- Molina Healthcare (Dallas, TX)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Elevance Health (Grand Prairie, TX)
- …deliver member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director ... preserving and deepening relationships with clients which include Elevance Health Medicare Health Plans. This position, structured around geographic regions and… more
- Magellan Health Services (Dallas, TX)
- …quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May participate in various ... the health plan(s) for all lines of business (Medicaid, Medicare , and Commercial) and implements programs to support this...committees or project teams as directed by the senior medical director or vice-president. + Supports senior… more
- CVS Health (Irving, TX)
- …on high-value medical rebate contracts and value based agreements for Medicare Part B, Managed Medicaid, and Commercial segments. This includes management of the ... lowering costs and improving quality of care. In this Director level role, you will have the opportunity to...PBM industry + Strong knowledge and understanding of pharmaceutical medical rebates, buy and bill, and/or Medicare … more
- CVS Health (Irving, TX)
- …convenient and affordable. **Position Summary** Aetna is recruiting for a Lead Director , National VBS Development who will develop innovative and strategic provider ... support of business strategies across multiple lines of business, including Medicare Advantage, Medicaid, ACA, and Commercial. + Develops relationships with… more
- Elara Caring (Greenville, TX)
- …at the Right Time, in the Right Place. **Job Description:** The Area Director of Clinical Operations is responsible for precepting, developing, and training new ... Registered Nurse and Clinical Manager team members. The Area Director of Clinical Operations will provide ongoing education and support related to clinical… more
- Brookdale Senior Living (Dallas, TX)
- Overview As District Director of Sales you will oversee sales processes and occupancy growth for 13 Brookdale Senior Living communities in Louisiana and Northeast ... on a scheduled basis and as approved by Division Director of Sales or VP Sales. Partners with on-site...of successful sales experience, preferably in senior housing industry, medical or pharmaceutical sales sectors. Ability to effectively manage… more
- Gilead Sciences, Inc. (Dallas, TX)
- …the lives of patients with life-threatening illnesses worldwide. As the **Senior Director , Field Reimbursement Management (FRM)** for HIV Prevention, you will play a ... with pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare , Medicaid). + An understanding of local and state policy changes'… more
- Elevance Health (Grand Prairie, TX)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... plans. + 8+ years of experience in the PBM domain (Commercial/Medicaid/ Medicare ) including claims processing, enrollment, and benefit administration. + Experience… more
- Robert Half Accountemps (Dallas, TX)
- Description We are offering a contract to permanent employment opportunity for a Medical Billing Specialist based in Dallas, Texas. The individual will be a part of ... and appeals. * Reviewing and addressing issues related to LTC accounts with the Director of Reimbursement. * Writing off bad debts pertaining to LTC patient accounts… more
- CenterWell (Dallas, TX)
- …of medical expertise with the care team through daily huddles. Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- Skyline Nursing Center (Dallas, TX)
- …Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information systems ... care plan documentation for all residents; ensures documentation is present in the medical record to support MDS coding. * Maintains current MDS status of assigned… more
- HCA Healthcare (Dallas, TX)
- …to join an organization that invests in you as a Manager Reimbursement? At Medical City Healthcare, you come first. HCA Healthcare has committed up to $300 million ... support our incredible team members over the course of three years. **Benefits** Medical City Healthcare, offers a total rewards package that supports the health,… more
- CenterWell (Grapevine, TX)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- HCA Healthcare (Irving, TX)
- …want with your current employer? We have an exciting opportunity for you to join Medical City Healthcare at Home which is part of the nation's leading provider of ... healthcare services, HCA Healthcare. **Benefits** Medical City Healthcare at Home, offers a total rewards...involved in patient care activities. In conjunction with the Director of Clinical Services, is responsible for development of… more