- Elevance Health (Grand Prairie, TX)
- ** Director I Medicare Operations ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... and Medicaid Services to transform federal health programs. The ** Director I Medicare Operations ** is responsible for directing multiple business function… more
- The Cigna Group (Plano, TX)
- …TEXAS market - can live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare ** serves as an integral member of the ... for service and sophisticated value-based reimbursements with providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician… more
- Magellan Health Services (Dallas, TX)
- …clinical vision for the health plan(s) for all lines of business (Medicaid, Medicare , and Commercial) and implements programs to support this vision. May serve ... improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May participate in various committees or… more
- Gentiva (Plano, TX)
- …in people's lives every day. **Overview** We are looking for an **RN Director Specialist for Advanced Illness Management** to join our team and report directly ... to the AVP of Onboarding and Orientation. The **RN Director Specialist** is responsible for the overall clinical and financial operations of the Advanced Illness… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** Reporting to the VP, Internal Audit, the Director of Internal Audit is responsible for planning, developing, and enforcing the internal auditing ... internal auditing services that improve the efficiency and effectiveness of BSWH operations . Ensures accuracy and compliance to all applicable laws, regulations, and… more
- Baylor Scott & White Health (Dallas, TX)
- JOB SUMMARY Director Billing, Regulatory, and Provider Coding Compliance is responsible for planning, developing, and enforcing compliance programs for Baylor Scott ... and accreditation standards, such as the Joint Commission, Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), Health… more
- Baylor Scott & White Health (Frisco, TX)
- …in accordance with the activities of other BSWH departments. An entity Director translates and implements strategic plans and objectives for area of responsibility. ... projects and initiatives that meet annual objectives. Plans and directs the operations of a department or area, with responsibility for staffing, processes, budgets,… more
- Texas Health Resources (Fort Worth, TX)
- **Nursing Director Emergency Services** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... Acute Heart Failure Center and a Center of Excellence. **Job Description** Operations Plan, organize, and delegate activities as required for the safe, efficient,… more
- Molina Healthcare (Dallas, TX)
- …education, outreach and resolving provider inquiries. * In conjunction with the Director , Provider Network Management & Operations , develops health plan-specific ... managed healthcare administration experience. * Specific experience in provider services, operations , and/or contract negotiations in a Medicare and Medicaid… more
- American Heart Association (Dallas, TX)
- …organizations supporting measure surveillance, workgroup nominations, and comments. Supports the Director of Quality and Health IT to further the department's ... national measure and registry committees as determined by the Director of Quality and Health IT. Works with the...(under the guidance of the VP of Programs and Operations of the Association's Science Leadership, Internal Advocacy, Office… more
- Gentiva (Dallas, TX)
- …clinicians, **hospice experience is required.** You will report directly to the Executive Director or Administrator. You will be responsible for the day to day ... operations of your assigned hospice site, administering the clinical...Managing the site in the absence of the Executive Director , Administrator. + Managing and overseeing clinical and administrative… more
- Baylor Scott & White Health (Rockwall, TX)
- **JOB SUMMARY** **Hybrid Position** Accountable for the computerized operations of the centralized credentials verification system by managing all components of the ... Joint Commission for Accreditation of Healthcare Organizations (JCAHO) and Center for Medicare and Medicaid Services (CMS) and other regulatory agencies as they… more
- Prime Healthcare (Mesquite, TX)
- …service. The Outpatient Therapy Clinics Manager is responsible for daily operations , managing referrals, monthly reports and dashboards. The Outpatient Therapy ... the clinics. The Outpatient Therapy Clinics manager is accountable to the Director of Business Development for the day-to-day management of personnel, including… more