- CVS Health (Irving, TX)
- …Administration + Masters degree or Juris Doctor + Direct experience in Medicaid managed care compliance **Education** + Bachelor's Degree or equivalent ... compliance program activities and deliverables of a Medicaid managed care organization. In partnership with and...compliance work across the portfolio of Aetna's Medicaid managed care plans such as executive risk… more
- CVS Health (Irving, TX)
- …Qualifications** + Prior experience in a relevant auditing or market conduct exam role in managed care , health care , or PBM. + Prior experience in planning, ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...onsite per week and two days remote The Corporate Compliance PBM Business Compliance Office (BCO) is… more
- Centene Corporation (Dallas, TX)
- …or provider information systems and Microsoft Office applications. * Experience working in managed care environment is a plus (Federal and State Sponsored Govt ... and maintains long-term care member information and care management activities to ensure compliance with...* Experience in field-based LVN, LBSW, or LMSW Case Manager roles in home health, hospital, community health clinic… more
- Centene Corporation (Dallas, TX)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... + Collects, documents, and maintains all member information and care management activities to ensure compliance with...information and care management activities to ensure compliance with current state, federal, and clinical guidelines +… more
- Molina Healthcare (Dallas, TX)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations ... purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. * Oversees and leads the… more
- Erickson Living (Dallas, TX)
- …living and health care with campuses in 11 states-and growing. The Wellness Manager oversees the care performance of the teams within Assisted Living and ... part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of...pain management, wound care , nutrition, and respiratory care . + Partners with Assisted Living Manager … more
- Elevance Health (Grand Prairie, TX)
- …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... to interpret and apply member contracts, member benefits, and managed care products preferred. + Certification as...care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience… more
- Black & Veatch (Dallas, TX)
- …construction for EPC projects. + We will also consider experience as a Construction Manager if you have managed full construction scope on multiple 150MW+ ... **Project Manager - Solar EPC Hybrid** Date: Sep 11,...will also consider current APMs and PMs who have managed full construction scope for at least one 300MW+… more
- Natural Grocers (Fort Worth, TX)
- Salary Range USD $75,000.00/Yr. - Overview The Job in a Nutshell: The Store Manager is responsible for the successful operation and profitability of the store which ... staff is held accountable. + Ensuring staff is in compliance with applicable state and/or county food safety certifications...county food safety certifications and registration. + The Store Manager is responsible for ensuring that the store is… more
- Community Hospital Corporation (Plano, TX)
- Community Hospital Corporation (CHC), a DFW Top 100 Employer, is looking for a Manager of Supply Chain, Account Management based our of our home office in Plano, TX. ... initiatives, materials management efficiencies, and contract negotiations for owned, managed , and affiliate healthcare facilities This is an exciting onsite… more
- Teleflex (Dallas, TX)
- Regional Sales Manager , Trauma and Emergency Medicine - South Central Region **Date:** Sep 3, 2024 **Location:** Dallas, TX, US **Company:** Teleflex **Expected ... Medicine sales team, the focus of the Regional Sales Manager (RSM) (Dallas or Houston) is on the acute... (RSM) (Dallas or Houston) is on the acute care hospital market ensuring the sales of our life-saving… more
- Baylor Scott & White Health (Fort Worth, TX)
- **JOB SUMMARY** The Manager of Pharmacy oversees the functions, services and staff within a Pharmacy Department in agreement with systemwide goals. Works in ... conjunction with the Director of Pharmacy to give comprehensive pharmaceutical care to patients, utilizing the standards of evidence-based medicine and medication… more
- JPMorgan Chase (Plano, TX)
- …to create great customer experiences that cultivate long-lasting relationships. As a Fraud Manager I in JPMorgan Chase, you will directly manage a group of ... all work is processed within assigned service levels and meets Legal/ Compliance requirements. And, you will demonstrate exceptional leadership skills in creating… more
- Polk Mechanical Company LLC (Dfw, TX)
- Descriptor: The Operations Support Manager is responsible for overseeing and optimizing the operational functions related to HVAC service delivery. This role ... involves managing support staff, coordinating service schedules, ensuring compliance with industry standards, and implementing processes to enhance operational… more
- Elevance Health (Plano, TX)
- …degree in a health related field and minimum of 5 years of experience in managed care ; or any combination of education and experience, which would provide an ... centers, and the home setting. As the **National General Manager for Specialty Infusion Operations** , you will command...that the responses being provided are tailored to health care plan needs, and satisfy all clinical quality standards.… more
- Baylor Scott & White Health (Plano, TX)
- …Friday 0800-1630 **Detailed Location:** Heart Plano Laboratory **JOB SUMMARY** The Manager of Lab Operations plans, organizes, develops, and coordinates the ... high quality standards. + Ensures department meets and exceeds regulatory and compliance standards, including accurate billing and coding. + Examines and makes… more
- ITW (Grand Prairie, TX)
- …competitive salary, and a comprehensive benefits package designed to help employees care for themselves, their families, and their futures. The Operations Manager ... cost, and inventory. + Ensure that materials are purchased, delivered, stored, and managed to meet the location requirements; conduct demand analysis and gain full… more
- Baylor Scott & White Health (Rowlett, TX)
- **JOB SUMMARY** The Manager of Clinical Informatics 1 serves as the primary resource at the local level for the Electronic Health Record (EHR) & Health Information ... and as the liaison to Information Systems (IS). The Manager of Clinical Informatics 1 will work closely with...changes to policies, and establish procedures that affect the managed organization. + Basic business knowledge, including but not… more
- Baylor Scott & White Health (Dallas, TX)
- …and compliance . Monitors financial and operational performance of existing managed care contracts. Negotiates and administers contracts, contract rates, and ... responsible for planning, developing, and implementing new and existing managed care contracts for Baylor Scott and...larger, more complex organization or functional area than a manager . Often has one or more managers or supervisors… more
- CVS Health (Dallas, TX)
- …to make those improvements** **Required Qualifications** **-3+ years' experience in Medicaid Managed Care with a strong knowledge of Value Based Contracting ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more