- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... announce that currently we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical...or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- CVS Health (Houston, TX)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… more
- CVS Health (Austin, TX)
- …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management) that can be remote based, work from home. ... This role can be remote based anywhere in the US. The ...predetermination reviews ad reviews of claim determinations, providing clinical, coding , and reimbursement expertise. **Required Qualifications** * 2 or… more
- Molina Healthcare (San Antonio, TX)
- …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
- MD Anderson Cancer Center (Houston, TX)
- …exemplary manner in standards set forth by the Texas State Board of Medical Examiners properly balanced with other academic activities. B. Capable of providing ... level of training and experience. 2. Visually review for proper ICD-10 and CPT coding and approve all charge documents within four working days. 3. Complete patient… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... services. The Medical Director work assignments involve moderately complex to complex...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- System One (Austin, TX)
- …- Traffic **Employment Type:** Full Time **Date Posted:** 9/29/2025 **Location:** Remote (Based in the US) **Pay Range:** Negotiable **Job Number:** JO-2509-2735 ... productivity in a fast-paced environment. Ad trafficking involves coordinating, substantiating, coding , reviewing and optimizing campaign tactics so they're ready to… more
- Kemper (Dallas, TX)
- Location(s) Remote -AL, Remote -CT, Remote -FL, Remote -GA, Remote -IL, Remote -IN, Remote -MI, Remote -NC, Remote -OH, Remote -PA, ... Experience with cloud development practices. + Advanced certifications for coding /development. Current Guidewire Certified Ace preferred. + Demonstrates advanced… more
Recent Jobs
-
Systems Engineer - Electronic Warfare
- Appcast (Owego, NY)
-
Research Associate, Gene Therapy
- Insmed Incorporated (San Diego, CA)
-
Mortgage Banker
- City National Bank (Hollywood, FL)
-
Senior Maintenance Technician (Weekend Shift)
- Repligen (Rancho Dominguez, CA)