- Molina Healthcare (Dallas, TX)
- …compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and ... related field (advanced degree a plus). **Experience** * 7+ years managing Medicare CTM, appeals & grievances, or related compliance functions-hands-on with CMS CTM… 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
- Fresenius Medical Center (Plano, TX)
- …key member of the Revenue Cycle leadership team this role will have direct oversight and responsibility for all processes related to the front-end services of the ... Managed Care and Insurance Coordinators. The VP of Revenue Cycle will have oversight that encompasses associates domestically and with our global partners to partner… more
- Molina Healthcare (Dallas, TX)
- …between Molina Healthcare and contracted provider network. In partnership with Director , manages and coordinates the Provider Services activities for the state ... for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support… more
- Molina Healthcare (Dallas, TX)
- …in collaboration with the Manager or Director . * Keeps Manager or Director apprised of operational issues, including staffing resources, program and system ... drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient… more