leadership oversight and directs the operations for the program integrity department and associated functions. Accountable..., Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. Knowledge of Texas Medicaid...
to learn and join a talented team where patient care is more than a job. It’s our passion. Primary Purpose The Director... of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care...
for Parkland Community Health Plan’s (PCHP) performance metric and rating programs. Accountable for the overall program management... work plan in accordance with PCHP guidelines and regulatory requirements. Analyze and evaluate HEDIS rates communicating...