- Fresenius Medical Center (Dallas, TX)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Baylor Scott & White Health (Dallas, TX)
- …the hospital, and BSWH. Develops guidelines for working with insurers, managed care organizations, referral providers, patients, and families. Monitors ... **JOB SUMMARY** Director , Comprehensive Care Management (CCM) is a System Director responsible for planning, developing, and implementing the comprehensive … more
- Baylor Scott & White Health (Dallas, TX)
- …denials. This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The ... a matrixed organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations. **Essential Functions of the… more
- Molina Healthcare (Fort Worth, TX)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Baylor Scott & White Health (Dallas, TX)
- …for overseeing the enrollment of BSWH facilities and providers with government and managed care payers, ensuring all processes comply with regulatory and payer ... **Job Summary** The Director , Provider Enrollment, is responsible for the strategic...payer enrollments and claims submission. Collaborates with Legal, Compliance, Managed Care , Medical Staff Services, Government Finance,… more
- Guardian Life (Plano, TX)
- …simultaneously + Knowledge of, or willingness to learn, regulatory requirements for dental managed care in the State of California **You will** + Continuously ... compliance. You will provide quality oversight and report any quality-of- care issues. In addition, the State Dental Director...quality-of- care issues. In addition, the State Dental Director will be expected to lend support to the… more
- Elevance Health (Grand Prairie, TX)
- …Financial, Business, and Leadership acumen strongly preferred. + Prior experience with managed care , trend & healthcare analytics, provider networks, claims, ... **Business Strategy Plan Director (Business Stat Plan Dir)** Location: This role...+ Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network… more
- Molina Healthcare (Fort Worth, TX)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- S&P Global (Dallas, TX)
- …Role:** **Grade Level (for internal use):** 12 **About the Role:** **Associate Director , Fixed Income Index Calculation and Distribution** **The Team:** The Fixed ... of accuracy and integrity. Collaborating with cross-functional teams, the Associate Director will ensure calculation inputs are validated, oversee calculations and… more
- Prominence Advisors (Dallas, TX)
- Prominence Advisors is actively seeking a Director of Analytics to join their team. Director of Analytics provides leadership for all activities related to Data ... and activities to ensure projects are prioritized and properly managed . This includes managing project timelines, budgets, resource forecasting...at their fingertips in order to deliver higher quality care at a lower cost. Ranked as a best… more
- Guidehouse (Lewisville, TX)
- …Guidehouse** Guidehouse is a global consultancy providing advisory, technology, and managed services to the commercial and public sectors. Guidehouse is ... lead in the energy transition. **The Opportunity** We are seeking a dynamic **Associate Director ** to drive growth and client impact to utility and energy clients in… more
- Molina Healthcare (Fort Worth, TX)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to… more
- Fresenius Medical Center (Irving, TX)
- …with management and executives to determine appropriate plan of action. Supports Managed Care staff in budgeting and forecasting activities. PRINCIPAL DUTIES ... + Responsible for timely and accurate communication of revenue reporting to Managed Care Management Team. + Responsible for compliance with all related data… more
- WTW (Dallas, TX)
- …organization, health benefits consulting or brokerage environment, health insurance carrier, managed care organization or another leading health care ... **Description** As a Health Analytics Director you will partner with other Senior Consultants...coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts,… more
- Brink's (Coppell, TX)
- …of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, ... we provide equal opportunity to participate and grow. Job Description As Senior Director , Global Lean and Commercial Process Excellence, you will play a pivotal role… more
- Stantec (Plano, TX)
- When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program management ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more
- JPMorgan Chase (Plano, TX)
- …and drive impact, we've got an opportunity just for you. As a Director of Software Engineering, Global Snowflake Engineering Lead at JPMorganChase within the CDAO ... to the cloud. * Proficiency in building on emerging cloud server less managed services to minimize or eliminate physical and virtual server footprints. * Experience… more
- Molina Healthcare (Fort Worth, TX)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide… more
- YesCare Corp (Waxahachie, TX)
- …healthcare services, YesCare is committed to innovation, clinical expertise, and compassionate care . By choosing a career with YesCare, you are opting for ... full career potential. Your role at YesCare allows you to contribute directly to the care and well-being of patients who need it most. Join a team that's known for… more
- Zimmer Biomet (Fort Worth, TX)
- …effect action that will exploit the markets and actualize sales potential in the managed care arena. * Coordinates the development and application of appropriate ... measures for monitoring performance against contracted sales and profit objectives in assigned accounts and controlling contract actions to accommodate contingencies revealed by controls. * Coordinates outside contacts with internal Zimmer Biomet personnel. *… more