Managed Care Jobs in Dallas
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Search Results - Managed Care Jobs in Dallas
Reny Company-Dallas
Job Description
Company Description
The Reny Company is a privately held, national medical managed care firm specializing in designing programs to reduce costs associated with non-subscribers, workers' compensation, liability, P&I, and group...
Lancesoft INC-Dallas
Associate Medical Director Family Medicine (Locums-to-Perm)
Dallas, TX
Facility Setting: Managed Care / Health Plan Administrative & Clinical Oversight
Remote during locums' phase Hybrid model if converted to perm
Start Date: As soon...
NLB Services-Dallas
REQUIRED]
• Must understand managed care and insurance contractual arrangements - [REQUIRED]
• Must have basic knowledge of medical software - [REQUIRED]
• Must be detail oriented, possess basic mathematical skills, and have sharp analytical skills...
Reny Company-Dallas
Company Description
The Reny Company is a privately held, national medical managed care firm specializing in designing programs to reduce costs associated with non-subscribers, workers' compensation, liability, P&I, and group medical claims. We...
Saltu Healthcare-Dallas
reconsiderations, redeterminations, and appeals
• Review denial reasons and gather supporting documentation
• Draft non-clinical appeal letters
• Process payer correspondence and account updates
• Collaborate with internal teams, including HIM & Managed Care...
LocumJobsOnline-Dallas
and administration of the clinical aspects of PCHP fraud, waste & abuse programs, and pharmacy coordination. - Participate in regulatory interactions (state/local agencies), managed care committees - Support development & monitoring of annual organizational goals...
GO Staffing-Dallas
Duties include: Clinical utilization management oversight (authorizations, appeals, peer reviews, pharmacy, FWA) and clinical policy development and provider performance evaluation
• No call
• Need experience in managed care and prior authorization...
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 -
Med Ninjas-Dallas
00 AM 5:00 PM
Start Date: 01/05/2026
End Date: 13-week assignment (Locum to Perm)
Position Details:
Patient Population:
Setting: Managed Care / Utilization Management
Responsibilities: Clinical oversight, prior authorization reviews, peer-to-peer...
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 -
Saltu Healthcare-Dallas
redeterminations, and appeals
• Review denial reasons and gather supporting documentation
• Draft non-clinical appeal letters
• Process payer correspondence and account updates
• Collaborate with internal teams, including HIM & Managed Care Legal
• Ensure...
Randstad-Dallas
to determine claim management outcomes.
• Directly contacting insurance carriers to track the status of claims, appeals, and insurance verification.
• Navigating a diverse payor mix including Managed Care, Commercial, Medicare, and Medicaid.
• Preparing...
randstadusa.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 -
Dallas
organizations, key hospital staff, managed care organizations, appropriate external and internal case managers
• Exemplify a working knowledge of the facility levels of care provided by the network, special programs and designated network referral priorities...
icims.com -
University Health-Dallas
EDUCATION/EXPERIENCE
Bachelors degree is required in accounting or healthcare:related field with at least three years experience in professional healthcare audit services, interpretation of Texas Medicaid Managed Care regulations, Texas Department...
tiptopjob.com -
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