- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The … more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Dental Director is responsible for providing clinical oversight to promote the oral health of the ... appeals, and potential quality of care issues. The Dental Director - Texas assists in the design, development, and...professional standards o Review and resolve provider and member grievances and appeals o Provide and advance the clinical… more
- Marriott (Dallas, TX)
- …to effectively monitor and protect property assets. * Comply with all Corporate Loss Prevention safety and security management guidelines and procedures. * Conduct ... areas of responsibility. * Handles complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others. * Identifies and… more
- Molina Healthcare (Houston, TX)
- …between Molina Healthcare and contracted provider network. In partnership with Director , manages and coordinates the Provider Services activities for the state ... health plan. Works with direct management, corporate , and staff to develop and implement standardized provider servicing and relationship management plans. **Job… more
- Molina Healthcare (Austin, TX)
- …Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including but not ... software. * Targets and recruits additional providers to reduce member access grievances . * Engages targeted contracted providers in renegotiation of rates and/or… more
- Surgery Care Affiliates (Plano, TX)
- …package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time ... deliver excellent patient care + Leads and/or partners with Medical Executive Committee, Governing Body, and Board of Managers...structure may evolve rapidly + Serves as on-site personnel director and ensures fair and prompt resolution of teammate… more