Manager, Medicare Administration

75219 Dallas, Texas Molina Healthcare

Posted 1 day ago

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Job Description

**Job Description**
**Job Summary**
Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services.
**Knowledge/Skills/Abilities**
- Establishes audit controls and measurements to ensure correct processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure contractual State and Federal Compliance.
- Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.
- Establishes member grievance appeals and policies and updates annually or as directed by the Centers for Medicare and Medicaid Services.
- Establishes non-contracted provider dispute and appeals policies and policies and updates annually or as directed by the Center for Medicare and Medicaid.
- Responsible for development, implementation and maintenance of department strategic initiatives.
**Job Qualifications**
**Required Education**
Bachelors Degree
**Required Experience**
5-7 Years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
7-9 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Office Administration Assistant - Work from Home

75201 Dallas, Texas Top Level Promotions

Posted 18 days ago

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Job Description

Permanent

Work from Home Office, Data Entry Remote Part-Time/Full-time Computer Job

About the Job Position:

This remote entry-level role comes with training for qualified candidates. Depending on your expertise and desired area of interest, the remote duties may include work at home computer data entry, participating in market research activities such as survey design, focus group participation, product testing, social media and more. You may also be asked to assist with data analysis or providing feedback to support our clients in evaluating product potential. The position offers flexible work hours (part-time to full-time) with the opportunity to work from home and influence strategies across various industries, including automotive, healthcare, entertainment and more.

About Us:

Top Level Promotions specializes in market research, partnering with leading global brands to help businesses connect with customers and achieve sustainable growth. We are expanding our remote team and are looking for professionals to contribute valuable insights in a competitive environment.

Some of the Industries in Which We Work.

* Administration * Aerospace – Aviation & Atmosphere Science * Air Travelers & Airlines – International & Domestic Carriers * Amazon * Apparel/Accessories/Textiles – Online/Retail/Remote * Automotive – Design, Development, Manufacturing * Beverage Industry – Trends, Formulations & Technology * Candy/Confectionery – Chocolate, Sugar, Gum Products * Computers – Information and Online Communication Technology * Customer Service * Data Entry & Analytics * Education – Instruction and Training - Work from Home Programs * Film/Movie – Production, Film festivals, Distribution * Health Care – Public & Home Care * Manufacturing – Raw Materials & Machinery * Marketing & Study Design * Outdoor Gear – Outdoor Gear & Equipment * Pet Foods/Supplies/Pet Owners * Restaurants/Food Service * Travel/Tourism – Local/International * Toys – Industry Trends/Changes

Qualifications:

* Applicants are required to have access to home high-speed internet with a stable connection. * A functional home desktop or laptop computer with both camera and microphone capabilities. * It is imperative to have a designated quiet workspace available for work purposes.

Skills:

* Exceptional communication and interpersonal skills. * Strong organizational abilities while working independently. * Proficiency in fundamental computer applications and typing, encompassing email correspondence and data input. * Capacity to manage confidential information in a home office environment. * Attentive to detail and adept at delivering error-free work.

Job Perks:

* Enjoy the convenience of working from your home office, eliminating the need for a daily commute. * No prior experience necessary – all positions include comprehensive training. * Flexible options available for both in-person group meetings and online participation. * Customize your work schedule, whether you prefer part-time or full-time hours. * Contribute to market innovations and assist companies in enhancing their products and services. * Opportunities for career growth within companies based on active participation and seniority.

Salary:

This work from home position pays between $18.50 and $36.00 per hour depending your field of interest.

Experience:

This is an introductory position and training is provided to successful candidates.

Application:

We look forward to reviewing your completed application. If you have any questions or need assistance, please feel free to reach out. Important Note: We are currently only accepting applications from candidates located in Canada, USA, United Kingdom and Australia. Please only apply if you reside in one of these countries.

Sincerely,

Top Level Promotions HR Department
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Manager, Provider Network Administration (Remote)

75219 Dallas, Texas Molina Healthcare

Posted 3 days ago

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Job Description

**Job Description**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**Knowledge/Skills/Abilities**
- Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
- Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
- Produces reports related to provider network information.
- Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
- Identifies issues, resolves problems and implements best practices.
**Job Qualifications**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
- 5-7 years managed care experience, including min. 2 years of supervisory experience
- Min. 2 years health plan Provider Network experience
**Required License, Certification, Association**
N/A
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
- 7+ years managed care experience
- QNXT; SQL experience
- Crystal Reports for data extraction
- Access and Excel - intermediate plus skill level
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Senior Associate, Pension Calculation Administration

75219 Dallas, Texas WTW

Posted 13 days ago

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**Description**
In this challenging role as a Pension Calculation Administration Senior Associate, you will contribute as part of a team to the entire range of retirement administration activities, primarily focused on complex pension calculations and other related activities. If you're looking for an exciting role, with one of the leaders in the defined benefit outsourcing business and the opportunity to grow and develop your career, apply now!
In this role you will serve as a technical leader and subject matter expert to the internal team and our clients, trouble shoot issues, create client deliverables, contribute to client management and participate in the creation of new intellectual capital.
**This role can be held remotely from any location in the United States.**
Note: Employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity.
**The Role**
+ Enhance your knowledge of all aspects of retirement plan administration
+ Enjoy a well-defined career path with opportunities for growth and advancement
+ Leverage the most cutting-edge tools and resources and some of the world's experts in retirement plan design, management and pension administration
+ Deliver superior, consistent client management and deliverables in support of a Director for assigned clients:
+ Serve as primary, daily contact to clients on delivery of calculation related issues services and raise appropriate issues to Directors
+ Interface with colleagues from other practices and regions on assignments that reflect the client's broader business issues
+ Develop a trusted advisor relationship with client contacts through effective communication and efficient, quality execution of projects
+ Manage a diverse set of pension administration services individually and through team initiatives
+ Review complex pension benefit calculations in accordance with plan provisions, Internal Revenue Code, ERISA, and other legal regulations (e.g. transfers, QDRO's)
+ Review pension benefit commencement packages
+ Ensure that work of self and team is delivered in accordance with professional and work excellence standards
+ Deliver formal and informal process training to both team members and client contacts
**Qualifications**
**The Requirements**
+ Bachelor's degree or prior benefits administration experience required.
+ 5 or more years' of calculation experience in administration of defined benefit plans, preferably gained in a benefits consulting environment; experience in implementation of pension outsourcing processes a plus
+ Must have experience collaborating with other colleagues in different countries
+ Excellent written and verbal communication skills
+ Proven experience successfully managing multiple team projects simultaneously and producing quality deliverables on time and within budget
+ Experience mentoring and developing junior staff
+ Demonstrated success in managing client issues and relationships with some experience in growing relationships with current clients
+ Strong interpersonal and team skills
+ Flexibility and proven ability to diagnose and resolve issues; strong client service orientation
+ Proficient in Microsoft Office Excel
+ Ability to work independently and on client teams in a fast-paced environment
+ Sense of accountability; owning one's work and taking pride in it
+ Self-motivated
+ Ability to travel and work extended hours as needed
This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified.
**Compensation and Benefits**
Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation (Producer roles only).
**Compensation**
The base salary compensation range being offered for this role is $72,000 to $105,000 USD per year.
The role is also eligible for an annual short-term incentive bonus.
**Company Benefits**
WTW provides a competitive benefit package which includes the following (eligibility requirements apply):
+ **Health and Welfare Benefits:** Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program)
+ **Leave Benefits:** Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off ( **Retirement Benefits:** Contributory Pension Plan and Savings Plan (401k). Certain senior level roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans.
Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records.
**EOE, including disability/vets**
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Senior Specialist, Provider Network Administration

75219 Dallas, Texas Molina Healthcare

Posted 22 days ago

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Job Description

**JOB DESCRIPTION**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/Provider Inquiry Research & Resolution, Provider Contracting/Provider Relationship Management).
+ Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports.
+ Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation.
+ Develops and maintains documentation and guidelines for all assigned areas of responsibility.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
+ 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
+ 3+ years' experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 5+ years managed care experience
+ QNXT; SQL experience
+ Crystal Reports for data extraction
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $45,390 - $88,511.46 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Computer Systems Administration Career Training Program

75201 Dallas, Texas Year Up United

Posted today

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Job Description

Year Up United is a one-year or less, intensive job training program that provides young adults with in-classroom skill development, access to internships and/or job placement services, and personalized coaching and mentorship. Year Up United participants also receive an educational stipend.

The program combines technical and professional training with access to internships and job placement support through our industry-leading talent placement firm YUPRO Placement. If you receive an internship, it may be at Bank of America, Capital One, JPMorgan Chase, or Salesforce, among many other leading organizations in the Dallas/Fort Worth area.

Are you eligible?
You can apply to Year Up United if you are:
- A high school graduate or GED recipient
- Eligible to work in the U.S.
- Available Monday-Friday throughout the duration of the program
- Highly motivated to learn technical and professional skills
- Have not obtained a Bachelorʼs degree
- You may be required to answer additional screening questions when applying

What will you gain?
Professional business and communication skills, interviewing and networking skills, resume building, ongoing support and guidance to help you launch your career. During the internship phase, Year Up United students earn an educational stipend of $525 per week.

In-depth classes include:
- Application Development
- Business Operations
- Banking & Customer Success
- IT Support
- Data Analytics
- Investment Operations
- Project Management

Get the skills and opportunity you need to launch your professional career.
75% of Year Up United graduates are employed and/or enrolled in postsecondary education within 4 months of graduation. Employed graduates earn an average starting salary of fifty-three thousand dollars per year.

PandoLogic. Category:General, Location:Dallas, TX-75201
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Lead Commercial Mortgage Loan Administration Specialist

75219 Dallas, Texas Wells Fargo

Posted 13 days ago

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Job Description

**Job Description**
At Wells Fargo, we are looking for talented people who will put our customers at the center of everything we do. Help us build a better Wells Fargo. It all begins with outstanding talent. It all begins with you.
**About this role:**
Wells Fargo is seeking a is Lead Commercial Mortgage Loan Administration Specialist to support our Real Estate Securitization and Capital Markets (RESCM) team.
**In this role, you will:**
+ Partner with our deal team, borrower team, outside counsel, and third-party vendors to obtain documents necessary for closing, and review loan documents to ensure they incorporate the deal terms
+ Coordinate with our internal flood team to satisfy applicable laws and internal procedures related to the Flood Disaster Protection Act (FDPA)
+ Work with our insurance vendor and outside counsel to complete the insurance review and approval
+ Work with our zoning vendor and outside counsel to complete zoning review and approval
+ Facilitate closing processes including draft settlement statement, review of title company statement, coordinate with title, and manage and complete the closing workbook in MS Excel
+ Collaborate with asset managers, counsel, and flood to document and book loan extensions, modifications, and future fundings
+ Make decisions in complex and multi-faceted situations requiring solid understanding of the function, policies, procedures and compliance requirements that influence and lead broader work team to meet deliverables and drive new initiatives
+ Strategically collaborate and consult with peers, colleagues and mid-level to senior managers to resolve issues and achieve goals, may lead projects, teams or serve as a peer mentor
+ Accurately evaluate and upload data into the systems of record to ensure compliance with all bank policies, procedures, and regulatory requirements
+ Collaborate and consult with RESCM peers, colleagues, and managers accountable for providing quality customer service to internal or external customers and achieving line of business goals
**Required Qualifications:**
+ 5+ years of Transactions and Processing experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
**Desired Qualifications:**
+ Commercial real estate loan closing experience
+ Foundational understanding of securitized lending
+ Ability to work in a team environment across all organizational levels; where flexibility, collaboration, and adaptability are important
+ Ability to independently handle conflicting priorities
+ Strong analytical skills with high attention to detail and accuracy
+ Excellent verbal, written, and interpersonal communication skills
+ Effective organizational, multi-tasking, and prioritizing skills
+ Ability to work in a fast-paced deadline driven environment
+ Legal background including, but not limited to, paralegal certificate or Juris Doctor (JD)
**Job Expectations:**
+ Ability to work additional hours as needed
+ This position is subject to FINRA Background Screening Requirements, including successful completion and clearing of a background check. Internal transfers are subject to comply with 17 CFR 240.17f-2 of the Securities Exchange Act of 1934 and FINRA Bylaws, Article III, Section 3, which states that Associated Persons should not be subject to statutory disqualification. Successful candidates must also meet ongoing regulatory requirements including additional screening and are required to report certain incidents.
+ Specific compliance policies may apply regarding outside activities or personal investing; affected employees will be expected to provide information to the Wells Fargo Personal Account Dealing Team and abide by applicable policy requirements if hired. Information will be shared about expectations during the recruitment process.
**Pay Range**
Reflected is the base pay range offered for this position. Pay may vary depending on factors including but not limited to achievements, skills, experience, or work location. The range listed is just one component of the compensation package offered to candidates.
$100,000.00 - $196,000.00
**Benefits**
Wells Fargo provides eligible employees with a comprehensive set of benefits, many of which are listed below. Visit Benefits - Wells Fargo Jobs ( for an overview of the following benefit plans and programs offered to employees.
+ Health benefits
+ 401(k) Plan
+ Paid time off
+ Disability benefits
+ Life insurance, critical illness insurance, and accident insurance
+ Parental leave
+ Critical caregiving leave
+ Discounts and savings
+ Commuter benefits
+ Tuition reimbursement
+ Scholarships for dependent children
+ Adoption reimbursement
**Posting End Date:**
5 Sep 2025
*** **_Job posting may come down early due to volume of applicants._**
**We Value Equal Opportunity**
Wells Fargo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic.
Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite and all risk and compliance program requirements.
**Applicants with Disabilities**
To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo ( .
**Drug and Alcohol Policy**
Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy ( to learn more.
**Wells Fargo Recruitment and Hiring Requirements:**
a. Third-Party recordings are prohibited unless authorized by Wells Fargo.
b. Wells Fargo requires you to directly represent your own experiences during the recruiting and hiring process.
**Req Number:** R-474198
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Administrative Assistant - Nursing Administration Full Time Days

75219 Dallas, Texas Texas Health Resources

Posted 2 days ago

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Administrative Assistant - Nursing Administration Full Time Days
Bring your passion to Texas Health so we are Better + Together
Work location: Texas Health Presbyterian Hospital Dallas - 8200 Walnut Hill Lane, Dallas, TX 75231
Work hours: Full Time, 40 hours weekly, Monday-Friday 8am-5pm (onsite)
Administrative Services Department Highlights:
+ Direct support to the Nursing Director team and Administrative Supervisors
+ Partner closely with other Administrative Assistants within the organization
+ Fortune's 100 Best Companies to Work For® 2025
Here's What You Need
+ High School Diploma or Equivalent required
+ 2 years of office or healthcare environment required
+ Experience supporting department Leaders preferred
+ Proven office software applications skills (Microsoft Word, Excel, PowerPoint, People Soft, etc.) to support management and operations. Strong verbal, written communications and interpersonal skills. Basic Office Equipment usage and Word Processing; Spreadsheet Creation and familiarity w/Desktop Publishing. Good Leadership and Organization skills. Ability to give instructions and clearly explain problems or situations. Excellent telephone etiquette and creation of normal business correspondence - e.g. e-mail, business letters, memos, simple tables and charts. Mathematical skills required to collect, manipulate and perform analysis of financial or statistical data.
What You Will Do
+ Relieves management of daily operational problems by responding to mail or telephone inquiries or seeking the appropriate personnel for resolution. Builds relationships with vendors, customers or other internal departments in order to complete projects or obtain services. Performs simple research, data collection and/or data entry into databases e.g. time and labor. Responsible for data integrity of unit databases, reports or documents.
+ Creates routine draft or final written correspondence for management review. Uses advanced software applications e.g. spreadsheets, graphics, databases to collect, manipulate or report information for department projects, meetings or presentations. Participates in documentation development or information research. Responsible for entering information, articles, or reports into department or functional web sites. Responds to routine correspondence not requiring supervisors' attention.
+ Participates in functional, unit or project budgetary processes by assisting with data collection, reporting/tracking accounts payable/receivables, payroll and analyses. With management approval, has limited funds disbursement authority.
+ Responsible for researching department payroll issues, time and attendance tracking, equipment oversight, I/S or purchasing activities. Tracks completion schedule or communicate information/instructions for projects.
+ Responsible for events planning which involves facilities, personnel, travel itineraries, speakers, or scheduling department meetings. Participates in creating or packaging presentation documentation or materials for meetings, education in-service classes or marketing activities. Performs initial analysis of information for staff or management.
+ Performs in a work leadership role as part of a team project or as a lead person within the department or special committee(s).
Additional perks of being a Texas Health employee:
+ Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, student loan repayment program as well as several other benefits.
+ A supportive team environment with outstanding opportunities for growth.
Entity Highlights:
Texas Health Presbyterian Hospital Dallas has been at the forefront of health care in North Texas. We're an 875-bed, Magnet-designated, full-service hospital serving our community in and around Dallas since 1966. We specialize in cancer care, cardiology, neurosciences, women's services, and emergency medicine, we've got it. Plus, we're a renowned Level III neonatal intensive care unit, a Comprehensive Stroke and Bariatric Surgery Center of Excellence and provide wellness services, outpatient surgery and women's imaging services. Texas Health Dallas is a Joint Commission-certified Primary Stroke Care Center, a Level I Trauma Center, a Cycle IV Chest Pain Center, and a designated Magnet hospital. We're a top choice in North Texas for cancer and emergency services, bariatric services, cardiac care and much more. You belong here.
If you're ready to join us in our mission to improve the health of our community, then let's show the world how we're even better together!
Learn ( more about our culture, benefits, and recent awards.
Do you still have questions or concerns? Feel free to email your questions to
#LI-KC1
Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.
We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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Loan Support Analyst Senior - Covenant Administration- Midland

75219 Dallas, Texas PNC

Posted 4 days ago

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**Position Overview**
Job Description Summary
At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all of our employees feel respected, valued and have an opportunity to contribute to the company's success. As a Loan Support Analyst Senior within PNC's Midland organization, you will be based in office within the PNC Midland footprint. PNC provides a best in class office environment; and also supports remote and hybrid work environments.
As a Loan Support Analyst Senior within PNC's Covenant Administration department, you will be primarily responsible for the covenant monitoring and testing to safeguard the Lenders' cashflow and collateral as prescribed by the related loan documents. You will be responsible for reading and interpreting commercial real estate loan documents and analyzing financial statements. You will also be communicating with borrowers regarding the financial test results and any further action required. Lastly, you will be responsible for performing quality control reviews on relevant testing that requires any action to be taken. Experience with financial statements is preferred along with strong communication, time management, attention to detail and organizational skills.
**Job Description**
+ Applies specialty product knowledge to close or administer high complexity or high risk syndicated and/or commercial loan transactions. May have responsibility for fulfilling key fiduciary obligations associated with the Banks Agent role; validating construction due diligence requirements; and/or monitoring construction progress and draw requirements. Directly interacts with high revenue/high profile corporate and/or commercial real estate clients.
+ Reviews customized commercial, legal, and related due diligence documentation and reporting to ensure adherence to complex deal structures and/or regulatory compliance requirements.
+ Consults and advises customers, investors, capital markets loan syndications and/or commercial real estate deal teams, as well as external and internal business partners to execute transactions.
+ Reviews transactions and related documents, including collateral and construction requirements. Verifies work processes to ensure completeness, accuracy, and conformance to credit approvals, legal documents, established service levels and applicable procedures. Determines whether loan disbursements can be made, or if additional documentation or escalations is required
+ Reviews reports to identify exceptions, monitor quality and ensure compliance. Participates in risk mitigation activities. May serve as a subject matter resource and may provide specialty product training.
PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be:
+ **Customer Focused** - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
+ **Managing Risk** - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they adhere to and support PNC's Enterprise Risk Management Framework.
**Qualifications**
Successful candidates must demonstrate appropriate knowledge, skills, and abilities for a role. Listed below are skills, competencies, work experience, education, and required certifications/licensures needed to be successful in this position.
**Preferred Skills**
Analytical Thinking, Capital Management, Compliance Requirements, Documentations, Due Diligence, Loan Documentation, Regulatory Compliance, Risk Mitigation Strategies
**Competencies**
Consulting, Customer Interaction, Decision Making and Critical Thinking, Effective Communications, Financial Analysis, Managing Multiple Priorities, Negotiating, Operational Functions, Products and Services, Relationship Management
**Work Experience**
Roles at this level typically require a university / college degree with <1 year of professional experience and/or successful completion of a formal development program. In lieu of a degree, a comparable combination of education, job specific certification(s), and experience (including military service) may be considered.
**Education**
Bachelors (Required)
**Certifications**
No Required Certification(s)
**Licenses**
No Required License(s)
**Benefits**
PNC offers a comprehensive range of benefits to help meet your needs now and in the future. Depending on your eligibility, options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature), dental and vision options; employee and spouse/child life insurance; short and long-term disability protection; 401(k) with PNC match, pension and stock purchase plans; dependent care reimbursement account; back-up child/elder care; adoption, surrogacy, and doula reimbursement; educational assistance, including select programs fully paid; a robust wellness program with financial incentives.
In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 8 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service.
To learn more about these and other programs, including benefits for full time and part-time employees, visit Your PNC Total Rewards ( .
**Disability Accommodations Statement**
If an accommodation is required to participate in the application process, please contact us via email at . Please include "accommodation request" in the subject line title and be sure to include your name, the job ID, and your preferred method of contact in the body of the email. Emails not related to accommodation requests will not receive responses. Applicants may also call and say "Workday" for accommodation assistance. All information provided will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.
At PNC we foster an inclusive and accessible workplace. We provide reasonable accommodations to employment applicants and qualified individuals with a disability who need an accommodation to perform the essential functions of their positions.
**Equal Employment Opportunity (EEO)**
PNC provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or other categories protected by law.
This position is subject to the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA) and, for any registered role, the Secure and Fair Enforcement for Mortgage Licensing Act of 2008 (SAFE Act) and/or the Financial Industry Regulatory Authority (FINRA), which prohibit the hiring of individuals with certain criminal history.
**California Residents**
Refer to the California Consumer Privacy Act Privacy Notice ( to gain understanding of how PNC may use or disclose your personal information in our hiring practices.
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Specialist, Provider Network Administration (EST business hours)

75219 Dallas, Texas Molina Healthcare

Posted 10 days ago

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**JOB DESCRIPTION**
**This role will have standard EST business hours.**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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