Top 267 Managed care Jobs in Dallas, Tx

Managed Care Specialist
Blue and Company —Richardson, TX
- Full-time
- Microsoft Word
- Mid-level
- Analysis skills
Quick Apply
11d
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
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
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
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
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
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
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
Family Services Coordinator- East Region (3E)
Our Community Our Kids —Plano, TX
- Full-time
- Mid-level
- Bachelor's degree
- Children
Quick Apply
Payor Credentialing Specialist (remote)
Behavioral Health Group —Dallas, TX
- Remote
- Microsoft Outlook
- Computer literacy
- Research
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
Account Manager, Health Plans
SonderMind —Dallas, TX
- $115,000 - $130,000 a year
- Full-time
- Hybrid work
- Bachelor of Science
- Office
- Analysis skills
- Commuter assistance
- Paid parental leave
Quick Apply
Provider Enrollment Specialist
XIFIN —Dallas, TX
- $23 - $29 an hour
- Full-time
- HIPAA
- Mid-level
- Office
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
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
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
IPA, Network Provider Specialist [DALLAS]
Nutex Holdco LLC —Dallas-Fort Worth, TX
- Full-time
- Microsoft Word
- Microsoft Access
- Marketing
- Health insurance
- Dental insurance
Quick Apply
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

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managed care jobs near dallas, tx

Managed Care Specialist

Blue and Company
Richardson, TX

Quick Apply

Job Details

Full-time
11 days ago

Qualifications

Microsoft Word
Managed care organization experience
Spreadsheets
Client rapport building
Presentations for conferences or internal meetings
Contract interpretation
Contract management experience in healthcare
Health insurance knowledge
Healthcare reimbursement methods
Research findings presentation
Technical Proficiency
Project stakeholder communication
Terms and conditions negotiation

Full Job Description

Blue & Co., LLC is a dynamic, innovative professional services firm that provides accounting and consulting services to growth-oriented, entrepreneurial clients across multiple industries. Healthcare is our largest industry focus, supported by more than 150 experienced professionals dedicated to serving the sector.

We are seeking a Managed Care Specialist to provide subject matter expertise and technical support related to managed care contracts, reimbursement modeling, and operational best practices. The Specialist will work with Blue’s growing Healthcare Reimbursement and Revenue Cycle teams to help healthcare provider clients address managed care and reimbursement challenges.

Position Responsibilities

Interpret managed care contract terms, payment methodologies, and reimbursement hierarchies to identify risks and opportunities for healthcare provider clients.
Interview provider personnel to gather information on payer relationships, contract performance, and historical reimbursement trends.
Work with clients to define issues, develop practical work plans, and support implementation of recommended solutions.
Support managed care contract negotiations by identifying and prioritizing client needs and goals to help achieve favorable outcomes.
Build and maintain productive relationships with payers and providers that promote collaboration and trust.
Review, test, and analyze utilization and reimbursement data sets from healthcare providers.
Develop and maintain financial and reimbursement models using database and spreadsheet tools.
Prepare exhibits, analyses, and narrative reports that clearly communicate findings and reimbursement impacts.
Communicate regularly, verbally and in writing, with healthcare providers, health plans, and internal project teams.
Review insurance contracts, applicable state requirements, and financial documentation to support client recommendations.

Position Requirements

Two to six years of managed care experience, including review and negotiation of payer contracts.
Working knowledge of managed care contract language, payment methodologies, and contract modeling.
Strong experience with contract modeling highly preferred.
Basic understanding of value-based contracting principles.
Strong analytical skills, attention to detail, and ability to prioritize work to ensure accurate and timely completion.
Strong investigative, written, and verbal communication skills, with the ability to communicate effectively with internal and external stakeholders.
Excellent organizational and documentation skills.
Advanced proficiency in Microsoft Excel and Word; experience with database or analytics tools is preferred.
Ability to work independently and thrive in a fast-paced environment with changing priorities.
Strong interpersonal skills, including the ability to listen, influence, and build credibility with senior leaders, clients, providers, and payers.
Ability to organize and lead professional business meetings and deliver oral presentations.

We are responsive. We are caring. We are advocates.

Blue & Co., LLC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, sex, sexual orientation, gender identity, disability, genetic information, national origin, race, religion, veteran status, or any other protected category.

Candidates must be authorized to work in the United States without current or future employer sponsorship.

Agency candidates will not be considered for this position.

#LIHybrid

Quick Apply

Refine Your Search

managed care jobs in dallas, tx

Managed Care Specialist

Case Management Administrative Assistant

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

Director of Social Work

Reimbursement Specialist Full Time - Remote within DFW Area

Sr. Manager - Clinical Change Adoption & Readiness

Patient Insurance Analyst

Utilization Review Nurse

Care Manager - Remote

Family Services Coordinator- East Region (3E)

Payor Credentialing Specialist (remote)

Licensed Behavioral Health Care Manager - Independent Contractor/Remote

Account Manager, Health Plans

Provider Enrollment Specialist

Primary Care Physician

Primary Care Physician

PhysicianMulti Sites

Palliative Registered Nurse-Dallas-Ft Worth

IPA, Network Provider Specialist [DALLAS]

PhysicianMulti Sites

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