• Coding and Compliance Research Analyst II

    Centene Corporation (Tallahassee, FL)
    …preferably in healthcare . Project management experience preferred. **Preferred Skills:** Medical Billing and Coding Appeals experience Working with claims ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
    Centene Corporation (12/14/25)
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  • RN Medical Review Nurse Remote

    Molina Healthcare (NE)
    …of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement ... medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination… more
    Molina Healthcare (12/03/25)
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  • Manager, Medical Economics (Medicaid)…

    Molina Healthcare (ID)
    …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... team leadership experience + 10 years analytical work experience within the healthcare industry (ie, hospitals, network, ancillary, medical facilities, … more
    Molina Healthcare (11/09/25)
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  • ( Remote ) Senior Principal Data Scientist-…

    Oracle (Augusta, ME)
    …for Oracle Health, while building out a complete platform supporting modernized, automated healthcare . This is a net new line of business, constructed with an ... be pivotal in delivering our new Generative AI-powered solutions for healthcare and enterprise customers. Qualifications and Experience + Demonstrated experience in… more
    Oracle (11/25/25)
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  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (Rochester, NY)
    …Education** Master's Degree **Preferred Experience** + Preferred experience in healthcare medical economics and/or strong financial analytics background ... health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver… more
    Molina Healthcare (12/08/25)
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  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (NM)
    …Education** Master's Degree **Preferred Experience** * Preferred experience in healthcare medical economics and/or strong financial analytics background ... health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver… more
    Molina Healthcare (11/21/25)
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  • PRN - Medical Coder/Records Clerk

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    …service standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but ... THIS IS NOT A REMOTE POSITION We are hiring a Medical...+ Knowledge of CMS rules and regulations and current coding resources + Knowledge of Healthcare Common… more
    Dallas Behavioral Healthcare Hospital (11/06/25)
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  • Medical Coder - Inpatient Hospital - ICD 10…

    Cognizant (Columbia, SC)
    Remote ] **Employment Type:** [Full-time] M-F flexible hours An **inpatient hospital medical coder** is a healthcare professional responsible for reviewing and ... **Job Title: Medical Coder - Inpatient Hospital - ICD 10...on **ICD-10-CM** (International Classification of Diseases) and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation… more
    Cognizant (12/09/25)
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  • Program Management Lead Analyst, Clinical Sales…

    The Cigna Group (Bloomfield, CT)
    …corporate guidelines. + Conduct in-depth clinical summary reviews, including analysis of medical records and claims data. + Summarize and compile findings to support ... Market Medical Executives and Nurse Executives in client-facing engagements. +...TruCare strongly preferred. + Experience with CPT and ICD-10 coding is highly recommended. + Excellent time management, organizational,… more
    The Cigna Group (11/22/25)
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  • Clinical Documentation Specialist ( Remote

    UTMB Health (Galveston, TX)
    …Certified Coding Specialist (CCS) certification, and a minimum of 3 years of medical coding experience. **Or** . Registered nurse (or medical school ... Clinical Documentation Specialist ( Remote -Texas Resident) - Clinical Data **Galveston, Texas,...+ Understand the general flow of health information from medical record documentation and discharge, through coding ,… more
    UTMB Health (12/12/25)
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