• Behavioral Health Medical Director-Psychiatrist…

    Elevance Health (Grand Prairie, TX)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... **Behavioral Health Medical** **Director-Psychiatrist** ** Appeals ** **Location:** This role enables associates to work...Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical… more
    Elevance Health (11/01/25)
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  • Utilization Review Case Manager

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... access the full range of their benefits through the utilization review process. + Conducts admission reviews. + Conducts...concurrent and extended stay reviews. + Prepares and submits appeals to third party payors. + Maintains appropriate records… more
    Dallas Behavioral Healthcare Hospital (10/30/25)
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  • Pharmacist, Utilization Management (UM)…

    Molina Healthcare (Fort Worth, TX)
    …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... The Pharmacist, UM will be responsible for reviewing coverage determinations and appeals in a timely, compliant, and accurate manner. The Pharmacist, UM will… more
    Molina Healthcare (10/16/25)
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  • Delivery Senior Manager

    NTT DATA North America (Plano, TX)
    …and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a **Medicare ... Appeals Clinical Leader** to lead service delivery engagements and...corrective actions + Collaborate with health plans, clinical teams, utilization management, and other departments to address complex cases… more
    NTT DATA North America (09/11/25)
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  • Associate Manager RN Denials Management

    Banner Health (TX)
    …make Banner Health the best place to work and receive care. As an Associate Manager of RN Denials Management, you will be an integral part of leadership within the ... in payer clinical denials. Collaborates with Care Coordination, physician, Utilization Review, and other internal/external departments to overturn and/or reduction… more
    Banner Health (11/01/25)
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  • Field Reimbursement Manager - Rheumatology

    Sanofi Group (Dallas, TX)
    **Job Title:** Field Reimbursement Manager - Rheumatology **Location:** Remote/Field **About the Job** Field Reimbursement Manager , Rheumatology reports to the ... Field Reimbursement Managers for the Rheumatology Business Unit The Field Reimbursement Manager (FRM) will be the field subject matter expert relating to patient… more
    Sanofi Group (11/04/25)
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  • VAS - Institutional Funds Manager

    CBRE (Dallas, TX)
    VAS - Institutional Funds Manager Job ID 215004 Posted 03-Oct-2025 Service line Advisory Segment Role type Full-time Areas of Interest Valuations/Appraisal ... - United States of America **About The Role:** As a CBRE Valuation Funds Manager , you will independently prepare market value appraisals on real estate assets with… more
    CBRE (09/26/25)
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  • Registered Nurse Case Manager IP Rehab

    HCA Healthcare (Plano, TX)
    …is recognized. Submit your application for the opportunity below:Registered Nurse Case Manager IP RehabMedical City Plano **Benefits** Medical City Plano offers a ... by location._** We are seeking a(an) Registered Nurse Case Manager IP Rehab for our team to ensure that...Accurate and timely data collection . Promotes effective resource utilization and appropriate levels of care . Cross train… more
    HCA Healthcare (10/21/25)
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  • Manager Revenue Cycle - Self-pay…

    Houston Methodist (Katy, TX)
    At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... to: medical coding, insurance billing, collections, patient account resolution, appeals /denials, customer service, cash applications, revenue integrity, etc. This… more
    Houston Methodist (10/29/25)
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  • Senior Facilities Manager

    Warren Equipment Company (Odessa, TX)
    **Description** TEAM UP WITH US! The Senior Facilities Manager oversees and manages all aspects of facility operations across multiple dealership sites, ensuring ... the facility infrastructure capital plan. . Inspect facilities and evaluate space utilization across multiple sites to ensure efficient use and alignment with… more
    Warren Equipment Company (09/30/25)
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