• Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (Austin, TX)
    …research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, actionable financial and even ... the financial impact to effectively negotiate new or amended contracts (eg coding and chargemaster impact analysis) + Strong written and verbal communication skills… more
    Molina Healthcare (10/25/25)
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  • Regional Manager, Value-Based Programs…

    Molina Healthcare (Austin, TX)
    …programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be ... able to walk stakeholders (internal and external) through basic financial reconciliations. + Excellent leadership skills, especially ability to influence others who are not in a direct reporting line including ability to think strategically, develop vision,… more
    Molina Healthcare (11/09/25)
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  • Code Edit Disputes Medical Coder

    Humana (Austin, TX)
    …that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer ... and judgment. May apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of … more
    Humana (11/14/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (TX)
    …on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and ... that has a current active unrestricted license This a remote role and can sit anywhere within the United...level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding , to… more
    Molina Healthcare (09/06/25)
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  • Inpatient Medical Coder - FT - Up to $5,000…

    Datavant (Austin, TX)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing ... academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding and abstracting software… more
    Datavant (09/24/25)
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  • Facility Inpatient Complex Senior Coder

    Banner Health (TX)
    …and receive care. Looking for a motivated, experienced **Inpatient Facility, Acute Care, Remote Medical Complex Coder** to join our talented Inpatient Facility- ... coding Inpatient team members. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes...be able to work effectively and efficiently in a remote setting, utilizing common office software and coding… more
    Banner Health (10/17/25)
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  • Medical Director ( Medical Policy…

    CVS Health (Austin, TX)
    …**Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune ... 6 company? This is a remote Work at Home position and can be located...anywhere in the United States. In this role as Medical Director MPO ( Medical Policy & Operations)… more
    CVS Health (10/19/25)
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  • Director, Operational Excellence

    CenterWell (Austin, TX)
    …lead strategic initiatives to enhance the efficiency, accuracy, and compliance of medical coding operations across the organization. This role is responsible ... candidate is a seasoned leader with deep expertise in medical coding , risk adjustment, and operational transformation....PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    CenterWell (11/18/25)
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  • Lead Inpatient Coder

    Houston Methodist (Houston, TX)
    … classification systems, DRG and APC systems, official coding guidelines and coding compliance + Knowledge of an electronic medical record and imaging ... **$5,000 Sign-On Bonus - 100% remote Must live in following states (TX, GA,...to inpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and… more
    Houston Methodist (09/13/25)
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  • Inpatient Audit Specialist FT 2,500 Sign on Bonus

    Datavant (Austin, TX)
    …an interest in mentoring new and existing coders. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (11/14/25)
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