• Medical Coding Auditor

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …and documentation compliance + Ensure compliance with federal, state, and payer -specific regulations, including CMS guidelines + Identify and address coding ... + Stay current with changes in coding guidelines, healthcare regulations, and payer policies + Assist in developing and refining audit tools, policies, and… more
    Texas Tech University Health Sciences Center - El Paso (12/29/25)
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  • Internal Case Manager / OT - SLP - PT

    BrightSpring Health Services (San Antonio, TX)
    …clinical outcome tools based on diagnosis.. Monitors patient, family, physician and payer /case manager, referral source satisfaction with the program on a regular ... and family members.. Communicates regularly with patient, family/ care partner, payer /case manager and physician regarding patient progress and any important issues… more
    BrightSpring Health Services (12/19/25)
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  • Executive Director, Global Value Evidence Lead

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …RWE, and other evidence generation initiatives to support regulatory, HTA, and payer submissions, and demonstrate the differentiated value of our products + Utilize ... associations etc. + Deep understanding of global HTA and payer requirements, regulatory frameworks, and healthcare systems. + Deep understanding… more
    Otsuka America Pharmaceutical Inc. (12/16/25)
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  • Manager Charge Integrity

    Baylor Scott & White Health (Dallas, TX)
    …charges, ensuring that services are compliant with federal, state, private payer , and other applicable legal and regulatory requirements. He/she is responsible ... charge edits to validate the accuracy of information and compliance with payer requirements. Exercise independent judgment in best practice for charging edit… more
    Baylor Scott & White Health (12/09/25)
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  • Managers of DRG Coding & Clinical Validation Audit

    Elevance Health (Grand Prairie, TX)
    …that audits meet the industry's best practices and payer -specific requirements. .Collaborates cross-functionally with clinical, compliance, provider engagement, ... knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology… more
    Elevance Health (12/05/25)
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  • Therapy Access Manager (TX/AR/LA/MS)

    United Therapeutics (TX)
    …center / HUB services, market access, and/or other matrix field partners. Serve as the payer expert for a defined geography and communicate payer changes to key ... stakeholders in a timely manner. + Ensure understanding of the reimbursement process, specialty pharmacies, field reimbursement services, and UT's patient support program. Advise on patient level reimbursement issues in compliance with policies and… more
    United Therapeutics (12/03/25)
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  • Managing Director, Product Management

    Evolent (Austin, TX)
    …in a services-oriented organization. + Strong demonstrated understanding of provider, and payer personas, 'jobs to be done' and practice workflows, with a preference ... with scrum and agile methodologies. + Proven experience working closely with Payer customers is required. + Experience with Lean/Six Sigma or other process… more
    Evolent (11/27/25)
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  • Registered Manager Local Specialty

    Walgreens (Dallas, TX)
    …pharmacy department employees are trained in all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and ... pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (Adverse event reporting, data and… more
    Walgreens (11/26/25)
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  • Sr. Principal TPM

    Oracle (Austin, TX)
    …delivery through powerful, AI-driven workflow innovation. Our Autonomous Reimbursement, Payer , and Interoperability teams are developing advanced solutions to ... technical program management efforts across mission-critical projects in RevenueCycle, Payer , and Interoperability domains. + Design, implement, and continuously… more
    Oracle (11/25/25)
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  • Compliance Audit Manager

    Cardinal Health (Austin, TX)
    …with federal and state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and billing policies and procedures. ... subject matter expert and authoritative resource regarding federal, state and payer documentation, billing and coding rules and regulations, maintaining awareness of… more
    Cardinal Health (11/08/25)
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