Managed Care Jobs in Dallas
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Search Results - Managed Care Jobs in Dallas
Centene-Dallas
Doctor (JD) from an accredited law school, with a strong academic record and a state bar admission preferred
5+ years of experience in a leadership role required
10+ years of Medicare Managed Care Compliance experience required
Experience in the managed...
Dallas Independent School District-Dallas
Provide consultation, review and guidance to other primary care and mental health care in the evaluation and treatment of children.
4. Administer the psychiatric operations of the Mental Health Services Center within district, state, federal, and managed...
appcast.io -
Intuitive-Dallas
as a solution to these issues.
Assist digital product teams in discovery, defining, development & delivery of products.
Work collaboratively to improve patient access via partnering with: hospitals, IDNs, Health Systems, ASCs, AMCs, physician groups, managed...
resume-library.com -
Doctor's Choice Placement Services, Inc-Dallas
are offered. The practice has full EMR and payer mix is as follows: 45% managed care, 32% Medicare, 15% Medicaid, 6% Commercial Insurance and 1% self pay.
Qualifications Preferred:
1. Experience in a hospital and outpatient setting.
2. Board Certified...
appcast.io -
Amgen-Dallas
practices, medical directors, managed care decision makers, and pharmacy directors in alignment with applicable compliance, legal, and regulatory guidelines.Understand, integrate and effectively communicate scientific/medical information and commercial value...
Dallas
litigated claims. Gains trust of other parties to negotiations and demonstrates good sense of timing.
6. Depending on the type of claim may:
• Communicate with internal Managed Care and Medical resources to ensure coordination with Medical providers...
icims.com -
Dallas
of acute clinical nursing or medical management experience required. Prior clinical appeals experience preferred. Experience in Texas Medicaid, Medicaid, or a Medicaid managed care organization preferred.
Certification/Registration/Licensure
• Current...
tiptopjob.com -
Randstad-Dallas
and Director(s) in the coordination and preparation of the HEDIS and RA medical record collection process.
Requirements
• High School Diploma
• Medical record retrieval or comparable experience required
• HEDIS and RA experience, preferably in a managed care...
randstadusa.com -
Dallas
EDUCATION/CREDENTIALS:
• Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services...
icims.com -
United Surgical Partners International-Dallas
Familiarity with CPT Codes, HCPCS
• Ability to mentor to EHR analysts and team members on a technical level that they can comprehend.
• Experience in a health care setting or managed care organization
• Previous experience with Cerner revenue cycle solutions...
surfingwave.app -
Dane Street, LLC-Dallas
Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching...
workable.com -
Dallas
Functions to assure comprehensive, high quality health care to plan members in accordance with managed care and PCHP policies. Monitors clinical care needed to produce optimal health outcomes and cost:effective care.
Minimum Specifications
Education...
tiptopjob.com -
Dallas
provider in a timely manner
Qualifications:
EDUCATION/CREDENTIALS:
• Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development...
icims.com -
Dallas
Identifies and reports trends and emerging issues and recommends solutions.
Minimum Specifications
Education
High School Diploma
Experience
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• Five years of experience in managed care products and benefits.
• Three...
tiptopjob.com -
Dallas
Five (5) years of leadership experience.
• New product development, positioning, and start:up experience required.
• Marketing segmentation experience required.
• Experience with Texas Medicaid or Medicaid Managed Care preferred.
• Bilingual speaking...
tiptopjob.com -
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