- HCA Healthcare (Houston, TX)
- …you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a part of...internet 25 MB download and 15 MB upload. + Remote employees are required to live within a 60… more
- Humana (Austin, TX)
- …your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic, ... + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing, system navigation, payment workflows,… more
- Molina Healthcare (TX)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Sedgwick (Fort Worth, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Customer Service Specialist **FULL TIME REMOTE POSITION** **SCHEDULE: ... answer questions. + Accurately and efficiently enters new housing claims into the system. + Monitors inbound email for...and partial stays + Audit hotel folios and related claims for billing accuracy, compliance, and documentation + Verifies… more
- Prime Therapeutics (Austin, TX)
- …Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT Business Systems Analyst (BSA) Sr is responsible ... to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Prime Therapeutics (Austin, TX)
- …make. **Job Posting Title** Sr. Functional Bus Consultant (Compliance) - Remote **Job Description** The Senior Functional Business Consultant The Functional Business ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more
- UTMB Health (Galveston, TX)
- Senior Risk Management Specialist (Partially Remote ) - Department of Legal Affairs **Galveston, Texas, United States** **New** Legal & Compliance UTMB Health ... programs, clinical issues, device and equipment, incident management, and claims /lawsuits. **Job Duties:** + Administrative liaison for Risk Management issues.… more
- Guidehouse (San Antonio, TX)
- …Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None ** REMOTE REMOTE REMOTE !** **Join Our Growing Medical Coding ... Team! All roles are 100% REMOTE .** As an organization experiencing exponential growth, we are...certified. At Guidehouse, coding is more than charts and claims - it's about making an impact. As a… more
- Prime Therapeutics (Austin, TX)
- …drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Austin, TX)
- …we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of value ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more