• Clinical Provider Auditor II

    Elevance Health (Grand Prairie, TX)
    …per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. ... 50 miles of one of our PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance...+ Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse… more
    Elevance Health (05/02/25)
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  • Senior Fraud Risk Oversight Associate

    Santander US (Dallas, TX)
    …data driven decisions. + Oversees digital bank build/run activities and payment hub integration and operationalization activities including review and challenge of ... a robust set of standards and policy exist which depict key risks of processing online bank transactions and the controls necessary to be successful + Identifies ad… more
    Santander US (04/17/25)
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  • Lead Generator-1st Shift

    Deluxe (Plano, TX)
    …Plano TX 75024 About Us:ThinkPoint Financial by Deluxe (https://www.thinkpointfinancial.com/) is a payment processing company that focuses on the needs of small ... sized business owners (merchants) across the nation to obtain processing statements for sales consultants to analyze for savings...hours worked: + Healthcare (Medical, Dental, Vision) + Paid Time Off, Volunteer Time Off, and Holidays… more
    Deluxe (04/19/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Intelligence Engineer will be an integral part of the Pricer Business and System Support team...MS-DRG, etc). This role is within the Integrated Network Payment Solutions (INPS) department which falls under the Provider… more
    Humana (04/30/25)
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  • Director, Digital Health Corporate Counsel

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …And that mission is to get people the right interventions at the right time in their health journey through data and technology, leveraging the power of personal ... deep, data-driven understanding of the patient condition. OPH is part of Otsuka Holdings. Leverage your expertise to help...fix some of the fragmentation in care delivery. The time is now. **What you will do (Job Description)**… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Medical Records Specialist PRN

    HCA Healthcare (Mcallen, TX)
    …of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full- time and part - time colleagues based on income. Learn more about ... with Rio Grande Regional Hospital you can be a part of an organization that is devoted to giving...certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time … more
    HCA Healthcare (05/02/25)
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  • Lead, Data Quality/Integrity - HEDIS Supplemental…

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Lead, Data Quality/Integrity understands end-to-end master data processes and flows and ... of our comprehensive supplemental and lab data connection and processing operations. This role will work to mature existing...STAR + Familiarity with HEDIS measures **Additional Information** As part of our hiring process for this opportunity, we… more
    Humana (04/24/25)
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  • Bank Disputes Specialist-Intermediate

    USAA (San Antonio, TX)
    …loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated **Bank ... Rules, and Regulations (LRRs). Attempts to recover funds in accordance with payment association rules (Visa, Amex, NACHA, Zelle, etc.). Engages in customer service… more
    USAA (05/02/25)
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  • Supervisor, Encounter Data Management

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Supervisor, Encounter Data Management develops business processes to ensure successful ... an impact** **Required Qualifications** + **2+ years Medicare and/or Medicaid claims processing experience** + **Internal and external error claims processing **… more
    Humana (04/24/25)
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  • Grant Coordinator

    Texas A&M University System (Corpus Christi, TX)
    …11,000 students from 47 states and 54 foreign nations. We employ over 1,400 full- time and 2,000 part - time Islanders (including students/GAs). The University ... budgets. Assist in the review and approval of semi-annual time and effort documents. Functional Area 2: Financial Management...scope of work in a timely manner. This includes processing stipend and invoice payments, reviewing and approving travel… more
    Texas A&M University System (04/24/25)
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