- 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 (Dallas, 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
- 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
- Molina Healthcare (Dallas, 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
- Compass Group, North America (Frisco, TX)
- …as a company as we continue to raise the bar. **Job Summary** **The Director of Dining Services** is an exciting opportunity for an upbeat, entrepreneurial manager ... responsible for the successful operation of Dining Services. The Director ensures client, customer service/satisfaction with efficient cost effective management… more
- Molina Healthcare (Dallas, 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
- 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
- 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 (Dallas, 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
- Zimmer Biomet (Dallas, 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
- Molina Healthcare (Dallas, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …manager who occupies a key management position at the VA North Texas Health Care System (VANTHCS). The DLO serves as a senior educator within the VANTHCS liaison ... Education and Learning Resources Service, VA North Texas Health Care System Responsibilities Duties include but are not limited...programs were sanctioned by the VHA Central Office Program Director for Psychology and the VHA Office of Academic… more
- Molina Healthcare (Dallas, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more