• Japanese Customer Service Senior Representative…

    The Cigna Group (Austin, TX)
    …+ Receive requests by email or telephone regarding insurance claims /policies while operating on multiple computer applications. Respond to inquiries ... route claim forms and supporting documentation to various units for final processing + Independently respond to inquiries, grievances, complaints or appeals ranging… more
    The Cigna Group (08/08/25)
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  • Senior Analyst, Risk Adjustment - Predictive…

    Molina Healthcare (San Antonio, TX)
    …and validating source data needed to build chart retrieval chase lists for medical record collection. Success in this role requires a blend of strong technical ... **Required Experience** + 3-5 Years of experience with healthcare-related data ( claims /encounters, provider, CMS/EDGE response files, etc. + 3-5 Years of experience… more
    Molina Healthcare (08/03/25)
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  • Code Edit Professional 2

    Humana (Austin, TX)
    …2 opening available. The Payment Integrity Professional 2 utilizes vendor platforms, claims processing platforms, and data to collaborate with key internal ... your skills to make an impact** **WORK STYLE** : Remote , work at home. Minimal travel possible: Approximately 1-2x/year...Claims Cost Management (CCM)_ + Prior experience analyzing medical claims data **Additional Information** **Work at… more
    Humana (08/14/25)
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  • Associate Director, Medical Affairs…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for Global ... Medical Affairs across all therapeutic areas and brands. This...+ **Travel & Collaboration:** + Although this is a remote role, 30% travel for in-person meetings will be… more
    Otsuka America Pharmaceutical Inc. (07/15/25)
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  • Executive Director, CNS Strategy, Global…

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...required, based upon business needs + Position can be remote based **Competencies** **Accountability for Results -** Stay focused… more
    Otsuka America Pharmaceutical Inc. (07/11/25)
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  • Sr. Medical Analyst

    Norstella (Austin, TX)
    Sr. Medical Analyst Company: MMIT Location: Remote , United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role,… more
    Norstella (07/31/25)
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  • Nurse Audit Manager

    Humana (Austin, TX)
    …knowledge. + Claims knowledge and understanding of claims processing . **Additional Information** + **Workstyle:** Remote , work from home. + **Typical ... you will spearhead audit and validation processes to ensure medical documentation and coding are precise, compliant, and support...a time that is best for your schedule. Nationwide Remote - This is a remote nationwide… more
    Humana (08/13/25)
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  • Rare Disease Account Manager

    Otsuka America Pharmaceutical Inc. (El Paso, TX)
    …Rare Disease Selling Model creates a unified focus among account management, medical , patient access, market access and total office education to engage physicians ... Area Business Lead, Rare Disease, coordinating with cross functional colleagues in Medical (MSLs), Market Access (RAMs), and Patient Support (PELs), Though Leader… more
    Otsuka America Pharmaceutical Inc. (07/03/25)
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  • Senior Encounter Data Management Professional

    Humana (Austin, TX)
    …**Use your skills to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
    Humana (08/15/25)
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  • Neuroscience Specialist

    Otsuka America Pharmaceutical Inc. (Amarillo, TX)
    …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... the respective Area Business Lead, coordinating with cross-functional colleagues in Medical (MSLs), Market Access (HSAMs), and Patient Support (PELs) under… more
    Otsuka America Pharmaceutical Inc. (07/19/25)
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