Top 267 Managed care Jobs in Dallas, Tx

Clinical Practice Performance Consultant - Dallas/Ft Worth, TX Markets
UnitedHealthcare —Dallas, TX
- $72,800 - $130,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
2d
Managed Care Specialist
Blue and Company —Richardson, TX
- Full-time
- Microsoft Word
- Mid-level
- Analysis skills
Quick Apply
11d
Utilization Review Nurse
Oscar Health —Dallas, TX
- $35.00 - $45.94 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Director of Social Work
Optum —Dallas, TX
- $91,700 - $163,700 a year
- Full-time
- Bachelor of Science
- Pass drug screening
- Licensed Clinical Social Worker
Quick Apply
1d
Case Management Administrative Assistant
Cantex Continuing Care Network —Carrollton, TX
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
- Continuing education credits
- Health insurance
Quick Apply
5d
Care Manager - Remote
CareVitality Inc —Dallas, TX
- $60,000 - $77,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
7d
Sr. Manager - Clinical Change Adoption & Readiness
CVS Health —Irving, TX
- $67,900 - $182,549 a year
- Full-time
- Hybrid work
- 7 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Patient Insurance Analyst
Oak Street Health —Dallas, TX
- $21.10 - $40.90 an hour
- Full-time
- Sales
- Clinic
- Bachelor's degree
- Health insurance
- Dental insurance
Reimbursement Specialist Full Time - Remote within DFW Area
USMD Hospital At Arlington LP —Arlington, TX
- Full-time
- Remote
- Basic math
- Mid-level
- 3 years
Quick Apply
Licensed Behavioral Health Care Manager - Independent Contractor/Remote
Colla Health —Dallas, TX
- Part-time
- LMFT
- 5 years
- Licensed Clinical Social Worker
Quick Apply
Family Services Coordinator- East Region (3E)
Our Community Our Kids —Plano, TX
- Full-time
- Mid-level
- Bachelor's degree
- Children
Quick Apply
Primary Care Physician
Valora Medical Group —Garland, TX
- From $210,000 a year
- Full-time
- Bilingual
- Background check
- Spanish
- Health savings account
- Disability insurance
Quick Apply
Primary Care Physician
Valora Medical Group —Southlake, TX
- From $210,000 a year
- Full-time
- Bilingual
- Background check
- Spanish
- Health savings account
- Disability insurance
Quick Apply
Palliative Registered Nurse-Dallas-Ft Worth
VITAS Healthcare —Dallas-Fort Worth, TX
- $34 - $41 an hour
- Weekends as needed
- RN License
- Mid-level
- Outpatient experience
- Mileage reimbursement
- Disability insurance
Physician***Multi Sites***
Altea Healthcare —Irving, TX
- $210,000 - $250,000 a year
- Full-time
- Skilled nursing facility
- Management
- Up to 50% travel
- Disability insurance
- Health insurance
Quick Apply
Physician***Multi Sites***
Altea Healthcare —Dallas, TX
- $210,000 - $250,000 a year
- Full-time
- Skilled nursing facility
- Management
- Up to 50% travel
- Disability insurance
- Health insurance
Quick Apply
Hybrid - Psychologist
Loyal Source Government Services —Dallas, TX
- $142,854 - $154,854 a year
- Microsoft Access
- Microsoft Outlook
- HIPAA
Quick Apply
Medical Director (Texas Licensed)
Bumblebee Health —Texas
- Part-time
- Remote
- Medicine
- Management
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
2d
Vice President, Payor Relations
Soleo Health Inc —Frisco, TX
- Urgently hiring
- Bachelor's degree
- Travel
- Contracts
- Paid parental leave
- Health savings account
Quick Apply
Vice President of Human Resources
CANTEX CONTINUING CARE NETWORK LLC —Carrollton, TX
- Full-time
- 11+ years
- Office
- Master's degree
- Continuing education credits
- Health insurance
Quick Apply

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managed care jobs near dallas, tx

Clinical Practice Performance Consultant - Dallas/Ft Worth, TX Markets

UnitedHealthcare -
Dallas, TX

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Job Details

Full-time
$72,800 - $130,000 a year
2 days ago

Qualifications

Microsoft Excel
Microsoft Outlook
Medicare
Managed care
Managed care organization experience
EMR/EHR
Health insurance knowledge
Financial data analysis tools
Stakeholder relationship building

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Practice Performance Manager is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy.

***For consideration, you must reside within a commutable distance of Dallas/Ft Worth, TX as this is a field based role***

If you are located in Dallas/Ft Worth, TX, you will have the flexibility to work remotely*, as well as work in the field as you take on some tough challenges.

Primary Responsibilities:

The person in this role is expected to work directly with care providers to build relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts; and influence provider behavior to achieve needed results
Functioning independently, travel across assigned territory to meet with providers to discuss UHG tools and programs focused on improving the quality of care for Medicare Advantage Members
Execute applicable provider incentive programs for health plan
Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and ACOs
Develop comprehensive, provider-specific plans to increase their HEDIS performance and improve their outcomes
Provide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution
Act as lead to pull necessary internal resources together in order to provide appropriate, effective provider education, coaching and consultation. Training will include Stars measures (HEDIS/CAHPS/HOS/med adherence), and Optum program administration, use of plan tools, reports and systems
Coordinate and lead Stars-specific JOC meetings with provider groups with regular frequency to drive continual process improvement and achieve goals
Provide reporting to health plan leadership on progress of overall performance, gap closure, and use of virtual administrative resource
Facilitate/lead monthly or quarterly meetings, as required by plan leader, including report and material preparation
Provide suggestions and feedback to Optum and health plan
Work collaboratively with health plan market leads to make providers aware of Plan-sponsored initiatives designed to assist and empower members in closing gaps
Participate within department campaigns to improve overall quality improvements within measure star ratings or contracts
Work internally with leadership on adhoc projects, initiatives, and sprints to address measure star ratings and increase overall measure performance
Create strategy and action plans for targeted provider groups to increase healthcare delivery, star ratings, and maximize on gap closures
Includes up to 75% local travel

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

5+ years of healthcare industry experience
3+ years of experience working for a health plan and/or for a provider's office
1+ years of STARs experience
Solid knowledge of electronic medical record systems
Solid knowledge of the Medicare market
Knowledge base of clinical standards of care, preventive health, and Stars measures
Experience in managed care working with network and provider relations/contracting
Solid financial analytical background within Medicare Advantage plans (Risk Adjustment/STARS Calculation models)
Microsoft Office specialist with exceptional analytical and data representation expertise; Advanced Excel, Outlook, and PowerPoint skills
Must be able to travel within local territory up to 75%

Preferred Qualifications:

Bachelor's Degree or equivalent work experience
Medical/clinical background
Consulting experience
Consulting experience
Solid problem-solving skills
Solid communication and presentation skills
Solid relationship building skills with clinical and non-clinical personnel

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

managed care jobs in dallas, tx

Clinical Practice Performance Consultant - Dallas/Ft Worth, TX Markets

Managed Care Specialist

Utilization Review Nurse

Director of Social Work

Case Management Administrative Assistant

Care Manager - Remote

Sr. Manager - Clinical Change Adoption & Readiness

Patient Insurance Analyst

Reimbursement Specialist Full Time - Remote within DFW Area

Licensed Behavioral Health Care Manager - Independent Contractor/Remote

Family Services Coordinator- East Region (3E)

Primary Care Physician

Primary Care Physician

Palliative Registered Nurse-Dallas-Ft Worth

PhysicianMulti Sites

PhysicianMulti Sites

Hybrid - Psychologist

Medical Director (Texas Licensed)

Vice President, Payor Relations

Vice President of Human Resources

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