- Fresenius Medical Center (Dallas, TX)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Hilton (Addison, TX)
- …team that's helping hotels consistently grow market share and outperform competitors\. On the Managed Team reporting to the Director , you will accomplish this by ... of a Revenue Management Consolidated Center \(RMCC\) that is offering owned, managed , and franchised Hilton hotels world\-class revenue management talent and tools\.… more
- Baylor Scott & White Health (Dallas, TX)
- …the hospital, and BSWH. Develops guidelines for working with insurers, managed care organizations, referral providers, patients, and families. Monitors ... **JOB SUMMARY** Director , Comprehensive Care Management (CCM) is a System Director responsible for planning, developing, and implementing the comprehensive … more
- Baylor Scott & White Health (Dallas, TX)
- …denials. This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The ... a matrixed organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations. **Essential Functions of the… more
- IQVIA (Dallas, TX)
- …and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic/professional credentials and scientific ... **Alzheimer's Medical Liaison Field Director ** We are hiring a Medical Liaison (ML)...experience in a health-related system, pharmaceutical company, or + Managed Care Environment required. + Proven track… more
- Health Care Service Corporation (Richardson, TX)
- …needed for electronic documentation of case reviews **PREFERRED REQUIREMENTS:** + 3 years Managed Care experience + Hematology and Oncology experience + Peer to ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more
- Molina Healthcare (Dallas, TX)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Baylor Scott & White Health (Dallas, TX)
- …for overseeing the enrollment of BSWH facilities and providers with government and managed care payers, ensuring all processes comply with regulatory and payer ... **Job Summary** The Director , Provider Enrollment, is responsible for the strategic...payer enrollments and claims submission. Collaborates with Legal, Compliance, Managed Care , Medical Staff Services, Government Finance,… more
- Guardian Life (Plano, TX)
- …simultaneously + Knowledge of, or willingness to learn, regulatory requirements for dental managed care in the State of California **You will** + Continuously ... compliance. You will provide quality oversight and report any quality-of- care issues. In addition, the State Dental Director...quality-of- care issues. In addition, the State Dental Director will be expected to lend support to the… more
- Stantec (Plano, TX)
- When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program management ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more
- Prime Healthcare (Mesquite, TX)
- …+ 5 years of management experience in one of the following venues: hospitals, managed care , credentialing verification organizations, or ambulatory care . + 3 ... the Dallas Market sometimes referred to as aMedical Staff Director . * Position is a shared Director postion for both Dallas Regional Medical Center and Dallas… more
- Elevance Health (Grand Prairie, TX)
- …Financial, Business, and Leadership acumen strongly preferred. + Prior experience with managed care , trend & healthcare analytics, provider networks, claims, ... **Business Strategy Plan Director (Business Stat Plan Dir)** Location: This role...+ Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network… more
- Molina Healthcare (Dallas, TX)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- S&P Global (Dallas, TX)
- …Role:** **Grade Level (for internal use):** 12 **About the Role:** **Associate Director , Fixed Income Index Calculation and Distribution** **The Team:** The Fixed ... of accuracy and integrity. Collaborating with cross-functional teams, the Associate Director will ensure calculation inputs are validated, oversee calculations and… more
- Prominence Advisors (Dallas, TX)
- Prominence Advisors is actively seeking a Director of Analytics to join their team. Director of Analytics provides leadership for all activities related to Data ... and activities to ensure projects are prioritized and properly managed . This includes managing project timelines, budgets, resource forecasting...at their fingertips in order to deliver higher quality care at a lower cost. Ranked as a best… more
- Molina Healthcare (Dallas, TX)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to… more
- Guidehouse (Lewisville, TX)
- …Guidehouse** Guidehouse is a global consultancy providing advisory, technology, and managed services to the commercial and public sectors. Guidehouse is ... lead in the energy transition. **The Opportunity** We are seeking a dynamic **Associate Director ** to drive growth and client impact to utility and energy clients in… more
- Compass Group, North America (Frisco, TX)
- …as a company as we continue to raise the bar. **Job Summary** **The Director of Dining Services** is an exciting opportunity for an upbeat, entrepreneurial manager ... responsible for the successful operation of Dining Services. The Director ensures client, customer service/satisfaction with efficient cost effective management… more
- WTW (Dallas, TX)
- …organization, health benefits consulting or brokerage environment, health insurance carrier, managed care organization or another leading health care ... **Description** As a Health Analytics Director you will partner with other Senior Consultants...coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts,… more
- Fresenius Medical Center (Irving, TX)
- …with management and executives to determine appropriate plan of action. Supports Managed Care staff in budgeting and forecasting activities. PRINCIPAL DUTIES ... + Responsible for timely and accurate communication of revenue reporting to Managed Care Management Team. + Responsible for compliance with all related data… more