- HCA Healthcare (Austin, 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 ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...of quality and cost improvement and develops systems to review utilization of resources and objectively measure… more
- Highmark Health (Austin, TX)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most… more
- Highmark Health (Austin, TX)
- …designs, competitive position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- Highmark Health (Austin, TX)
- …+ Participate in product specific Pharmacy and Therapeutics Committees and Drug Utilization Review (DUR) Committees as necessary or contractually required. + ... position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- 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 ... and providing ongoing support for corporate/division/facility projects related to the electronic health record (EHR) including: + standardization + utilization +… more
- Elevance Health (Houston, TX)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... law. The **Medical Director-Dermatology Appeals** is responsible for the review of appeals for physical health medical...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- The Cigna Group (Plano, TX)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... **JOB SUMMARY** The Director Health Systems Sales will lead a Sales Manager...all relevant data is accurate and to organize quarterly review meetings, RFP's or other events. Proactively identify training… more
- Texas Health Resources (Bedford, TX)
- …and vascular care, acute and medical-surgical care, intermediate/step-down care, oncology, behavioral health , and emergency medicine. Additional services include ... and top-notch benefits? We're looking for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health HEB + Core work hours:… more
- Texas Health Resources (Bedford, TX)
- …and vascular care, acute and medical-surgical care, intermediate/step-down care, oncology, behavioral health , and emergency medicine. Additional services include ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ...this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize… more
- Texas Health Resources (Arlington, TX)
- …We offer advanced care in medical and surgical services, cancer treatment, women's health , behavioral health , neurosciences, emergency and sports medicine. ... for qualified candidates like you to join our Texas Health family._ + Work location: Texas Health ...this purpose. Provide resources and guidance to support the utilization of evidence based practice standards. Identify and utilize… more