- USAA (San Antonio, TX)
- …efforts. + Builds and maintains a robust library of reusable, production- quality algorithms and supporting code, to ensure model development and research ... efforts are transparent and based on the highest quality data. + Translates complex business request(s) into specific analytical questions, executes on the analysis… more
- Coinbase (Austin, TX)
- …a trusted, scalable and compliant platform to operate with speed, efficiency and quality . Our teams build and maintain the platforms critical to the existence of ... which include Product Foundations (ie Identity, Payment, Risk, Proofing & Regulatory , Finhub), Machine Learning, Customer Experience, and Infrastructure. The Data… more
- Molina Healthcare (San Antonio, TX)
- …adjustment, value-based care models, or healthcare performance metrics + Understanding of regulatory and compliance considerations (eg, HIPAA) in data handling ... on utilization, outcomes, and cost drivers across the organization. + Ensure data quality , governance, and documentation standards are met in all analytics work. +… more
- Highmark Health (Austin, TX)
- …of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care ... actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to… more
- ManpowerGroup (Houston, TX)
- …Health Plan's regulatory and contractual requirements in accordance with the Compliance Program, as well as associated compliance oversight and reporting to ... regulatory and contractual requirements in accordance with the Compliance Program, and with HHSC, TDI, NCQA and Health...Program, and with HHSC, TDI, NCQA and Health Plan Senior Management. * Ensure ongoing compliance with… more
- Prime Therapeutics (Austin, TX)
- …**Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the ... that business operations are aligned with expectations of applicable regulatory guidance + Develop solutions to compliance ...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Education Bachelor's degree in Health Information Management, Health care related field, Regulatory Compliance or Project Management or a related field from ... medical records, claims, and workflow processes to ensure accuracy, completeness, and compliance with regulatory requirements. Description of Duties + Performs… more
- Molina Healthcare (Dallas, TX)
- …department quality and production standards. + Meet State and Federal regulatory Compliance Regulations on turnaround times and claims payment for multiple ... lines of business. + Other duties as assigned. + QNXT-preferred **JOB QUALIFICATIONS** **Required Education** High School or GED **Required Experience** 3-5 years claims processing required **Preferred Education** Bachelor's Degree or equivalent combination of… more
- Molina Healthcare (Fort Worth, TX)
- …support continuous quality improvement of the provider database, compliance with regulatory /accreditation requirements, and Network Management business ... operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other… more
- Amazon (Houston, TX)
- …communicator and can navigate competing priorities across construction teams, regulatory bodies, and internal stakeholders while maintaining high visibility to ... License: This position may require a deemed export control license for compliance with applicable laws and regulations. Placement is contingent on Amazon's ability… more