• Director , Operational

    Molina Healthcare (Dallas, TX)
    …compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and ... related field (advanced degree a plus). **Experience** * 7+ years managing Medicare CTM, appeals & grievances, or related compliance functions-hands-on with CMS CTM… more
    Molina Healthcare (07/13/25)
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  • Senior Analyst, Operational Regulatory…

    Molina Healthcare (Dallas, TX)
    …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
    Molina Healthcare (08/22/25)
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  • Director , Medicare Segment…

    Molina Healthcare (Dallas, TX)
    **Job Description** **Job Summary** Leads and directs Molina Medicare segment leaders who are responsible for the development and administration of Medicare ... **Job Duties** + Enable market P&L success through support and oversight for assigned markets, including D-SNP market performance management. + Function… more
    Molina Healthcare (09/07/25)
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  • Program Director - Medicare Duals…

    Molina Healthcare (Dallas, TX)
    …abilities; ability to handle multiple priorities and deal with ambiguity; provide oversight over the strategic and operational portfolios; manage strategic ... Program Management professional. Responsible for overall governance across all operational and strategic portfolio of projects; strong management and leadership… more
    Molina Healthcare (08/22/25)
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  • Director , Provider Network Management…

    Molina Healthcare (Dallas, TX)
    …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
    Molina Healthcare (08/20/25)
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  • AVP, Encounters

    Molina Healthcare (Dallas, TX)
    …Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of processes that track, evaluate, and submit encounter deletions ... for Medicare Advantage, ACA, and Medicaid lines of business. This...accuracy & completeness (ie, Encounter Production, Audit, Production Vendor Oversight ) for assigned lines of business. Responsible for increasing… more
    Molina Healthcare (08/22/25)
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  • Assistant Vice President/Associate Chief Medical…

    Texas Health Resources (Plano, TX)
    …Resources (THR) to develop and advance the strategic goals of the Hospital. 2. Provide oversight and leadership to the director of Medical Staff Office and the ... Assistant Vice President/Associate Chief Medical Officer will provide administrative oversight and assistance with hospital's medical staff, physician recruitment,… more
    Texas Health Resources (08/26/25)
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  • Clinical Education Coordinator

    HCA Healthcare (Dallas, TX)
    …well as support activities related to classroom coordination, registration oversight , documentation of participation, scheduling, and procurement of teaching ... with clinical education employees. Seeks and implements strategies for operational improvement. + Supports clinical educators in scheduling classes, and… more
    HCA Healthcare (09/11/25)
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