Managed Care Jobs in Dallas
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Search Results - Managed Care Jobs in Dallas
Rinvio Recruitment-Dallas
A healthcare recruitment firm is seeking an Associate Medical Director to oversee clinical operations within a managed care framework in Dallas, Texas. The role involves evaluating prior authorization requests, providing clinical oversight...
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Dallas
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid...
tiptopjob.com -
MePA-Dallas
quality improvements across programs.
The role requires board-certified Psychiatry, Texas license or eligibility, and experience with managed care and policy development.
#J-18808-Ljbffr...
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Optum-Dallas
Managed Care experience
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• Oncology experience
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• Home care / field based case management experience
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/n *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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/n Pay is based on several...
E2E Alignment Healthcare USA, LLC-Dallas
partnering with providers and delegated groups to optimize utilization and cost of care.
The role requires MD/DO with Texas license, ABMS/AOA board certification, and 5–10 years in UM leadership within managed care; travel and remote/hybrid work in
#J-18808...
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Dallas
Company Details:
Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker’s successful and speedy return to work is good for people and good...
icims.com -
E2E Alignment Healthcare USA, LLC-Dallas
practice experience. Minimum three years of leadership experience within managed care, Medicare Advantage, physician organizations, IPA/MSO, or value-based care environments. Preferred: Experience supporting delegated provider groups, IPAs, ACOs, or risk...
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Basepoint Health Management, LLC-Dallas
operational transformation.
• Strong understanding of payer contracts, credentialing, billing compliance, and behavioral health reimbursement models.
• Experience navigating Medicaid, managed care, and value-based reimbursement arrangements.
• Experience...
exponentats.com -
Remote Regional Medical Director, Non-Acute UM (Must reside in Texas preferably San Antonio or El...
E2E Alignment Healthcare USA, LLC-Dallas
Experience:
• Minimum five-ten years of Utilization Management clinical practice experience.
• Minimum three years of leadership experience within managed care, Medicare Advantage, physician organizations, IPA/MSO, or value-based care environments...
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Randstad-Dallas
or weekend shifts.
Preferred:
• 2+ years of experience in a health plan, TPA, or medical contact center.
• Familiarity with managed care programs (Commercial, Marketplace, Medicaid, Medicare).
• bilingual proficiency in Spanish and English (assessment...
randstadusa.com -
Dallas
established census, admissions, referral, or occupancy goals.
• Experience working with insurance companies, private case management companies, HMOs, managed care organizations, or healthcare payors preferred.
• Excellent communication, relationship-building...
icims.com -
Dallas
Population Health and Fraud, Waste and Abuse 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...
tiptopjob.com -
Basepoint Health Management, LLC-Dallas
on clinical/medical interview and/or record review, and via consultation with the interdisciplinary clinical and medical teams using American Society of Addiction Medicine Criteria.
• Identify from insurance company/managed care organizations pre-certification...
exponentats.com -
Dallas
in a review to a requesting 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...
icims.com -
Dallas
and all legal aspects of managed care operations. Provides counsel on general business issues. May also provide legal advice and counsel to certain Parkland departments as assigned by the Chief Legal Officer.
Minimum Specifications:
Education...
tiptopjob.com -
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