- Molina Healthcare (Houston, 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 (Houston, 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 (Houston, 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
- Molina Healthcare (Houston, TX)
- …Education** Bachelor's Degree or equivalent years of experience in Healthcare Administration such as oversight, audit, etc. **Required Experience** * 7 years ... of 5 years or more **Preferred Education** Master's Degree in Healthcare Administration **Preferred Experience** + 10 years of managed care experience (Regulatory… more
- Molina Healthcare (Houston, 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
- UTMB Health (Friendswood, TX)
- Physician - Community Based Clinics, Value Based Care Director **Friendswood, Texas, United States** **Hot** Physician UTMB Health Requisition # 2502256 **JOB ... The Community Based Clinic (CBC) Community Value Base Care Director will collaborate with the UTMB Health Directors and...CBC CMO + Serves as an internal consultant to administration , staff, and physicians in the areas of regulatory,… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the Houston ... managed care payers include commercial payers, separate transplant contracts, Medicare Advantage, Medicaid Health Maintenance Organizations (HMOs), International, behavioral… more
- HCA Healthcare (Houston, TX)
- …**Introduction** Are you ready to manage in a new era as an Assistant Director Central Business Office where building a healthier tomorrow is more than a job? ... HCA Healthcare facility. Be an impact as an Assistant Director Central Business Office where your passion for leading...Center managed care contracts with third party payors including Medicare and Medicaid + Ensure that your AR aligns… more
- Gentiva (Houston, TX)
- **Overview** We're looking for a ** Director of Palliative Care - RN** to join our team. You will report directly to the VP of Palliative Care. You will be ... or support to patient's/families/caregivers + Collaborates with Nurse Practitioner or Medical Director to address patient needs **About You** + Registered Nurse with… more
- Gentiva (Houston, TX)
- **Overview** We're looking for a ** Director of Palliative Care - Nurse Practitioner** to join our team. You will report directly to the VP of Palliative Care. You ... consultation, and follow up under the direction of the Palliative Medical Director (if required under State law). + Establish, implement, and evaluate goals… more
- Molina Healthcare (Houston, 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 (Houston, TX)
- …the design and implementation of value-based care programs across Medicaid, Medicare , and Marketplace populations, ensuring alignment with clinical, quality and ... programs that are responsive to market needs and tailored for Medicaid, Medicare , and Marketplace populations. + Develops contracting frameworks that are inclusive… more
- Molina Healthcare (Houston, 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
- HCA Healthcare (Houston, TX)
- …want to join an organization that invests in you as a Texas Regional Director Emergency Management and Business Continuity? At HCA Healthcare, you come first. HCA ... opportunity to make a difference. We are looking for a dedicated Texas Regional Director Emergency Management and Business Continuity like you to be a part of our… more