- Molina Healthcare (Dallas, TX)
- …+ Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and...NCQA, CMS, State and Federal requirements. May also perform non- clinical system and process audits, as needed. + Assesses… more
- HCA Healthcare (Dallas, TX)
- …plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug ... and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- Houston Methodist (Dallas, TX)
- **Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** **$5,000 Sign-On Bonus** At Houston Methodist, the Coding Quality Auditor ... and provides good feedback during coding section meetings, coding education in- services , and coder/CDMP meetings. Takes initiative to assist others and shares… more
- Omnicell (Grapevine, TX)
- **Job Description:** The Regulatory Auditor position plays a critical role in safeguarding the integrity and compliance of pharmacy operations. This position is ... to transforming pharmacy care through outcomes-centric innovation designed to optimize clinical and business outcomes across all settings of care. We strive… more
- Molina Healthcare (Dallas, TX)
- …and member/provider outreach initiatives. + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships ... performance improvement, including member and provider outreach to improve care and service . + Serves as operations and implementation lead for Molina Plan quality… more
- Omnicell (Dallas, TX)
- …+ **Collaborate Across Teams** - Work closely with **Sales, Legal, Professional Services , Sales Finance, Credit & Collections, and FP&A** to ensure transactions ... Compliance & Reporting** - Prepare technical accounting memos, lead external auditor discussions, manage SSP analysis, and provide revenue recognition guidance and… more