- 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
- Molina Healthcare (Dallas, TX)
- …including clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality ... of services provided to members - ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide… more
- AbbVie (Dallas, TX)
- …across the Surgical/Interventional Glaucoma sector, geography and franchise(s), including Key Managed Care and Payer dynamics. Share and provide quantitative ... pharmaceutical, medical, and surgical industry experiences such as physician/account-based selling, training, managed health care and marketing. + Ability to set… 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
- Texas Health Resources (Bedford, TX)
- Director Care Transition _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... techniques such as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, medical necessity, and precertification… 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
- Health Care Service Corporation (Richardson, TX)
- …**:** + Bachelor's degree OR 4 years' experience in selling or account management of managed care products. + Current, valid State Agent Insurance License. + 8 ... years' experience in managed care insurance sales. + 3 years of management experience in a managed care environment in account management or sales. +… more
- Health Care Service Corporation (Richardson, TX)
- …and/or MBA. + Quality experience and Medical Management experience in a leading managed care /insurance or provider organization. + Health Informatics Training + ... consistent with HCSC goals, regulatory requirements, and accreditation. The senior director will remain current with best practices and innovations in the… more
- CVS Health (Irving, TX)
- …success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a focus on the management of pharmacy ... your next role?! In this high impact role as Director of Trade Relations - Contract Negotiator, you will...Qualifications:** -10+ years of professional work experience in healthcare, managed care , health plans, or PBM, preferably… more
- Health Care Service Corporation (Richardson, TX)
- …Oncology, Physical Medicine and Rehabilitation, Surgical, Plastic Surgeon, or + 3 years Managed Care experience This is a Telecommute (Remote) role: Must reside ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed 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
- 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
- Black & Veatch (Dallas, TX)
- **Managing Director - Gas Markets** Date: Dec 1, 2025 Location: Charlotte, NC, US Houston, TX, US Dallas, TX, US Company: Black & Veatch Family of Companies ... and put your diverse talents and perspectives to use. **The Opportunity** The Managing Director will have the opportunity to: + Drive the process to acquire new… more
- Brink's (Coppell, TX)
- …of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, ... equal opportunity to participate and grow. Job Description The Sr. Director of Customer Operational Excellence provides enterprise-level strategic leadership and… more
- Elevance Health (Grand Prairie, TX)
- …Financial, Business, and Leadership acumen strongly preferred. + Prior experience with managed care , trend & healthcare analytics, provider networks, claims, ... **Business Strategy Plan Director (Business Stat Plan Dir)** Location: This role...+ Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network… 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
- Guidehouse (Lewisville, TX)
- …Guidehouse** Guidehouse is a global consultancy providing advisory, technology, and managed services to the commercial and public sectors. Guidehouse is ... lead in the energy transition. **The Opportunity** We are seeking a dynamic **Associate Director ** to drive growth and client impact to utility and energy clients in… 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