- Boston Consulting Group (Dallas, TX)
- …of perspectives to spark change. BCG delivers solutions through leading-edge management consulting along with technology and design, corporate and digital ... In this role, you are the backbone of the function, ensuring that the Managing Director & Partners (MDPs) and the Partners you support have what they need to… more
- HCA Healthcare (Fort Worth, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At Medical City Alliance, you come first. HCA ... and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team. **Job Summary… more
- Elevance Health (Grand Prairie, TX)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews ... ** is responsible for serving as the Operational Medical Director for our care management models for...clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
- BrightSpring Health Services (Fort Worth, TX)
- Our Company Rehab Without Walls Neuro Rehabilitation Overview Rehab Without Walls is hiring a Director of Clinical Management in Irving, TX! Make an impact as a ... program efficiency + Supervises the licensed clinical staff including management of cases, staff assignments, case problems,...certification as required by the state in which the Director of Clinical Management practices + Demonstrates… more
- Texas Health Resources (Arlington, TX)
- Director Utilization Management -Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... will be ad hoc and required meetings onsite throughout the year. Summary The Director will be the department leader for system services for wholly owned and Partner… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Operations Medical Director ** **Carelon Medical Benefit Management ** **Radiation Oncology** **Virtual:** This role enables associates to work ... domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical management staff… more
- CenterWell (Fort Worth, TX)
- …of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... clinical practice with leadership and operational management to ensure high-quality patient care and alignment with...are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving… more
- CenterWell (Arlington, TX)
- …of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... clinical practice with leadership and operational management to ensure high-quality patient care and alignment with...precise + Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving… more
- Molina Healthcare (Fort Worth, TX)
- …Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health ... management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for mental… more
- Molina Healthcare (Fort Worth, TX)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- Elevance Health (Grand Prairie, TX)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician and oversees the...you will make an impact:** + Supports the Medical Management staff to ensure timely and consistent responses to… more
- OneMain Financial (Irving, TX)
- …and performance across the enterprise. **Role Overview:** We are seeking a seasoned ** Director of Data Products** to lead and expand our shared data products ... data platform capabilities, priorities, and outcomes. + **Portfolio & Lifecycle Management :** Oversee the full lifecycle of data products-from ideation and business… more
- Molina Healthcare (Fort Worth, TX)
- …in the performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures ... HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous… more
- Molina Healthcare (Fort Worth, TX)
- …leaders to support implementation of best practices for optimal performance. The Program Director , RQS HP Engagement ensures that all RQS action plans are complete, ... * Acts in a consultative role, supporting development of business case methodologies for incremental programs. Develops and coordinates implementation of business… more
- Vistra (Irving, TX)
- …role involves a mix of strategic oversight and hands-on involvement in use case development and trading activities, with a strong emphasis on delivering profitable ... and enhancing market insights. **Job Description** **Key Accountabilities** **Team Management :** *Lead a team of trading and analytics professionals, fostering… more
- Molina Healthcare (Fort Worth, TX)
- …Escalates gaps and barriers in implementation and compliance to VP and senior management + Consultative role, develops business case methodologies for programs, ... COEs, Operating Domains, Med Econ, and Finance. Responsible for the Management of internal business projects and programs involving department or cross-functional… more
- Molina Healthcare (Fort Worth, TX)
- …of programs and resolution of escalated issues. + Develop business case methodologies and support implementation of business strategies for VBC initiatives. ... of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and analytics… more
- BrightSpring Health Services (Arlington, TX)
- …services/training programs on a routine basis in cooperation with Operations management ; monitoring both skilled and non-skilled healthcare services + Directly ... and Medicare standards, as well as state reimbursement regulations + Leading case conferences and other client-related meetings + Chairing committees as appropriate,… more
- Vistra (Irving, TX)
- …developers, and hyperscalers. + Collaborate with project development to develop business case for the project, and coordinate with other internal groups including ... + 7+ years of experience in power sector business development, asset management or commercial operations, or origination. + Proven track record in structuring… more
- Elevance Health (Fort Worth, TX)
- …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not...about plan benefits and physicians and may assist with case management . + Collaborates with leadership in… more
