Healthcare Qa Manager Jobs in Texas

Underpayment Resolution Manager Revenue Cycle','08950-139781','United States-Texas-Irving-PAS - Dallas','Full-time','Directors ... Although we are the largest healthcare provider in the world and ... of community. The Underpayment Resolution Manager is responsible for..

Description The Senior Pharmacy Sales Executive leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana Pharmacy for fulfillment. The Senior Pharmacy Sales Executive ..

Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..

Job Information Centerwell RN Clinical Manager in Vernon Texas The Clinical ... in Vernon Texas The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..

Job Description Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on their ..

Job Information Humana Technical Product Manager - Remote in San Antonio ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

Description Summary: This position is responsible for the design, development, implementation, and evaluation of all clinical standards, such as clinical guidelines and protocols, for each level of care across the continuum ..

JOB SUMMARY The Care Manager RN 1 QA will be accountable for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and resolve medical ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Specialty/Setting: ICU/Med Surg Detailed Shift Schedule: Monday - Friday 8am - 5pm CST *JOB SUMMARY* The Care Manager RN 1 QA will be responsible for assessing and coordinating patient care across ..

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..

What does an Associate Client Services Manager do? The Associate Client Services Manager will develop, and build relationships with new clients and expand market presence with inactive clients to increase top ..

... Kindred at Home RN Clinical Manager Home Health Full Time in ... in Temple Texas The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..

... Kindred at Home RN Clinical Manager Home Health Full Time in ... San Angelo Texas The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..

Description Summary: This position is responsible for the design, development, implementation, and evaluation of all clinical standards, such as clinical guidelines and protocols, for each level of care across the continuum ..

Description Summary: Responsible for creating and facilitation training strategies/programs to support an operational team responsible for abstraction and pursuit of HEDIS® measures to ensure they reach operational milestones, gap closures, rates, ..

Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..

... Kindred at Home RN Clinical Manager in Victoria Texas The Clinical ... in Victoria Texas The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..

Job Description Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on their ..

Job Functions, Duties, Responsibilities and Position Qualifications: Quality is in our DNA -- is it in yours? You are made of leadership material. You have proven people skills, an eye for ..

... Kindred at Home RN Clinical Manager Home Health Full Time in ... Wichita Falls Texas The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..