- Entergy (Beaumont, TX)
- …performing other assigned job functions; providing effective legal support to more senior attorneys, including litigation support to first or second chair counsel as ... The candidate must also be comfortable interacting with members of senior management and company executives. **Minimum Requirements** **_Minimum education required… more
- Entergy (Beaumont, TX)
- …performing other assigned job functions; providing effective legal support to more senior attorneys, including litigation support to first or second chair counsel as ... The candidate must also be comfortable interacting with members of senior management and company executives. **Minimum Requirements** **_Minimum education required… more
- Evolent (Austin, TX)
- …of the request. + Provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Austin, TX)
- …(NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals . + Ensures documentation of all communications with medical office staff ... overall accountability for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior Medical Director in… more
- Evolent (Austin, TX)
- …subject matter expert. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Austin, TX)
- …of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Southland Industries (Houston, TX)
- …the design team in all aspects of our work. **What you'll do:** + Assist Senior Engineers in design tasks as required. + Perform basic deliverables and products such ... to heating, ventilating, and air-conditioning systems under supervision of Senior Engineers. + Perform basic calculations for a project,...one of the country's largest MEP building systems firms appeals to you and you're ready for the next… more
- Texas Health Resources (Arlington, TX)
- …to the review and preparation on of Medicare/Medicaid cost reports, regulation appeals , Disproportionate Share Hospital (DSH), and Wage Index and other relationships ... Provides continued feedback and assessment of potential impact to THR senior leaders and government relations staff regarding program risks and opportunities… more
- Evolent (Austin, TX)
- …of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Humana (Austin, TX)
- …: Characterize the impactable drivers of prior authorization and look at appeals rate with denials and overturns. Deliver the upmost consistent medical director ... poise, and executive presence that will ensure effective interaction with senior and executive level audiences Highly collaborative mindset and excellent… more