred. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience**… more
    Molina Healthcare (06/18/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Dallas, TX)
    …coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + ... At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization...At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept… more
    Molina Healthcare (08/14/25)
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  • Billing Specialist

    HCA Healthcare (Mckinney, TX)
    …to accounts. Communicates any charge related issues to Charge Master Manager/ Analyst . SUPERVISOR: Practice Manager/Billing Manager DUTIES INCLUDE BUT NOT LIMITED TO: ... unbilled alert and comp census reports daily. Work the Medicare 72 hour and Medicaid 24 hour reports to...overlapping accounts. Transfer charges when appropriate. Work all related Medicare APC edits that appear on the bill alert… more
    HCA Healthcare (07/30/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (TX)
    …treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
    Banner Health (07/10/25)
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  • Clinical Research Nurse - Medicine - Pulmonary…

    Houston Methodist (Houston, TX)
    …Harmonisation/Good Clinical Practice guidelines. **FINANCE ESSENTIAL FUNCTIONS** + Assisting financial analyst in development of calendar and Medicare Cost ... Analysis. standard of care procedures vs. research and approving study calendars for Clinical Trials Management System. + Identifies, recruits, and consents clinical research subjects for participation in approved clinical trials; monitors enrollment goals and… more
    Houston Methodist (08/26/25)
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  • Division Vice President of Solid Organ Transplant

    HCA Healthcare (Dallas, TX)
    …Institute (Kidney, Liver, Pancreas and Heart). + Work with division analyst to evaluate competitive market trends and opportunities. **Operational & Financial ... a financial infrastructure that ensures efficiency, optimizes cost capture for Medicare Cost Reports, and improves reimbursement strategies. + Work with Corporate… more
    HCA Healthcare (07/14/25)
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