- Molina Healthcare (Fort Worth, TX)
- …**Job Summary** Provides support to the business by making sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to minimize risk and ... denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly + Documents… more
- Molina Healthcare (Dallas, TX)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server Reporting Services… more
- Teleperformance USA (El Paso, TX)
- …**As a Pre-Licensed Representative** **are required to use excellent decision-making skills and innovation to resolve issues and respond to consumer concerns while ... adhering to company and departmental guidelines. The position is responsible for resolving high level consumers issues in a fast-paced environment.** + **Resolve complex consumer issues and advise first level representatives on high level issues.** + **Assist… more
- Molina Healthcare (Dallas, TX)
- …**Job Summary** Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance ... requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program. **KNOWLEDGE/SKILLS/ABILITIES** + Coordinates, conducts, and documents delegation assessments as necessary to comply with… more
- Molina Healthcare (Fort Worth, TX)
- …**Job Summary** The Director, Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or ... HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and other state specific audit projects and deliverables. This role also works with the Health Plan quality leads to strategically plan for supplemental data source (SDS) acquisition from… more
- Autodesk (Plano, TX)
- …to follow!/La description de poste en francais se trouve plus bas!_ **Position Overview** As an Applied AI Research Scientist at Autodesk Research, you will be doing ... applied research that will help our customers imagine, design, and make a better world. We are a team of scientists, researchers, engineers, and designers working together on projects that range from learning-based design systems, computer vision, graphics,… more
- Teleperformance USA (TX)
- …**Customer Service Representatives field customer inquiries by finding innovative ways to respond to varying questions, issues, and concerns.** + **Handle and ... carefully respond to all customer inquiries** + **Provide excellent customer service through active listening** + **Work with confidential customer information and treat it sensitively** + **Aim to resolve issues on the first call by being proactive** +… more
- Anywhere Real Estate (San Antonio, TX)
- …This role will collaborate closely with the Anywhere Learning & Development team, Anywhere cross-functional stakeholders, and Brand marketing/GTM teams to develop ... strategic marketing content and execute integrated campaigns that drive awareness, demand, and adoption for our Learning products and services. This highly visible role requires building trust and working closely with key executives, internal teams, and brand… more
- Sharecare (Austin, TX)
- …Sharecare is the leading digital health company that helps people -- no matter where they are in their health journey -- unify and manage all their health in one ... place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change.… more
- Molina Healthcare (Austin, TX)
- …**Job Summary** Molina's Quality Improvement Sr. Overreader conducts oversight and audits of the data collected and abstracted from medical records for HEDIS ... projects, HEDIS like projects and supplemental data collection. The overreader team will meet chart overread productivity standards, minimum over read standards, and 2nd overread standards to ensure accuracy of their audit skills. Sr. Overread team members… more