Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Houston, TXRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
ViiV Healthcare (GSK) Field Reimbursement Director, Central Region GSK plcViiV Healthcare (GSK) Field Reimbursement Director, Central RegionHouston, TX$180,000–$300,000 / yearEstablish and lead cohesive and comprehensive Patient Access and Affordability Strategy based on key coverage, coding, payment, product acquisition and affordability dynamics for ViiV Healthcare products in assigned geography and provide leadership support for case escalations to deliver an exceptional implementation experience. This will be achieved through driving a culture of employee engagement and accountability against post prescribing business objectives and enabling the team to work within an integrated account management framework to support implementation and delivery of long acting injectable therapies across evolving acquisition, reimbursement, and site of care models.
Sr Data Engineer Tailored Brands IncSr Data EngineerHouston, TXDesign, assess and support efficient, reliable data pipelines that move data across enterprise systems including Snowflake, BigQuery,Oracle, AS400, SQL Server, Salesforce and external partner platforms using API's, AWS S3, and GCP buckets. Strong experience optimizing Snowflake performance using query profiling, virtual warehouse tuning, clustering keys, Search Optimization Service, Query Acceleration Service, caching, and cost optimization best practices.
.NET / C# Developer Kforce Inc..NET / C# DeveloperHouston, TX$64–$65.50NET platforms, SQL Server databases, and cloud technologies while providing technical leadership on complex system integrations, data migrations, and business intelligence initiatives. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs.
Salesforce Tech Lead StratAcuity Staffing Partners IncSalesforce Tech LeadTX$60–$62 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. The ideal candidate thrives in a fast-paced, agile environment, leads with technical depth, and embraces Generative AI and Agentic AI tools as a core part of their daily engineering workflow.
Mission Design Tools Software Engineer Mri TechnologiesMission Design Tools Software EngineerHouston, TXRequirements: Typically requires a bachelor's degree in Engineering with experience in the field or a related area, OR a bachelor's degree or equivalent certification in a related area combined with relevant experience in the field. In this role, you will develop and maintain software tools for NASA's Mission Design Software Development Team, supporting a variety of tools used across multiple NASA and commercial spaceflight programs.
Viiv Healthcare (Gsk) Field Reimbursement Director, Central Region GSK, Plc.Viiv Healthcare (Gsk) Field Reimbursement Director, Central RegionHouston, TX$180,000–$300,000 / yearEstablish and lead cohesive and comprehensive Patient Access and Affordability Strategy based on key coverage, coding, payment, product acquisition and affordability dynamics for ViiV Healthcare products in assigned geography and provide leadership support for case escalations to deliver an exceptional implementation experience. This will be achieved through driving a culture of employee engagement and accountability against post prescribing business objectives and enabling the team to work within an integrated account management framework to support implementation and delivery of long acting injectable therapies across evolving acquisition, reimbursement, and site of care models.
Research Billing Compl Anly - Research Administration - 004 Texas Children's HospitalResearch Billing Compl Anly - Research Administration - 004Houston, TXTexas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world.
Staff Engineer Cullen/Frost Bankers IncStaff EngineerHouston, TXExtensive experience (5+ years) in software development, with a proven track record in designing and building highly scalable payment systems or financial transaction platforms. Lead/Build complex projects focused on enhancing existing payment systems and developing new capabilities, ensuring scalability, security, and high availability.
Wound Care Nurse-Rn - Floater - PRN Project RestorixWound Care Nurse-Rn - Floater - PRNSugar Land, TXWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associates degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
Wound Care Nurse - RN - PRN Project RestorixWound Care Nurse - RN - PRNHouston, TXWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associate degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
Revenue Cycle Manager Wisdom Teeth GuysRevenue Cycle ManagerHouston, TX$120,000–$145,000End-to-end revenue cycle: verification, coding support, claim submission, payment posting, AR and denial management, and patient collections across all markets. You'll lead insurance verification, claims, and credentialing across all of our markets, own the metrics that drive our financial performance, and build the processes and team structure to scale as we open new markets and grow.
Revenue Cycle Manager (Remote) Wisdom Teeth GuysRevenue Cycle Manager (Remote)Houston, TXRemoteEnd-to-end revenue cycle: verification, coding support, claim submission, payment posting, AR and denial management, and patient collections across all markets. You'll lead insurance verification, claims, and credentialing across all of our markets, own the metrics that drive our financial performance, and build the processes and team structure to scale as we open new markets and grow.
Billing Manager - Digitech SarnovaBilling Manager - DigitechHouston, TXAdditional responsibilities include identifying deficiencies within the group and escalating them to the Director, building positive relationships both internally and externally, maintaining Key Performance Indicators (KPIs), and delivering annual reviews with staff, along with corrective actions when necessary. The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements.
Mission Design Tools Software Engineer MRI TechnologiesMission Design Tools Software EngineerHouston, TXRequirements: Typically requires a bachelor's degree in Engineering with experience in the field or a related area, OR a bachelor's degree or equivalent certification in a related area combined with relevant experience in the field. In this role, you will develop and maintain software tools for NASA's Mission Design Software Development Team, supporting a variety of tools used across multiple NASA and commercial spaceflight programs.
Cyber Defense & Engineering - Cloud Security Senior Associate PricewaterhouseCoopers LLPCyber Defense & Engineering - Cloud Security Senior AssociateTX$77,000–$202,000 / yearYour work will involve having a deep technical knowledge of cloud security and you will work with one or more Cloud Service Providers (CSP) to implement security protocols, monitor for potential security breaches, conduct risk assessments and vulnerability testing of cloud-based systems, and stay up to date with the latest security threats and trends in cloud technology. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Cyber Defense & Engineering - Cloud Security Manager PricewaterhouseCoopers LLPCyber Defense & Engineering - Cloud Security ManagerTX$99,000–$232,000 / yearYour work will involve having a deep technical knowledge of cloud security and you will work with one or more Cloud Service Providers (CSP) to implement security protocols, monitor for potential security breaches, conduct risk assessments and vulnerability testing of cloud-based systems, and stay up to date with the latest security threats and trends in cloud technology. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Engineering Manager-Technical Product Owner PwCEngineering Manager-Technical Product OwnerHouston, TX$114,000–$132,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Product Management for each missing year of college is required. In this capacity, you will help lead and coordinate end-to-end execution of technology initiatives-driving disciplined project planning, proactive stakeholder communication, and consistent service delivery across cross-functional engineering teams.
Engineering Manager- Technical Program Manager PwCEngineering Manager- Technical Program ManagerHouston, TX$114,000–$132,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Program Management for each missing year of college is required. Guide teams in the application of Acceptance Test Driven Development (ATDD), Continuous Integration/Continuous Delivery (CI/CD), and application development frameworks to enhance quality, speed, and functionality.
Senior Technical Product Owner PwCSenior Technical Product OwnerHouston, TX$95,000–$106,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Product Management for each missing year of college is required. In this capacity, you will help lead and coordinate end-to-end execution of technology initiatives-driving disciplined project planning, proactive stakeholder communication, and consistent service delivery across cross-functional engineering teams.
NewFull-Stack Cloud Engineer PwCFull-Stack Cloud EngineerHouston, TX$77,000–$202,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Full-Stack Cloud Engineer, you will be at the forefront of software and product innovation, developing transformative software solutions that drive digital transformation and enhance business performance.
Software Engineer - Enterprise AI Chevron CorporationSoftware Engineer - Enterprise AIHouston, TXChevron explores for, produces and transports crude oil and natural gas; refines, markets and distributes transportation fuels and lubricants; manufactures and sells petrochemicals and additives; generates power; and develops and deploys technologies that enhance business value in every aspect of the company's operations. + Develop and Deploy Applications: Build, test, and operationalize cloud-native applications using Microsoft Azure (App Services, Functions, AKS) and Databricks, while maintaining flexibility to leverage other AI services as business needs evolve.
Senior Software Developer AtkinsRealis Group IncSenior Software DeveloperHouston, TX$80,000–$130,000 / yearNote to staffing and direct hire agencies: In the event a recruiter or agency who is not on our preferred supplier list submits a resume/candidate to anyone in the company, AtkinsRéalis family of companies, we explicitly reserve the right to recruit and hire the candidate(s) at our discretion and without any financial obligation to the recruiter or agency. Ability to integrate AI capabilities into software development workflows using tools such as GitHub Copilot to improve productivity, accelerate delivery, and maintain code quality.
Back End Software Engineer Slb NVBack End Software EngineerHouston, TXGlobal in outlook, local in practice - and with a united, shared passion for discovering solutions, we hire talented, driven people and support them to succeed, personally and professionally. We will endeavor to make a reasonable accommodation / modification to the known physical or mental limitations of a qualified applicant with a disability to assist in the hiring process, unless the accommodation would impose an undue hardship on the operation of our business, in accordance with applicable federal, state, and local law.
Bilingual Medical Assistant CLINE PEDIATRICS, PABilingual Medical AssistantDickinson, TX$15–$17 / hourPart timeAssist in scheduling patients’ appointments with the pediatrician, and keep both the patient and his/her doctor updated on changes or cancellations of previous appointments. Room patients, take vitals, and inform the clinicians of the arrival of the patient to the clinic; also keep him/her informed of those waiting to see him/her.
Professional Coder II- Revenue Cycle University of Texas Health Science Center at HoustonProfessional Coder II- Revenue CycleHouston, TXRegistered Health Information Administrator (RHIA) by American Health Information Management Association (AHIMA) required orRegistered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) required orCertified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) required orCertified Coding Specialist Physician-based (CCS-P) by American Health Information Management Association (AHIMA) required orCertified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) required orRadiology Coding Certification (RCC) by Radiology Coding Certification Board (RCCB) requiredMinimum Education:High School Diploma or equivalent required. Minimum Experience:3 years experience in Health Information Management (HIM) coding requiredClinic or hospital E/M coding preferredClinic and hospital outpatient-based procedures preferredMay substitute required experience with equivalent years of education beyond the minimum education requirement.
Supervisor, Medical Referrals- Houston, TX Humana IncSupervisor, Medical Referrals- Houston, TXHouston, TX$65,200–$89,000 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
Manager, US Market Access LivaNovaManager, US Market AccessHouston, TX$110,000–$160,000 / yearA major focus of this role involves supporting and educating providers on billing and coding and engaging commercial and governmental payers of healthcare in the US for comprehensive coverage and adequate payment of LivaNova technologies and procedures. POSITION RESPONSIBILITIES: Support advocacy efforts with commercial and governmental payers for a defined region or assigned payers on the coverage and payment adequacy of LivaNova associated procedures and technologies.
Contractor - Senior Project Controls Specialist (P6 Scheduler) NuScale Power LLCContractor - Senior Project Controls Specialist (P6 Scheduler)Houston, TXApplicants must have first-hand project experience in nuclear power plant outages or nuclear projects, demonstrating a deep understanding of the unique regulatory, technical, and logistical challenges inherent in the nuclear industry. Experience: A minimum of 10 years of full-time working experience in project scheduling within large-scale projects or programs (preferably in energy, infrastructure, or industrial sectors), with at least 5 of those years working with Primavera P6, is required.