- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... role focuses on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be… more
- Molina Healthcare (Fort Worth, TX)
- …and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health ... and State regulatory requirements are met for pre-pay edits, post payment datamining, and overpayment recovery which improves encounter submissions, reduces General… more
- Molina Healthcare (San Antonio, TX)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied ... Health Plan SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight. + Collaborates with… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... an accommodation is granted as required by law._ **Carelon Payment Integrity** is a proud member of the Elevance...Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of… more
- HCA Healthcare (Houston, TX)
- …purpose and integrity. We care like family! Jump-start your career as a Certified Oncology Data Specialist today with Parallon. **Benefits** Parallon offers a total ... Eligibility for benefits may vary by location._** Come join our team as a Certified Oncology Data Specialist. We care for our community! Just last year, HCA… more
- HCA Healthcare (Austin, TX)
- …Do you want to join an organization that invests in you as a Certified Cancer Registray Abstractor? At Parallon, you come first. HCA Healthcare has committed up ... and you have the opportunity to make a difference. We are looking for a dedicated Certified Cancer Registrar like you to be a part of our team. **Job Summary and… more
- BrightSpring Health Services (San Antonio, TX)
- …SpringHealth Behavioral Health and Integrated Care Overview Job Title: Board- Certified Behavior Analyst (BCBA) - Full-Time, Hybrid Location:Remote/Hybrid -Travel to ... 6- 8 weeks required Job Type:Full-Time We are seeking a dedicated and experiencedBoard- Certified Behavior Analyst (BCBA)to join our team in San Antonio. This is… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in ... "Additional Information" below for details. Qualifications Advanced Practice Nurse ( Certified Nurse Anesthetist) Basic Requirements English Language Proficiency. In… more
- IQVIA (Houston, TX)
- …we are looking for a 100% remote (work from home-WFH) contact **Care Navigator - Certified Biller and Certified Coder REQUIRED** to join our team. In this ... position, you will provide payment assistance solutions such as co-pay cards or vouchers. The **Care Navigator** is primarily responsible for receiving medical… more
- BrightSpring Health Services (San Antonio, TX)
- Our Company Adoration Home Health and Hospice Overview Are you a Certified Occupational Therapist Assistant looking for a new opportunity? Adoration Home Health is ... treatment team members as appropriate Qualifications + Degree from a certified occupational therapy assistant training program + Current Occupational Therapist… more