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5522 Case Planner jobs in Dallas,TX

New, Posted 8 hours ago

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Associate General Counsel - Health Plan

Parkland Health Hospital System

Dallas, TX 75235

Onsite

Must have a current Texas license to practice law in good standing; OR must pursue "Admission without Examination" based on reciprocity as outlined by the most recent standards established by the State Bar of Texas resulting in receipt of a Texas law license within 9 months of hire date.
Must be a good team player, able to work well with colleagues and other departments, and to coordinate effectively with internal and outside legal counsel in appropriate circumstances.
Must have critical thinking and practical strategy skills as applied to managed care, HMO, and hospital/ healthcare business.
Must be a graduate of an accredited law school.
Must have a minimum of eight (8) years of law practice experience with a preference toward managed care, healthcare industry transactions, regulatory investigations, litigation, healthcare industry and/or governmental entity vendor/commercial contracts, health plan operations, provider/payor issues, HMO operations and/or risk management functions.
Must maintain good standing as a licensed attorney with the State Bar of Texas or an equivalent state bar association after admission.
Must be willing to learn new areas of managed care, healthcare operations and law sufficient to support an HMO, as well as an innovative, dynamic academic medical center.
Must be able to effectively communicate with all levels of PCHP and Parkland system personnel.
Must be able to quickly analyze operational information and provide first-line legal advice.
Must be organized, detail oriented and have excellent oral and written communication and negotiation skills.
Must participate in 24/7 attorney on-call rotation schedule (currently, one week every 7-8 weeks).
Must effectively manage outside counsel, Legal Affairs paralegals, and other staff.
Must have good investigative skills.

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New, Posted 6 hours ago

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SIU Investigator Senior (Major Case Unit)

USAA

Dallas, TX 75221

RemoteUrgently HiringHealth InsurancePaid Time OffRetirement Benefit

Meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver's license.
US military experience through military service or a military spouse/domestic partner
Expert knowledge and understanding of fraud investigations as well as application of case law and state laws and regulations.
Experience in concurrent handling of specialty/complex/litigated claims/cases as well as mediation/arbitration/trial preparation and participation.
Ability to capture broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
Demonstrated ability to coordinate and prioritize workload, performing multiple tasks and devising solutions to problems.
4+ years of P&C; SIU/Fraud investigation experience; OR 6+ years relevant fraud industry investigation experience.
Experience using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
High School Diploma or General Equivalency Diploma.
Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.
Must be a skilled investigator with experience taking sophisticated statements from multiple parties to an event.

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Financial Planning Counselor

Fisher Investments Careers

Arlington, TX 76019

Health InsurancePaid Time OffRetirement Benefit

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Senior Estate Planning Professional

LHH

Plano, TX 75086

Health InsurancePaid Time OffRetirement Benefit

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Event Manager, Corporate Event Planning

Cohera

Dallas, TX 75215

Health InsurancePaid Time OffRetirement Benefit

Physician / Administration / Texas / Locum or Permanent / Clinical Administration Coordinator Dallas TX Job

OptumCare

Dallas, TX 75201

Flexible Schedule

Easy Apply

Customer Care Advocate (Remote)

Hire Standard Staffing

Dallas, TX

$120,000/yr

RemoteHealth Insurance

Comfortable using Zoom and other online communication tools.
No prior insurance experience is required — only a strong drive to succeed and a willingness to learn.
Must be a U.S. or Canadian citizen.

SmartExplore AI is experimental.

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