32 Healthcare Administration jobs in Houston.

Hiring now: Processor Cob Review @ Molina Hea, Clinical Review Administr @ Healthhelp, Reimbursement Biz Mgr Imm @ Regeneron , Warranty Admin @ Sonicautom, Nurse Reviewer Associate @ Elevance H, Medicare Audit Appeals Su @ Baxter, Customer Billing Ii @ Boston Sci, Benefit Advisor @ Wtw, Sr Credit And Collections @ Paragon He, Spec Us Benefits @ Scotiabank.Explore more at jobswithgpt.com.

🔥 Skills

customer service (7) HIPAA (5) utilization review (4) compliance (4) Medicare (4) data entry (3) prior authorization (3) financial responsibility (3) medical necessity (3) collaboration (3)

đź“Ť Locations

Houston (32)
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Molina Healthcare

Processor, COB Review Houston
Skills & Focus: Coordination of Benefits, insurance records, data entry, claims transactional system, premium restoration, Medicare Secondary Payer, ESRD, telephone support, clerical support, COB tracking database
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 1-3 years’ experience in Medical administrative support.
Salary: $21.16 - $31.71 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Care Review Clinician, Inpatient Review (RN) Houston
Skills & Focus: inpatient services, clinical guidelines, prior authorization, hospital acute care, utilization review, multidisciplinary teams, care coordination, evidence based, financial responsibility, registered nursing
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience.
Salary: $26.41 - $61.79 / HOURLY
Type: Full-time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Healthhelp

Clinical Review Administrative Support Houston
Skills & Focus: clinical review, customer service, data entry, HIPAA compliance, Quality Initiative Projects, Key Performance Indicators, telephonic support, documentation standards, URAC, NCQA standards
About the Company: HealthHelp provides clinical review services to ensure the appropriate use of healthcare resources.
Experience: Experience in customer service or administrative roles preferred.
Type: Full-time

Regeneron Pharmaceuticals Inc.

Reimbursement Business Manager, Immunology Houston
Skills & Focus: Reimbursement, Immunology, Health Care Practitioner, Access, Payer, Biologics, Specialty Pharmacy, Utilization Management, Sales, Customer Support
Experience: 5 years in pharmaceuticals; 2 years in reimbursement
Salary: $163,100.00 - $206,500.00
Type: Contract
Benefits: health and wellness programs, fitness centers, equity awards, annual bonuses, paid time off

Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Houston
Skills & Focus: inpatient reviews, clinical service requests, evidence-based clinical guidelines, medically appropriate care, cost-effective, financial responsibility, prior authorization, multidisciplinary team collaboration, Utilization Management Certification, hospital acute care
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience.
Salary: $23.76 - $51.49 / HOURLY
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Care Review Clinician, Prior Authorization Nurse Houston
Skills & Focus: prior authorization, clinical service requests, evidence-based clinical guidelines, financial responsibility, multidisciplinary teams, utilization management, compliance, cost-effectiveness, referrals, patient outcomes
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 1-3 years of hospital or medical clinic experience.
Salary: $19.64 - $42.55 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Healthhelp

Clinical Reviewer Houston
Skills & Focus: utilization review, medical necessity, clinical reviews, customer service, HIPAA, quality issues, compliance, teamwork, NCQA standards, project prioritization

Sonicautomotive

Warranty Administrator Houston
Skills & Focus: warranty claims, OEM compliance, audit repair orders, reconciles warranty receivables, primary point of contact, service advisors collaboration, warranty documentation, tracks warranty parts, manages warranty receivables, timely reimbursement

Elevance Health

Nurse Reviewer Associate Houston
Skills & Focus: preauthorization, clinical screening, medical necessity, diagnostic imaging, collaboration, healthcare providers, confidentiality, patient outcomes, managed health care, ICD-9 and CPT coding
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: AS in nursing; Current unrestricted RN license in applicable state(s) required.
Salary: $27.47 to $52.06 (hourly)
Type: Full-time
Benefits: comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution.
Rating/Claims System Analyst Senior Houston
Skills & Focus: claims systems, data analysis, configuration, business processes, testing, SQL, Jira, Confluence, Agile, CPT codes
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: 4 years systems analyst or business analyst experience; or any combination of education and experience.
Type: Hybrid
Benefits: Market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus progra…

Baxter

Medicare Audit & Appeals Supervisor Houston
Skills & Focus: Medicare, Audit, Appeals, Revenue Cycle Management, Supervision, Medical Reimbursement, Performance Metrics, Problem-Solving, Process Improvement, Team Development
About the Company: At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a s…
Experience: 3+ years’ experience in Medicare Audits, Medical Claims, Appeals or Third-Party Reimbursement. 1+ years leadership or supervisory experience.
Salary: $68,000 to $93,500
Benefits: Baxter offers comprehensive compensation and benefits packages including medical and dental coverage, Employee Stock Pu…

Regeneron Pharmaceuticals Inc.

Reimbursement Business Manager- Dermatology Houston
Skills & Focus: reimbursement, healthcare providers, payers, specialty pharmacy, access services, medical coding, claims/billing processes, project management, communication skills, cross-functional team
About the Company: Regeneron is a biotechnology company that discovers, invents, develops, manufactures, and commercializes medicines for the treatment of serious diseases.
Experience: Minimum 5 years’ experience in pharmaceuticals and/or sub-cutaneous self-injectable biologics working in a matrix environment – with 2 years Reimbursement experience.
Salary: $163,100.00 - $206,500.00
Type: Contract
Benefits: Health and wellness programs, fitness centers, equity awards, annual bonuses, and paid time off.

Boston Scientific

Customer Billing II Houston
Skills & Focus: customer billing, insurance claims, revenue cycle, EOB interpretation, claims processing, healthcare, collaboration, problem solving, account resolution, medical coding
About the Company: Leading medical technology company focused on advancing science for life through innovative medical solutions.
Experience: Three years of experience in healthcare revenue cycle, specific to area of expertise.
Type: Hybrid

Elevance Health

RN Medical Policy Review Analyst (Utilization Review / Oncology) Houston
Skills & Focus: medical research, utilization review, Oncology Solution, medical claim issues, Medicare policy, coding changes, NCCN, medical review policies, complex claims review, internal physician liaison
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. They are a Fortune 25 company with a longstan…
Experience: Requires a BA/BS degree and a minimum of 2 years related experience including clinical experience.
Salary: $70,000 to $115,500
Benefits: comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution

Healthhelp

Clinical Review Administrative Support Houston
Skills & Focus: administrative intake, clinical review, customer service, confidential information, data entry, telephonic support, Quality Initiative Projects, Key Performance Indicators, HIPAA, compliance initiatives

Wtw

Benefit Advisor Houston
Skills & Focus: Medicare, insurance, sales, consultative, eligibility, needs analysis, communication, empathy, professionalism, team player
Experience: Active Resident State Life and Health Insurance license
Salary: $21.00/hr
Type: Full-time temporary
Benefits: Robust WTW compensation and benefits package

Paragon Healthcare

Senior Credit and Collections Specialist Houston
Skills & Focus: credit, collections, insurance premiums, debt, research, demand letters, reports, healthcare, infusion, specialty pharmacy
About the Company: A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injec…
Experience: 2 years of commercial debt collection experience
Type: Hybrid
Benefits: merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and long term d…

Elevance Health

Director II Network Services Program Houston
Skills & Focus: Network Services, Veterans Affairs, Payment Models, Healthcare Delivery, Strategic Planning, Process Improvement, Technical Development, Provider Contracting, Leadership, Analytics
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 8 years of experience with healthcare delivery/payment design, strategic planning, budgeting and forecasting.
Salary: $167,040 to $288,144
Type: Hybrid
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution.

Scotiabank

Specialist, U.S. Benefits Houston
Skills & Focus: benefits administration, leave management, FMLA, compliance, employee benefit, disability management, policy interpretation, HR benefit policies, Open Enrollment, customer service
About the Company: Scotiabank is a leading bank in the Americas, providing a broad range of advice, products and services, including personal and commercial banking, wealth manag…
Experience: minimum 3 years experience in benefits / leave management
Salary: 80,000.00 - 100,000.00
Benefits: Flexible benefit programs designed to support unique family, financial, physical, mental, and social health needs.

Baxter

Medicare Audit & Appeals Supervisor Houston
Skills & Focus: Medicare, Audit, Appeals, Supervisor, Healthcare, Programs, Access, Respiratory, Cardiology, Technical Services
About the Company: Baxter is a global healthcare company that engages in the innovation, manufacture, and delivery of medical devices and solutions to clients worldwide.
Type: Full-time
Benefits: Comprehensive employee benefits options.

Syneos Health

Field Reimbursement Specialist Houston
Skills & Focus: Field Reimbursement Specialist, reimbursement, patient access, HCP education, cross functional collaboration, payer criteria analysis, access issues, Hub program, pharmaceutical sales, specialty pharmacy
About the Company: Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.
Experience: 5+ years of pharmaceutical sales experience, Buy & Bill/Reimbursement product experience required, Specialty Pharmacy & Rare Disease experience preferred
Salary: $125,000 - $135,000
Type: Full-time
Benefits: Health benefits including Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time.

Markel Group

Sr. Claims Examiner Houston
Skills & Focus: claims handling, medical malpractice, coverage analysis, litigated claims, customer service, risk assessment, claims adjuster license, negotiation, team collaboration, policy language interpretation
About the Company: Markel Group (NYSE – MKL) is a fortune 500 company with over 60 offices in 20+ countries, holding operations for insurance, reinsurance, specialist advisory an…
Experience: Minimum of 7-15 years of claims handling experience or equivalent combination of education and experience in insurance. Successful completion of 5 years as a Claims Examiner.
Salary: $83,600 - $110,760 with 15% bonus potential
Type: Full-time
Benefits: Multiple health, dental and vision insurance plan options; Optional life, disability, and AD&D insurance; 401(k) with e…

Wtw

Benefit Advisor Houston
Skills & Focus: Medicare, insurance plans, sales, consultative sales approach, eligibility analysis, needs analysis, empathetic communication, team player, call center environment, certifications
About the Company: Not provided
Experience: Not provided
Salary: $18/hr plus bonuses and incentives
Type: Full-time temporary
Benefits: Robust compensation and benefits package

Conifer Health Solutions

HIM Specialist Houston
Skills & Focus: HIM, HIPAA, document imaging, electronic health record, patient information, chart analysis, quality review, organization, productivity metrics, privacy and security
About the Company: Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their fina…
Experience: Two (2) years’ experience in a hospital Health Information Management department
Benefits: Conifer offers a competitive benefits package – from flexible spending accounts to various work perks.

Healthhelp

Clinical Reviewer Houston
Skills & Focus: utilization review, medical necessity, clinical reviews, documentation policy, HIPAA, customer service, quality management, regulatory requirements, independent work, project prioritization

Quest Diagnostics

Spec, Health Screener Houston
Skills & Focus: biometric screening, health coaching, customer service, finger stick blood collection, blood pressure, height/weight, health screening, quality control, HIPAA, OSHA
About the Company: Quest Diagnostics is a leading provider of worksite wellness screening and health improvement programs.
Experience: At least 1 year of healthcare experience in a professional health care setting
Type: Per Diem and On Call
Benefits: Paid health time, Spring Health resources, 401(k) with company match, training opportunities

Boston Scientific

Peripheral Vascular Clinical Specialist Houston
Skills & Focus: clinical support, medical conditions, vascular system, case coverage, customer training, product usage, sales quota, problem solving, training support, inventory tracking
About the Company: Boston Scientific is committed to solving the challenges that matter most in healthcare, providing innovative medical solutions that improve patient lives and …
Experience: 3-5 years
Salary: $70,000 to $120,000
Type: Full-time
Benefits: core and optional benefits offered at BSC, which can be reviewed at www.bscbenefitsconnect.com

Sonicautomotive

Warranty Administrator Houston
Skills & Focus: warranty claims, compliance, audits, documentation, reconciles, repairs, payments, collaboration, monitoring, tracking

Transamerica

Medical Director Houston
Skills & Focus: mortality risk assessment, medical underwriting, EKG interpretation, clinical experience, data analytics, insurance medicine, strategic direction, medical impairments, technical training, interpersonal skills
About the Company: Transamerica is part of an international holding company, with millions of customers and thousands of employees worldwide, providing insurance, retirement, and…
Experience: 5 years of clinical experience; Minimum 3 – 5 years’ experience in clinical medical practice
Salary: $183-235K
Type: Full-time
Benefits: Competitive Pay, Bonus for Eligible Employees, Pension Plan, 401k Match, Employee Stock Purchase Plan, Tuition Reimburs…

Elevation Health

Provider Reimburse Admin Sr Houston
Skills & Focus: reimbursement policies, claims adjudication, subject matter expert, medical policies, editing policies, vendor collaboration, business process improvements, provider reimbursement activities, mentorship, coding conventions
About the Company: Elevation Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstand…
Experience: 4 years related experience; or any combination of education and experience.
Salary: $76,296 to $124,848
Type: Hybrid (1-2 days in the office)
Benefits: comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution

Baxter

QC Review Technician Houston
Skills & Focus: ECG, cardiac data, quality reviews, communication, reporting standards, medical terminology, Electrophysiology, healthcare innovations, patient care, quality assurance
About the Company: Baxter is dedicated to saving and sustaining lives by providing essential hospital products and therapies found in nearly every hospital worldwide. With over 8…
Experience: 2+ years in the Electrophysiology Field
Salary: $68,000 - $85,000
Type: Full-time
Benefits: Comprehensive compensation and benefits packages that include medical and dental coverage starting on day one, life ins…
Senior Manager, Government Programs - Medicaid Houston
Skills & Focus: Medicaid, health policy, reimbursement, medical devices, state policies, coverage development, government programs, process improvement, contract implementation, patient access
About the Company: Baxter is a global medical company that develops, manufactures and markets critical care products and therapies vital to patient care, improving the lives of m…
Experience: 6 plus years in health policy, reimbursement, Medicaid and public health payment programs; 3 plus years of pharmaceutical/medical device proven experience.
Salary: $152,000 - $209,000 annually
Benefits: Baxter offers comprehensive compensation and benefits packages including medical and dental coverage, 401(k) plan, empl…