Senior Complaint and Appeal Analyst- Health Plan - Dallas

Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. · We're growing fast and looking for teammates who want ...

We're growing fast and looking for teammates who want to help transform health insurance for the better. · Advanced analytical skills and creative problem-solving abilities with an attention to detail. · Sound knowledge of actuarial techniques and standards. · Able to translate a ...

We're growing fast and looking for teammates who want to help transform health insurance for the better. · A Health Plan Actuary Manager applies knowledge of mathematics, probability, statistics, and principles of business to provide technical support for rating/pricing, valuatio ...

Assist the health practice in developing and executing business development strategies for the office including providing master planning, design, and related medical architecture expertise necessary for the design of pediatric health facilities consistent with firm's commitment ...

We are looking for an experienced and results-oriented Large Group Health Plan Salesperson to join our team in our Dallas market. · ...

We are looking for an experienced and results-oriented Large Group Health Plan Salesperson to join our team in our Dallas market. · Prospect and generate leads: Identify and engage potential clients in the large group market. · Consult and advise brokers and clients: Work closely ...

The Quality Improvement Specialist will manage Performance Improvement Projects from inception to completion, ensuring our healthcare services consistently meet the highest standards of quality and efficiency. · ...

This position is responsible for coordinating with health plans to implement processes that ensure adherence to regulatory standards. The ideal candidate will have 5+ years of medical/healthcare job experience and 1+ years of medical/healthcare claims processing experience. · Coo ...

XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone – from those who receive care, to those who deliver it, to those who pay for it. · We are looking for an experienced and results-oriented Larg ...

Parkland Community Health Plans (PCHPs) Healthcare Business Data Analyst reports to the Health Services department responsible for gathering data to improve health services delivery. · ...

The Provider Data Management (PDM) Analyst is responsible for maintaining and updating provider data within the health plan's systems to ensure accuracy, timeliness, · and compliance with regulatory requirements.Bachelor's degree in healthcare administration or related field requ ...

Responsible for managing Performance Improvement Projects from inception to completion, ensuring our healthcare services consistently meet the highest standards of quality and efficiency. · ...

The Program Manager Healthcare Financial Analytics is responsible for leading the development maintenance and enhancement of cost and utilization reporting for Parkland Community Health Plan PCHP This role provides actionable insights to support financial planning actuarial forec ...

The Program Manager is responsible for leading the development, maintenance, · and enhancement of cost and utilization reporting for Parkland Community Health Plan (PCHP).This role provides actionable insights to support financial planning, · actuarial forecasting, and executive ...

The Senior Quality Program Data Analyst will provide oversight and design of enterprise-wide quality analytics management and reporting. · ...

This position utilizes and manipulates a variety of data platforms, · formats and applications; develops reports integrating numerous data sources; · constructs and maintains dashboards and dashboards elements. ...

The Manager of IT Application Systems is responsible for the ongoing planning, design, implementation, integration, maintenance and support of PCHP's core business/clinical solutions. · ResponsibilitiesResponsible for the ongoing operation of PCHP's core application systems. · Ma ...

The Care Coordinator assists members/patients by providing support, · education and assistance in the prevention and/or maintenance of their health. · This role monitors members'/patients' treatment plans... ...

+Job summary · We are seeking a Health Plan Referral Specialist to join our healthcare system team in Irving, TX. · +Authorization Management: Expedite the flow of requests through the Managed Care System. · ...

We are seeking a Health Plan Referral Specialist to join our team. · ...