• Medical Claim Review

    Molina Healthcare (Fort Worth, TX)
    …Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in ... more
    Molina Healthcare (01/25/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (Fort Worth, TX)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... more
    Molina Healthcare (02/09/25)
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  • Nurse /CPC - Clinical Fraud Investigator II…

    Elevance Health (Grand Prairie, TX)
    ** Nurse /CPC - Clinical Fraud Investigator II - SIU...control. + Review and conducts analysis of claims and medical records prior to payment. ... more
    Elevance Health (02/08/25)
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  • Psychiatrist - Medical Director - PC Mental…

    Veterans Affairs, Veterans Health Administration (Dallas, TX)
    …by the VHA Education Loan Repayment Services program office after review of the EDRP application. Responsibilities Core responsibilities include leading and ... more
    Veterans Affairs, Veterans Health Administration (01/30/25)
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  • Medical Director (Medicare)

    Molina Healthcare (Fort Worth, TX)
    …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more
    Molina Healthcare (02/09/25)
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  • Medical Director Specialty Medical

    Molina Healthcare (Fort Worth, TX)
    …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more
    Molina Healthcare (02/07/25)
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