- Molina Healthcare (Dallas, TX)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- NTT America, Inc. (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a BPO Senior Director to join our team. This position is eligible for ... company benefits including medical , dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance,… more
- The Cigna Group (Plano, TX)
- **Job Description: Director for Regulated Markets - CDAG/ODAG** **Excited to grow your career?** We value our talented employees, and whenever possible strive to ... the difference in our success. **Role Summary** : The Director of Regulated Markets is responsible for Coverage Review...Markets is responsible for Coverage Review and Determinations for Medicare Part B and Part D, Medicaid, Marketplace or… more
- Molina Healthcare (Dallas, TX)
- …activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- CenterWell (Grand Prairie, TX)
- …of medical expertise with the care team through daily huddles. Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 340 centers across fifteen… more
- CenterWell (Plano, TX)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more