- Elevance Health (Grand Prairie, TX)
- ** Claims Auditor Lead ** _This position will work a hybrid model (remote and office), 1-2 times per week. The Ideal candidate will live within 50 miles of one ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Claims Auditor Lead is responsible for leading the high dollar… more
- Elevance Health (Grand Prairie, TX)
- …service written and verbal inquiries. **How you will make an impact:** + Assists higher level auditor / lead on field work as assigned and acts as auditor in ... **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid...in pre and post implementation audits ofpharmacy operational processes, claims processing and payment, member and provider inquiries, enrollment… more
- Elevance Health (Grand Prairie, TX)
- **Provider Auditor Senior** _This position will work a hybrid model (remote and office), 1-2 times per week. The Ideal candidate will live within 50 miles of one of ... to recover, eliminate and prevent unnecessary medical-expense spending. The Provider Auditor Senior conducts on-site reviews of medical charts, medical notes,… more
- CVS Health (Austin, TX)
- …convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders (CPC). The Manager is responsible ... strategies to manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor a team certified coders who support fraud detection… more