- Molina Healthcare (Dallas, TX)
- …operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve. ... **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to performance of… more
- Molina Healthcare (Dallas, TX)
- …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
- Health Care Service Corporation (Richardson, TX)
- …development. **Job Summary** This position is responsible for providing leadership and oversight of the Pharmacy function that supports Medicaid & Individual Markets ... Individual and Family Markets. The role will lead efforts related to operational and cost efficiency, product design, pricing, sales strategy and revenue… more
- Texas Health Resources (Arlington, TX)
- …Health wholly owned and joint venture hospitals. **Essential Functions:** . Executive oversight of organizational and operational risk assessments across all ... among internal and external alliances and customers. Using a broad operational perspective identifies and escalates enterprise vulnerabilities, based on an… more
- Molina Healthcare (Dallas, TX)
- …Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of processes that track, evaluate, and submit encounter deletions ... for Medicare Advantage, ACA, and Medicaid lines of business. This...accuracy & completeness (ie, Encounter Production, Audit, Production Vendor Oversight ) for assigned lines of business. Responsible for increasing… more
- Texas Health Resources (Arlington, TX)
- …federal, state, and THR/THPG regulations. Job Qualifications Organization and Oversight Cross-Department Collaboration - Work closely with various departments to ... organization remains compliant and proactive. Strategic Planning Assistance - Support the Director in developing the annual work plan to strengthen compliance and… more