• Quality Assurance Coordinator

    BrightSpring Health Services (Arlington, TX)
    …community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote ... is focused on maintaining local compliance with State, Federal and BrightSpring Health requirements. The QAC provides leadership oversight to operations in meeting… more
    BrightSpring Health Services (09/25/25)
    - Related Jobs

  • Pharmacy Coordinator

    Highmark Health (Austin, TX)
    …Wholecare's pharmacy programs with a focus on medication adherence and optimizing member health outcomes. This role involves a high volume of daily contacts with ... address medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and… more
    Highmark Health (09/19/25)
    - Related Jobs

  • Change Execution Consultant

    Highmark Health (Austin, TX)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job plays a key role in ensuring projects (ie change initiatives) meet objectives on time ... to implementation. Works to drive faster adoption, higher ultimate utilization and greater proficiency of the changes that impact...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (09/19/25)
    - Related Jobs

  • Pharmacy Benefit Consultant

    Highmark Health (Austin, TX)
    …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year of ... **Substitutions** + 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree **Preferred**...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (08/26/25)
    - Related Jobs

  • Manager Software Engineering - AI Platforms…

    Highmark Health (Austin, TX)
    **Company :** Highmark Health **Job Description :** Entirely Remote Work From Anywhere Role! We are seeking an experienced Software Engineering Manager to lead our ... have budgetary responsibility and authority. + Understand budget and resource utilization across the product teams. Escalate any issues regarding product delivery… more
    Highmark Health (08/08/25)
    - Related Jobs

  • Senior Architect - Cloud

    Highmark Health (Austin, TX)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... solutions, networks, and infrastructure. Ensure optimal technology selection, resource utilization , and seamless integration. + Utilize modeling tools to develop… more
    Highmark Health (07/22/25)
    - Related Jobs

  • Director of Performance Improvement & Risk…

    Georgetown Behavioral Health Institute (Georgetown, TX)
    …your application status. Good Luck & we hope to meet you soon! Georgetown Behavioral Health Institute is an equal opportunity employer and makes employment ... knowledge and skills in areas of risk management, infection control, and utilization review; strong oral and written communication skills, current knowledge of… more
    Georgetown Behavioral Health Institute (09/19/25)
    - Related Jobs

  • Clinic Social Worker Intake

    AdventHealth (Killeen, TX)
    …weekend **Location:** Emergency Department **The role you'll contribute:** + AdventHealth Behavioral Health Center (AHHC) Clinical Social Worker position is ... with agencies to ensure appropriate service delivery to patients. + Assesses patient for behavioral health needs as needed. Provides referrals for behavioral … more
    AdventHealth (08/20/25)
    - Related Jobs

  • RN Lead, Healthcare Services

    Molina Healthcare (Dallas, TX)
    … utilization management, care transitions, long-term services and supports (LTSS), behavioral health , and other clinical programs, and collaborates with ... every work day and cases are addressed to maintain health rid assessment (HRA) and care plan compliance. *...at least 2 years of managed care experienced in utilization management * Registered Nurse (RN) ONLY if required… more
    Molina Healthcare (09/26/25)
    - Related Jobs

  • RN Case Manager PRN Inpatient Rehab

    HCA Healthcare (Dallas, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Dallas, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +… more
    HCA Healthcare (08/09/25)
    - Related Jobs