- Molina Healthcare (Fort Worth, 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 (Fort Worth, TX)
- …compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and ... related field (advanced degree a plus). **Experience** * 7+ years managing Medicare CTM, appeals & grievances, or related compliance functions-hands-on with CMS CTM… more
- Molina Healthcare (Fort Worth, 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 (Fort Worth, 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
- Molina Healthcare (Fort Worth, TX)
- …and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's ... for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible...DSNP, HIDE, FIDE, EAE, AIP, etc. * Provides direct oversight , monitoring and training of provider disputes and appeals… more
- Jet Health (Fort Worth, TX)
- …our team. The Director of Clinical Services is aregistered nursewho provides oversight of all patient care services and personnel for ourFort Worth, Garland and ... Director of Clinical Services - Home Health Fort...and regulatory fulfillment of timely documentation. + Compliance:Focus on Medicare Quality Measures and other industry standards to ensure… more
- Molina Healthcare (Fort Worth, TX)
- …between Molina Healthcare and contracted provider network. In partnership with Director , manages and coordinates the Provider Services activities for the state ... for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support… more
- Molina Healthcare (Fort Worth, TX)
- …in collaboration with the Manager or Director . * Keeps Manager or Director apprised of operational issues, including staffing resources, program and system ... drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient… more
- HCA Healthcare (Dallas, 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
- Molina Healthcare (Fort Worth, TX)
- …strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core ... contracts. Issue escalations, network adequacy, Joint Operating Committees, and delegation oversight . Tighter knit proximity ongoing after contract. * In conjunction… more