Medicare Risk Assessment jobs in Dallas, TX

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Client Implementations Senior Manager
3+ years of experience supporting government programs, i.e. Medicare Part D, Medicare, EGWP’s, etc.*. Mitigating client/member risks and internal risks through...

Healthcare Advocate

UnitedHealth Group - 6,138 reviews - Dallas, TX 75215 (South Boulevard-Park Row area)
Experience in Risk Adjustment and HEDIS / Stars. Assists providers in understanding the Medicare quality program as well as CMS-HCC Risk Adjustment program as...

New Member Assessment Specialist-Limited Term

Humana - 3,038 reviews - Irving, TX
Including conducting a Health Risk Assessment to eligible members. Prior Medicare experience. Humana is seeking a Limited Term-New Member Assessment Specialist...

Corporate Compliance Team Lead/HIPAA

SpartanNash - 149 reviews - Dallas, TX
Risk Management/Quality Assurance Compliance. Participates and oversees coordination of IDT assessment and care plan meetings....
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Senior Product Business Analyst

Medecision - 8 reviews - Dallas, TX 75225 (North Dallas area)
Medicare and Medicaid; Eliciting the requirements needed to carry out business processes including interviews, intelligence analysis and survey assessments....

Senior Director, Regulatory and Accreditation

Tenet Home Office - Dallas, TX
Risk to the facility or company. Knowledgeable on TJC, Centers for Medicaid and Medicare, Quality. Knowledgeable in the areas of peer review, risk management,...


Texas Health Resources - 334 reviews - Arlington, TX 76011 (East area)
Assess high risk quality cases to accurately trigger pre-bill coding review process.3. Critical assessment of the health record documentation to accurately...

PAP Governance Manager

Cardinal Health - 2,063 reviews - Lewisville, TX 75067
Determines call center operational strategies by conducting needs assessments, performance reviews, capacity planning, and cost/benefit analyses....

Director of Utilization Review

Sundance Behavioral Healthcare - 13 reviews - Garland, TX 75042
Review assessment information. Review all department risk management occurrence and ensure that complete and timely reports are submitted to Risk Management....
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Client Implementations Senior Manager

CVS Health - 17,258 reviews - Irving, TX
3+ years of experience supporting government programs, i.e. Medicare Part D, Medicare, EGWP’s, etc. Mitigating client/member risks and internal risks through...

Charge Description Master (CDM) Manager - Navigant Cymetrix...

Navigant - 29 reviews - Lewisville, TX
Consults with Navigant-Cymetrix and Cayuga Medical Center compliance on identified or suspected regulatory risk....
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