- WelbeHealth (Austin, TX)
- ** Claims Audit Analyst ** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most ... Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate… more
- Providence (TX)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- CVS Health (Irving, TX)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- CVS Health (Richardson, TX)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst , you will perform a critical role in the analysis of Medicare and Commercial ... Support Services as they work with clients in the development of formularies; Rebate audit team as questions arise on audits by manufacturers and clients. + Adhering… more
- Molina Healthcare (Dallas, TX)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... timely manner to meet department standards of turnaround time and quality. + Audit loaded provider records for quality and financial accuracy and provide documented… more
- Brown-Forman (Dallas, TX)
- …into actionable guidance for plant operations and engineering management. You'll regularly audit plant practices to ensure full compliance, helping to embed a strong ... insurance claim settlement activities, including both insured and self-insured claims , ensuring accurate records and facilitating efficient resolution processes. +… more
- HCA Healthcare (Austin, TX)
- …+ Ensuring compliance with federal, state and HCA regulations, policies, procedures, and audit requirements in the use of patient data for research purposes + ... for both the department and for assigned projects + Perform data analyst functions that generate knowledge via data mining, visualization, or other analytics.… more
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