- 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)
- …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- Molina Healthcare (Dallas, TX)
- …**Job Duties** + Enable market P&L success through support and oversight for assigned markets, including D-SNP market performance management. + Function ... as Medicare subject matter expert and point of contact for...drive compliance and performance objectives as well as provide oversight , including service level agreements. + Works with staff… 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
- Softheon (Dallas, TX)
- Job Title: Director of GRC & EPMO Team: Finance Job Location: Remote, Up to 25% Travel About Us: Join us in revolutionizing healthcare! We build software that ... our health plan and government customers with the administration, reporting, and operational requirements of their plans. By tackling the complexities of enrollment,… more
- Molina Healthcare (Dallas, TX)
- …to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight , monitoring ... and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's… 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
- 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 (Plano, TX)
- …Resources (THR) to develop and advance the strategic goals of the Hospital. 2. Provide oversight and leadership to the director of Medical Staff Office and the ... Assistant Vice President/Associate Chief Medical Officer will provide administrative oversight and assistance with hospital's medical staff, physician recruitment,… more
- HCA Healthcare (Dallas, TX)
- …well as support activities related to classroom coordination, registration oversight , documentation of participation, scheduling, and procurement of teaching ... with clinical education employees. Seeks and implements strategies for operational improvement. + Supports clinical educators in scheduling classes, and… more