Dallas, Texas, United States · Remote OK
$56k–$84k/yr
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business in…
Skills: Auditing, Investigation, Claims Analysis, Fraud Detection, Data Analysis
Houston, Texas, United States · On-site
Job Description Provides students with appropriate learning activities and experiences designed to fulfill their potential for intellectual, emotional, physical and social growth.
Skills: Teaching, Microsoft Office, Curriculum Implementation, Student Development, Classroom Management
Houston, Texas, United States · On-site
Job Description Provides students with appropriate learning activities and experiences designed to fulfill their potential for intellectual, emotional, physical and social growth.
Skills: Teaching, Lesson Planning, Microsoft Office, Classroom Management, Student Development
Houston, Texas, United States · On-site
Job Description Provides students with appropriate learning activities and experiences designed to fulfill their potential for intellectual, emotional, physical and social growth.
Skills: Teaching, Microsoft Office, Classroom Management, Curriculum Implementation, Student Development
Houston, Texas, United States · On-site
Job Description Provides students with appropriate learning activities and experiences designed to fulfill their potential for intellectual, emotional, physical and social growth.
Skills: Teaching, Lesson Planning, Student Development, Microsoft Office, Classroom Management
Klein, Texas, United States · On-site
Description SUMMARY: The Assistant Operations Manager (AOM) supports the operational, administrative, and supervisory functions of EMS Field Operations. This role serves as a resource to Field Supervisors, facilitates th…
Skills: EMS Operations Management, Supervisory Leadership, Operational Performance Tracking, Regulatory Compliance, Incident Command
Coryell County, Texas, United States · On-site
Description Senior Protection Assessment Team Lead (KP) Primary Location: Various U.S. Army Installations (CONUS) – field-based, extensive travel required Clearance: Active Secret (Top Secret eligibility preferred) Abili…
Skills: Protection Assessment, Executive Briefing, Risk Management, Vulnerability Analysis, Quality Assurance
San Antonio, Texas, United States · On-site
JOB SUMMARY: The Senior Accountant performs advanced accounting and fiscal analysis activities, oversees complex reconciliations and financial reporting, assists with budget development and monitoring, and serves as a le…
Skills: Financial Reporting, Budget Development, GAAP, Grant Accounting, Fiscal Analysis
Huntsville, Texas, United States · On-site
The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). JOB …
Skills: Data Entry, Medical Records Management, Inventory Management, Administrative Support, Procurement
Austin, Texas, United States · Hybrid
$75k–$84k/yr
POSITION TITLE: Legal Fellow SUPERVISOR: Supervising Attorney of Voting Rights or Beyond Borders DATE EFFECTIVE: Priority review of applications submitted by July 31, 2026 LOCATION(s): Houston, Rio Grande Valley, Dallas-…
Skills: Legal Advocacy, Litigation, Project Proposal Development, Public Interest Law, Legal Research
Houston, Texas, United States · On-site
Job Description As a teacher of the Earned Autonomy System School, you will have the extraordinary opportunity to make a lasting impact on the lives of your students and contribute to shaping a better future. This role i…
Skills: Innovative Teaching Methods, Personalized Instruction, Data-Driven Assessment, Classroom Management, Student Growth Facilitation
San Antonio, Texas, United States · On-site
Description Valor Healthcare is looking for a passionate Registered Nurse to join our team at the Community Based Outpatient Clinic (CBOC) in NE San Antonio. About Valor Healthcare Valor Healthcare is a veteran- and phys…
Skills: Patient Assessment, Triage, Patient Education, Clinical Collaboration, EMR Proficiency
Waco, Texas, United States · On-site
ATTN FERS RETIREES: Earnings received as an ATC Instructor, ATC Training Instructional Supervisor, or Contractor Site Supervisor working on this program are EXEMPT from the Supplemental Annuity earnings limits for FERS r…
Skills: Air Traffic Control, Simulation Laboratory Training, Curriculum Design, Classroom Management, Radar Simulation
San Antonio, Texas, United States · On-site
Description Reports to Director of Worship Location Pastoral Ministry Center & Parish Work Schedule 3 hours/week average Position type Part-Time FLSA Status Exempt Summary: The Archdiocesan Director(s) of Music care(s) f…
Skills: Music Ministry Leadership, Liturgical Planning, Organ, Conducting, Music Notation Software
Dallas, Texas, United States · On-site
WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we str…
Skills: Financial Analysis, Accounting Principles, Financial Reporting, Reconciliation, Microsoft Excel
Dallas, Texas, United States · On-site
WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we str…
Skills: Financial Analysis, Accounting Principles, Financial Reporting, Reconciliation, Microsoft Excel
Euless, Texas, United States · On-site
ATTN FERS RETIREES: Earnings received as an ATC Instructor, ATC Training Instructional Supervisor, or Contractor Site Supervisor working on this program are EXEMPT from the Supplemental Annuity earnings limits for FERS r…
Skills: Classroom Instruction, Air Traffic Control, Curriculum Design, Student Mentoring, Classroom Management
San Antonio, Texas, United States · On-site
Description Reports to: Director for Evangelization and Formation for Missionary Discipleship Location: Pastoral Ministry Center Work Schedule: Monday through Friday 8:30 am – 5:00 pm, flexible as needed Position type: F…
Skills: Evangelization, Missionary Discipleship, Workshop Development, Training Facilitation, Pastoral Planning
Cleveland, Texas, United States · On-site
The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). JOB …
Skills: Direct Nursing Care, Patient Assessment, Medication Administration, Infection Control, Aseptic Techniques
Anson, Texas, United States · On-site
Pay: $19.50 per hour Schedule: Full-time, Monday - Friday, 8 am - 5 pm Benefit package includes: Medical, vision & dental insurance and prescription drug benefits Life and Accidental Death & Dismemberment (AD&D) insuranc…
Skills: Plumbing, Electrical Repair, Painting, Carpentry, HVAC Maintenance
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Conducts impartial audits and investigations into customer claims to ensure accuracy and identify fraud, waste, and abuse. Prepares comprehensive reports and communicates findings to stakeholders to resolve and close claims.
Requires a minimum of a Bachelor's degree and 2-4 years of experience, with Medicare experience and CFE certification preferred. Must possess strong analytical skills and the ability to conduct interviews and document findings.
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities.
Best People, Best Solutions, Best Results
Job Summary:
Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes.
Essential Functions:
Level of Supervision Received:
Plans and arranges own work; works with manager to prioritize projects.
Education (can be substituted for experience):
Minimum Bachelor's Degree required
Work Experience (can be substituted for education):
2 - 4 years of experience required; 5 - 7 years preferred
Medicare experience preferred
Certification(s):
Certified Fraud Examiner preferred
Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.
Qlarant is a drug-free workplace. All offers of employment are contingent upon successful completion of pre-employment background and drug screens.
Best People. Best Solutions. Best Results.®
For over 50 years, our history has been rooted in commitment to quality improvement for organizations — and quality of life for the people they serve. We began as Delmarva Foundation for Medical Care in 1973 on Maryland’s Eastern Shore as one of the country’s first quality review organizations for the Centers for Medicare and Medicaid. Through the decades, we created entities that became nationally known, including Delmarva Foundation, Health Integrity, and Quality Health Strategies. Today, we’ve brought together these extensive resources and the expertise of more than 500 professionals under one name — Qlarant — serving some of our nation’s most important programs in health, human services, government and insurance & financial services. Qlarant has a strong commitment to protecting the integrity of national and state health care systems in Medicare, Medicaid, and the private sector. In addition, The Qlarant Foundation issues annual grant awards to various programs that provide programs to underserved communities. Qlarant offers a broad range of innovative services: we’re proud to deliver our solutions for Quality Improvement; Fraud, Waste, & Abuse; and Data Sciences & Technology. Our Real-time Predictive Modeling and Data Analytics tools sift through billions of claims and public criminal records to detect aberrant trends and alert users for early investigative and audit actions with high accuracy and performance. We also provide quality review programs, auditing, training, and have an in-house call center ready to meet your needs. Visit www.qlarant.com for further information.
Offices: 28464 Marlboro Ave, Easton, Maryland 21601, US · 14025 Riveredge Dr, Tampa, Florida 33637, US · 2039 Centre Pointe Blvd., Suite 202, Tallahassee, FL 32308, US · 14643 Dallas Pkwy, Dallas, Texas 75254, US · 2605 Lord Baltimore Dr., Suite E, Baltimore, MD 21244, US
Based on 1654 listings with disclosed salaries, most government & public sector jobs in Texas pay between $61k–$165k per year. Individual offers vary with seniority, company size, and specialization.
There are currently 7,595 open government & public sector positions in Texas listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Texas Health and Human Services, Prairie View A&M University, UTMB School of Health Professions, Houston ISD, Dallas County, among others. Browse the listings above to see every active employer.
Yes — 1253 of the 7595 open government & public sector positions offer remote or hybrid work (325 remote, 928 hybrid).
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