- Methodist Health System (Dallas, TX)
- …organizational adoption of national patient safety goals. + Facilitate / co- lead clinical improvement teams, fostering identification of needed improvements ... operation performance, and facilitating processes to prioritize and act upon improvement priorities. The Director Clinical / Quality Management will incorporate the… more
- Molina Healthcare (Austin, TX)
- …delivering on NCQA accreditation requirements. Plans and directs schedules, reporting, process improvement , and implores continuous quality improvement . ... : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft… more
- Houston Methodist (Katy, TX)
- …and accreditation/regulatory/ government regulations. + **Audit Oversight & Lifecycle Management** + Lead the management and response process for a variety of ... with CMS, commercial payer, and regulatory requirements. + Support policy and process development to strengthen audit readiness and response. + Participate in… more
- UTMB Health (Friendswood, TX)
- …consultant to administration, staff, and physicians in the areas of regulatory, process improvement , performance monitoring, and statistical analysis. + Focuses ... patient safety, costs, revenue, productivity, efficiency, employee and physician satisfaction, and process reliability. + Serves as lead facilitator among key… more
- Molina Healthcare (Fort Worth, TX)
- …improve upon performance results, to identify potential risks to the organization and to lead the needed changes within the encounters process to support the ... evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has decision-making accountability for ensuring… more
- CVS Health (Austin, TX)
- …insights to senior management to inform strategic decision-making and drive continuous improvement in the underwriting process . + Communicating with key internal ... Underwriting, Analysis and Strategy. In this role, you will lead a critical segment supporting a strategic PBM client...a deep understanding of PBM financial levers within Commercial, Medicaid , Medicare Part D, and Public Exchange lines of… more
- Centene Corporation (Austin, TX)
- …by capturing, developing, monitoring performance, and then identifying opportunities for improvement and strategies to realize those opportunities. Develop, plan, ... lead , monitor, and own multiple, concurrent resultant Medicare Supplemental...contract and rate negotiations, developing complex benefits that support Medicaid -Medicare, and maintaining a competitive, innovative portfolio. +… more
- Community Health Systems (Victoria, TX)
- …financial goals, including revenue growth and expense control. + Drives process improvement initiatives that enhance patient throughput, resource utilization, ... + _An inpatient rehabilitation facility recognized by the Centers for Medicare and Medicaid and offering round-the-clock nursing care and at least three hours of… more
- Humana (Austin, TX)
- …processes + Possess 10+ years of progressive experience leading continuous improvement efforts, evaluating existing systems and implementing process ... and performance. As well as standing up a governance process to ensure the necessary controls needed are in...working closely with CMS guidelines. + **People Management** : Lead a large team with a focus on employee… more
- Humana (Austin, TX)
- …committed to inclusive communication-and we're looking for a product manager to lead the development of capabilities that support alternate formats for members with ... and audit readiness for accessibility-related communications **Accessibility Innovation & Process Optimization** + Advise on process improvements and… more