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,...

CODER III FT Days THR Corp

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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