- CVS Health (Austin, 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 ... in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address… more
- CVS Health (Austin, TX)
- … in a production environment. **Preferred Qualifications** + Medical claim processing experience + Medical coding background + Experience with ... every day. **Position Summary** **This is a full time, remote role** **Schedule- Monday- Friday PST or CST time...scope. + Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements.… more
- Humana (Austin, TX)
- …us put health first** The Medical Director actively uses their medical background, experience , and judgement to make determinations whether requested ... other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as… more
- CVS Health (Austin, TX)
- …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... eg, Clinical Practice and Health Care Industry. *Prior UM (Utilization Management) experience *Active and current state medical license without encumbrances… more
- Baylor Scott & White Health (Killeen, TX)
- …and make our clinic and the world a better place QUALIFICATIONS: . Medical Dosimetrist certification and three years dosimetry experience are required for ... and routine market evaluations. This position follows a hybrid remote working model. At BSWH you get to work...Program + EXPERIENCE - 3 Years of Experience CERTIFICATION/LICENSE/REGISTRATION + Cert Medical Dosimetrist (CMD):… 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 ... other physicians with the same level of training and experience . 2. Visually review for proper ICD-10 and CPT.... 2. Visually review for proper ICD-10 and CPT coding and approve all charge documents within four working… 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 ... other physicians with the same level of training and experience . 2. Visually review for proper ICD-10 and CPT.... 2. Visually review for proper ICD-10 and CPT coding and approve all charge documents within four working… more
- Methodist Health System (Dallas, TX)
- …program activities. + Oversee the MHS employee, vendor, contractor and medical staff screening processes that prohibit employment or contracting with individuals ... areas vulnerable to error or noncompliance such as billing, coding , Stark laws, fraud & abuse laws, false claims,...risk areas. + Other duties as assigned **EDUCATIONAL AND EXPERIENCE REQUIREMENTS.** + Minimum ten (10) years' experience… more
- Elevance Health (Grand Prairie, TX)
- …new associates. **Minimum Requirements:** + Requires a AA/AS and minimum of 3 years medical coding /auditing experience , including minimum of 1 year in fraud, ... be considered. This position will work a hybrid model ( remote and office). The ideal candidate will live within...to aid in investigations and stays abreast of current medical coding and billing issues, trends and… more
- Stryker (Flower Mound, TX)
- …years of experience in data science, sales or health-economics. + Coding , coverage, reimbursement and health-economics knowledges within medical device or ... experience , and other relevant factors. Health benefits include: Medical and prescription drug insurance, dental insurance, vision insurance, critical illness… more
Recent Jobs
-
Senior Data Literacy and Evaluation Specialist
- University at Albany (Albany, NY)
-
Corrections Lieutenant
- Louisiana Department of State Civil Service (St. Gabriel, LA)
-
Contract Pricing Advisor
- HCA Healthcare (Brentwood, TN)
-
Civil Engineer - Spring 2025 Graduate
- Quiddity (Houston, TX)