- Molina Healthcare (Fort Worth, TX)
- …operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve. ... **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to performance of… more
- Molina Healthcare (Fort Worth, TX)
- …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- Molina Healthcare (Fort Worth, TX)
- …**Job Duties** + Enable market P&L success through support and oversight for assigned markets, including D-SNP market performance management. + Function ... as Medicare subject matter expert and point of contact for...drive compliance and performance objectives as well as provide oversight , including service level agreements. + Works with staff… more
- Molina Healthcare (Fort Worth, TX)
- …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
- Molina Healthcare (Fort Worth, TX)
- …to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight , monitoring ... and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's… more
- Molina Healthcare (Fort Worth, TX)
- …Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of processes that track, evaluate, and submit encounter deletions ... for Medicare Advantage, ACA, and Medicaid lines of business. This...accuracy & completeness (ie, Encounter Production, Audit, Production Vendor Oversight ) for assigned lines of business. Responsible for increasing… more
- Texas Health Resources (Arlington, TX)
- …Health wholly owned and joint venture hospitals. **Essential Functions:** . Executive oversight of organizational and operational risk assessments across all ... among internal and external alliances and customers. Using a broad operational perspective identifies and escalates enterprise vulnerabilities, based on an… more
- Texas Health Resources (Arlington, TX)
- …federal, state, and THR/THPG regulations. Job Qualifications Organization and Oversight Cross-Department Collaboration - Work closely with various departments to ... organization remains compliant and proactive. Strategic Planning Assistance - Support the Director in developing the annual work plan to strengthen compliance and… more
- HCA Healthcare (Dallas, TX)
- …well as support activities related to classroom coordination, registration oversight , documentation of participation, scheduling, and procurement of teaching ... with clinical education employees. Seeks and implements strategies for operational improvement. + Supports clinical educators in scheduling classes, and… more