- Elevance Health (Grand Prairie, TX)
- **Anticipated End Date:** 2024-09-23 **Position Title:** Pharmacy Account Director , Medicare **Job Description:** A proud member of the Elevance Health family of ... (formerly IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care. In this pivotal… 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
- Elevance Health (Grand Prairie, TX)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- Magellan Health Services (Dallas, TX)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement ... the Clinical Center of Excellence. + Provides clinical leadership to the interdisciplinary Medical Management...committees or project teams as directed by the senior medical director or vice-president. + Supports senior… more
- Molina Healthcare (Dallas, TX)
- …NCQA-compliant clinical 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 … more
- CVS Health (Dallas, TX)
- …sheet reporting. + Collaborate with constituent areas including Actuarial, Service Operations, Clinical , Network and Medical Economics to execute on growth and ... make health care more personal, convenient and affordable. **Position Summary** The Executive Director , CFO Texas Medicaid Market role will function as the CFO for… more
- The Cigna Group (Plano, TX)
- …and rates. + Enhance the Facility Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited ... facility systems as well as construct a united negotiation strategy with our Medical Commercial and Medicare contracting and Network Strategy Leadership. +… 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...+ Contribute to the design, development, and testing of clinical quality measures. + Provide strategic and technical expertise… more
- Gentiva (Plano, TX)
- …diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician. **As a Nurse Practitioner, ... diagnostic tests within the scope of professional practice. Order treatments and durable medical equipment as indicated. + Communicate clinical findings to the… more