Product Manager, Capitation Adjudication IQVIAProduct Manager, Capitation AdjudicationHouston, TexasThe successful candidate will leverage real-world payer experience to help guide product enhancements, define requirements, support delivery activities, and collaborate with cross-functional teams to ensure our platform continues to meet client and business needs. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.
Product Manager, Capitation Adjudication IQVIA Holdings IncProduct Manager, Capitation AdjudicationHouston, TX$88,100–$220,200 / yearThe successful candidate will leverage real-world payer experience to help guide product enhancements, define requirements, support delivery activities, and collaborate with cross-functional teams to ensure our platform continues to meet client and business needs. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.
Lead Director - Software Development Engineering (Claims Adjudication) CVS HealthLead Director - Software Development Engineering (Claims Adjudication)Richardson, TexasBuild Employee Engagement: Encourage independent thinking and initiative; value diversity; build confidence and pride in the company; inspire others to contribute; create open, honest dialogue; create and communicate a vision that aligns performance with strategy; celebrate successes; express ideas effectively. -Demonstrate Excellence and Accountability: Innovate; anticipate the future; work toward continuous improvement; work cross-functionally to achieve right outcomes; create and lead with a sense of urgency; translate strategy into action.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHouston, TexasSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Clinical Adjudication Manager (Part C) Tmf/C2CClinical Adjudication Manager (Part C)Austin, TexasAssociate’s degree or 60 or more credit hours towards a Bachelor’s degree from an accredited college or university in healthcare or related discipline. Manages, establishes, and maintains professional and effective working relationships with external business partners and internal staff.
Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C) Tmf/C2CClinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)Austin, TexasAssociate’s degree or 60 or more credit hours towards a Bachelor’s degree from an accredited college or university in healthcare or related discipline. Manages, establishes, and maintains professional and effective working relationships with external business partners and internal staff.
Staff Perception Hardware Engineer ApptronikStaff Perception Hardware EngineerAustin, TexasYou will act as the "boots-on-the-ground" technical authority, leading cross-functional engineering efforts through critical design phases, system bring-up, custom hardware development, ISP tuning, and manufacturing deployment to ensure Apollo perceives the world with unmatched clarity. Custom Bring-Up & Validation Plans: Architect and own the comprehensive bring-up, DVT (Design Verification Testing), and End-of-Line (EOL) test plans for all custom-built sensor modules, ensuring they are rigorously validated before they ever integrate into the humanoid platform.
Senior System Integration Engineer (Soft Goods/Gloves/Grip) ApptronikSenior System Integration Engineer (Soft Goods/Gloves/Grip)Austin, TexasApptronik is seeking a Senior System Integration Engineer – Soft Goods / Gloves / Grip to lead the system-level integration, architecture, and validation of soft goods, robotic gloves, grip surfaces, and flexible protective interfaces for our humanoid robot, Apollo. This role is responsible for ensuring that complex, compliant mechanical systems work seamlessly with embedded sensors, electronics, and control software to enable dexterous manipulation, human-robot interaction, and reliable operation in demanding real-world environments.
PRIOR AUTHORIZATION AND REFERRAL SPECIALIST University of Texas Rio Grande ValleyPRIOR AUTHORIZATION AND REFERRAL SPECIALISTEdinburg, TXPosting Number SRGV9089 Working Title PRIOR AUTHORIZATION AND REFERRAL SPECIALIST Number of Vacancies 1 Location Edinburg, Texas Department School of Medicine/ Revenue Cycle FTE 1.0 FLSA Non-Exempt Scope of Job. Communicates with providers, physicians, and other medical personnel regarding necessary documentation, CPT codes, diagnoses codes, or other information required to obtain the necessary authorizations or referrals.
Inspector - Property Maintenance I, II, III City of Abilene (TX)Inspector - Property Maintenance I, II, IIIAbilene, TXWith or without accommodation, the "X" indicates the overall strength demand of the position during a typical workday: Sedentary - lifting of no more than 10 pounds Light - lifting no more than 20 pounds; carrying up to 10 pounds X Medium - lifting no more than 50 pounds; carrying up to 25 pounds Heavy - lifting no more than 100 pounds; carrying up to 50 pounds Very Heavy - team lifting over 100 pounds; carrying more than 50 pounds Physical Demand Codes: The following describes whether or not the position is expected to exert the physical demands listed during a typical workday as well as the overall frequency of the task: Codes for how often: N = No E = Extensive (100 - 70% of the time) M = Moderate (60 - 30% of the time) I = Infrequent (20 - 10% of the time) A = Almost Never (M Standing M Sitting M Walking I Lifting I Carrying I Pushing/Pulling A Overhead Work A _ Fine Dexterity I Kneeling I Crouching A Crawling M Bending M Twisting I_ Climbing I Balancing M Vision M Hearing M_ Talking _ Other: _ __ . GENERAL DESCRIPTION Under general supervision of the Division Manager- Code Compliance Manager, the property maintenance inspector will inspect residential and commercial structures to ensure compliance with the property maintenance code and other city of Abilene adopted codes and ordinances; will perform a variety of clerical and administrative duties in support of the property maintenance and condemnation program.
Cognitive Performance Specialist (50742) Gap Solutions, Inc.Cognitive Performance Specialist (50742)Sheppard AFB, TXParticipate and assist with planning/coordination of enterprise-wide initiatives such as the annual Aircrew Human Performance Summit, cognitive domain qualification course, support distinguished visitor engagements, and contribute to HP-related research as requested by the Program Office. Complete all required CRAFT compliance training and documentation, including CRAFT Program Familiarization, HPO Inappropriate Relationships and Harassment Training and Acknowledgment, DOD/DISA Information Systems Policy, social media Policy, and PII Training.
Cognitive Performance Specialist (51443) Gap Solutions, Inc.Cognitive Performance Specialist (51443)Laughlin AFB, TXParticipate and assist with planning/coordination of enterprise-wide initiatives such as the annual Aircrew Human Performance Summit, cognitive domain qualification course, support distinguished visitor engagements, and contribute to HP-related research as requested by the Program Office. Complete all required CRAFT compliance training and documentation, including CRAFT Program Familiarization, HPO Inappropriate Relationships and Harassment Training and Acknowledgment, DOD/DISA Information Systems Policy, social media Policy, and PII Training.
NewSupervisory Transportation Security Specialist-Canine U.S. Department of Homeland SecuritySupervisory Transportation Security Specialist-CanineSan Antonio, TX$120,348–$156,455 / yearThis includes but is not limited to: assigning work, setting priorities, and reviewing and evaluating work and performance of subordinates; approving leave; coaching and developing employees; recommending corrective or disciplinary actions; assisting in budget planning and projecting short-term needs; managing projects within assigned resources; resolving routine problems that typically impact the objectives of the organizational unit; and when required, coordinating with customers outside the immediate organization. Specialized experience is defined as: Identifying, guiding, training, and directing canines for purposes of explosives detection during passenger screening, cargo screening, or other explosives detection activities; Managing the oversight, cost management, and accountability of assets in support of a canine program; Identifying, developing, and implementing canine behavior training activities to ensure maximum capability of canine assets.
Supervisory Transportation Security Specialist - Canine U.S. Department of Homeland SecuritySupervisory Transportation Security Specialist - CanineSan Antonio, TX$110,865–$144,126 / yearThis includes but is not limited to: assigning work, setting priorities, and reviewing and evaluating work and performance of subordinates; approving leave; coaching and developing employees; recommending corrective or disciplinary actions; assisting in budget planning and projecting short-term needs; managing projects within assigned resources; resolving routine problems that typically impact the objectives of the organizational unit; and when required, coordinating with customers outside the immediate organization. Specialized experience is defined as: Identifying, guiding, training, and directing canines for purposes of explosives detection during passenger screening, cargo screening, or other explosives detection activities; Managing the oversight, cost management, and accountability of assets in support of a canine program; Identifying, developing, and implementing canine behavior training activities to ensure maximum capability of canine assets.
Lead Diagnostic Radiology Technician (Mammography) US Department of Health and Human ServicesLead Diagnostic Radiology Technician (Mammography)San Antonio, TX$78,386–$101,897 / yearPersons first employed by the Federal Government as radiologic personnel after the effective date of the regulation who (a) received training from institutions in a State or foreign jurisdiction that did not accredit training in that particular field at the time of graduation, or (b) practiced in a State or foreign jurisdiction that did not license that particular field or did not allow special eligibility to take a licensure examination for those who did not graduate from an accredited educational program, provided that such persons show evidence of training, experience, and competence as determined by OPM or the employing agency. MINIMUM QUALIFICATIONS, GS-0647-10: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-09 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: operating radiology and mammography equipment for the use of diagnostic imaging including, interpretation of quality assurance for equipment and imaging studies; execution of radiographic and mammography studies as ordered by providers; and appropriate follow up on abnormal study results with coordination of additional studies as required for regulatory compliance.
Diagnostic Radiologic Technologist (Ultrasound) US Department of Health and Human ServicesDiagnostic Radiologic Technologist (Ultrasound)Fort Sam Houston, TX$64,924–$93,227 / year2) Persons first employed by the Federal Government as radiologic personnel after the effective date of the regulation who (a) received training from institutions in a State or foreign jurisdiction that did not accredit training in that particular field at the time of graduation, or (b) practiced in a State or foreign jurisdiction that did not license that particular field or did not allow special eligibility to take a licensure examination for those who did not graduate from an accredited educational program, provided that such persons show evidence of training, experience, and competence as determined by OPM or the employing agency. GS-09: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-8 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Perform diagnostic ultrasound examinations in accordance with established clinical protocols and departmental procedures, obtain and evaluate high-quality sonographic images, verify examination orders, maintain ultrasound equipment and perform routine quality-control activities.
Tax Law Specialist Tax Exempt Bond Specialist Department of the Treasury, USTax Law Specialist Tax Exempt Bond SpecialistFort Worth, TX$125,776–$192,694 / yearPerforming analytical services related to the structuring of municipal financings including tax advantaged bonds and other financial products beyond traditional tax advantaged bonds including: Short-Term Debt and Cash Flow Management which include Tax Anticipation Notes, Revenue Anticipation Notes, Bond Anticipation Notes, and Commercial Paper. When assigned to the TEB Voluntary Closing Agreement Program, the incumbent confers with customers and representatives to explain financial, legal and other significant issues involved and the applicability of pertinent tax laws, regulations, and related filing requirements and explains corrective actions required or adjustments to promote future compliance.
Health Technician (Surgical) US Department of Health and Human ServicesHealth Technician (Surgical)San Antonio, TX$52,783–$68,620 / yearMINIMUM QUALIFICATIONS FOR THE GS-07 GRADE LEVEL: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Monitoring and maintaining aseptic technique throughout procedures; coordinate or participate in the positioning of patients, using body stabilizing equipment or protective padding to provide appropriate exposure for the procedure or protection; and maintaining an unobstructed operative field, using surgical retractors, sponges, or suctioning and irrigating equipment; OR. Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Medical Supply Technician US Department of Health and Human ServicesMedical Supply TechnicianSan Antonio, TX$40,736–$59,031 / yearGS-6: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-5 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience in independently processing, inspecting, assembling, troubleshooting, preparing, sterilizing, storing, distributing, and tracking reusable medical equipment (RME), surgical instruments, and medical supplies used in patient care. Career Transition Assistance Program (CTAP)/Interagency Career Transition Assistance Program (ICTAP): If you are claiming CTAP/ICTAP, follow the instructions below: http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/ctap_guideline.pdf .
Health Technician (Clinical Assistant) US Department of Health and Human ServicesHealth Technician (Clinical Assistant)Fort Hood, TX$40,736–$70,682 / yearMINIMUM QUALIFICATIONS, GS-0640-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience as a certified medical assistant providing comprehensive clinical and administrative support by performing patient intake, obtaining and documenting medical histories, allergies, vital signs, blood glucose monitoring, and other diagnostic measurements. MINIMUM QUALIFICATIONS, GS-0640-07: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience as a certified medical assistant providing advanced clinical and administrative support for patients with routine, complex, and multi-system medical conditions in a multidisciplinary ambulatory healthcare setting.