- 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
- Sedgwick (Dallas, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Service Director (REMOTE) Are you looking for an ... path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs....including two (2) years in a supervisory capacity. **TAKING CARE OF YOU** + Flexible work schedule. + Referral… more
- Molina Healthcare (Dallas, TX)
- …including clinical practice in behavioral health and at least 3 years as a medical director in a managed care setting supporting utilization management and ... programs, utilization management standardization, and cost-effective quality outcomes in a managed care environment. Contributes to overarching strategy to… 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)
- …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
- 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
- Molina Healthcare (Dallas, TX)
- …experience in transformation, strategy, enterprise project or change management within a managed care or healthcare organization, or equivalent combination of ... teams through large-scale change and implementation efforts. + Deep understanding of managed care operations, provider networks, and healthcare delivery systems.… 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
- 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
- Molina Healthcare (Dallas, TX)
- …equivalent experience. **Required Experience** At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for ... **JOB DESCRIPTION** **Job Summary** Regional Director Risk & Quality Solutions is responsible for...focused on Accreditation, Compliance, HEDIS Interventions, Potential Quality of Care issues, and medical record abstraction. Technical and strategy… 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
- 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
- Molina Healthcare (Dallas, TX)
- …with a minimum of 2 years' experience in health plan member interventions, managed care , or equivalent experience. + Demonstrated solid business writing ... opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation...1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting,… more
- Baylor Scott & White Health (Dallas, TX)
- …The Manager of Lab Quality supports the system Laboratory Quality Program Director in running the laboratory quality assurance, quality improvement, and compliance ... accreditation requirements. Assumes the duties of the Laboratory Quality Program Director in his/her absence. **ESSENTIAL FUNCTIONS OF THE ROLE** Administers either… more
- Abbott (Dallas, TX)
- …expertise by attending company product training sessions. + Assesses trends in managed care , competitors' strategies, and new product development by monitoring ... you can do work that matters, grow, and learn, care for yourself and family, be your true self...objectives. The Territory Manager will work with their Regional Director to identify and evaluate market opportunities and sales… more
- Adecco US, Inc. (Arlington, TX)
- …Case by case **Shift:** Mixed (Rotating Weekends) **Beds in Unit:** 14 **FTEs Managed :** 60 **Position Summary** + Assure delivery of professional nursing care ... within the Operating Room by assessing, planning, organizing, directing, and evaluating nursing care for all surgery patients. + Collaborate with the OR Educator on… more
- BrightSpring Health Services (Arlington, TX)
- …company offering services for people with intellectual and developmental disabilities, home care for seniors, as well as education, vocational training, and job ... of programs and services, including host home and foster care . ResCare partners with people in the community who...of data into the company system(s). Works with Executive Director and billing/collection staff to ensure maximum reimbursement to… more
- Boehringer Ingelheim (Dallas, TX)
- …MBA preferred. + Minimum of eight (8) years US pharmaceutical sales, marketing, healthcare, or managed care with a minimum of three (3) years in; Oncology, rare ... reflect Boehringer Ingelheim's high regard for our employees. The Senior Associate Director , Oncology Sales is responsible for the management of his/her assigned… more