- Molina Healthcare (Dallas, TX)
- …of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops ... infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and… more
- Molina Healthcare (Dallas, TX)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... departmental leadership. **Qualifications** **Education** * Bachelor's degree - Health Administration , Business, Information Systems, or related field (advanced degree… more
- Molina Healthcare (Dallas, TX)
- …Medical License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- WTW (Richardson, TX)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... to join our Sales Center Team as a Sales Director . **How the Position Works** The Sales Director...within a sales center environment. + Strong understanding of Medicare and Medicaid regulations. + Demonstrated integrity and strong… more
- Molina Healthcare (Dallas, TX)
- …without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- Genesis Healthcare (Dallas, TX)
- …expertise with our Clinicians in Action professional development program. Responsibilities The Director of Rehab PTA is responsible for the efficient management of ... in integration of rehabilitation services in all settings. The Director of Rehab PTA supports the delivery of the...monthly reports and formally reviews them with the facility administration . 19. Ensures that the clinical management of the… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership role responsible for the development, implementation, ... evolution of value-based care (VBC) programs across all lines of business-Medicaid, Medicare , and Marketplace. This role is critical in driving clinical and… more
- Molina Healthcare (Dallas, TX)
- …and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and ... EDUCATION** : Bachelor's Degree in a related field (Business Administration , etc.) or equivalent experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES**… 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 ... outreach and resolving provider inquiries. * In conjunction with the Director , Provider Network Management & Operations, develops health plan-specific provider… more
- Molina Healthcare (Dallas, TX)
- …Degree in preferred field: Nursing, Social Work, Clinical Quality, Public Health, or Healthcare Administration + 1 year of experience in Medicare and in Medicaid ... quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid) Executes health plan's member and community quality… more