- The Cigna Group (Dallas, TX)
- …TEXAS market - can live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare ** serves as an integral member of the ... for service and sophisticated value-based reimbursements with providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician… more
- Elara Caring (Greenville, TX)
- …at the Right Time, in the Right Place. **Job Description:** The Area Director of Clinical Operations is responsible for precepting, developing, and training ... new Registered Nurse and Clinical Manager team members. The Area Director ...advanced clinical skills as defined by accepted clinical standards. + Working knowledge of Medicare ,… more
- BrightSpring Health Services (Arlington, TX)
- …+ Achieves productivity goals with regard to calls/claims per hour, as determined by the Director and Clinical Hub Manager. + Prioritizes work to meet daily and ... drug plans to effectively communicate and resolve customer issues. + Provides clinical support to members of the RxAllow team regarding prior authorization concerns… more
- Magellan Health Services (Dallas, TX)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement ... the Clinical Center of Excellence. + Provides clinical leadership to the interdisciplinary Medical Management...committees or project teams as directed by the senior medical director or vice-president. + Supports senior… more
- Molina Healthcare (Dallas, TX)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
- HCA Healthcare (Arlington, TX)
- …incentive eligible. **Introduction** Are you ready to manage in a new era as a Director of Diagnostic Imaging where building a healthier tomorrow is more than a job? ... Our Medical City Arlington team is committed to partnership, innovation,...an HCA Healthcare facility. Be an impact as a Director of Diagnostic Imaging where your passion for leading… more
- CVS Health (Dallas, TX)
- …sheet reporting. + Collaborate with constituent areas including Actuarial, Service Operations, Clinical , Network and Medical Economics to execute on growth and ... make health care more personal, convenient and affordable. **Position Summary** The Executive Director , CFO Texas Medicaid Market role will function as the CFO for… more
- Baylor Scott & White Health (Frisco, TX)
- …and regulatory requirements and responsiveness to changes in requirements. Coordinates with medical , clinical , or financial departments to ensure patient access ... in accordance with the activities of other BSWH departments. An entity Director translates and implements strategic plans and objectives for area of responsibility.… more
- Baylor Scott & White Health (Rockwall, TX)
- …to the administrative work in coordinating credentialing and re-credentialing and the clinical privileging of the medical staff and delineation of services ... centralized credentials verification system by managing all components of the medical staff database, including data entry, creating reports, and maintaining… more
- American Heart Association (Dallas, TX)
- …organizations supporting measure surveillance, workgroup nominations, and comments. Supports the Director of Quality and Health IT to further the department's ... national measure and registry committees as determined by the Director of Quality and Health IT. Works with the...+ Contribute to the design, development, and testing of clinical quality measures. + Provide strategic and technical expertise… more
- Gentiva (Plano, TX)
- …diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician. **As a Nurse Practitioner, ... diagnostic tests within the scope of professional practice. Order treatments and durable medical equipment as indicated. + Communicate clinical findings to the… more
- Gentiva (Plano, TX)
- …diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician. **As a Nurse Practitioner, ... diagnostic tests within the scope of professional practice. Order treatments and durable medical equipment as indicated. + Communicate clinical findings to the… more
- Elara Caring (Dallas, TX)
- …coordinating referrals, virtual healthcare processing, and maintaining communication between Clinical Supervisors and liaisons and the agency. At Elara Caring, ... + Opportunities for advancement + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer...a health care setting is required + Knowledge of Medicare and Medicaid payment guidelines and third-party payors is… more