- Elevance Health (Grand Prairie, 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 ... fee for service and assisting nurses as needed with review of claims. Works with other Medicare Administrative Contractor...only, minimum of 5 years of experience providing health care is required. Additional experience may be required by… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …Patient Safety Specialist who is organizational responsible to the Patient Safety Manager (PSM) and works closely with Pharmacy Service to provide operational, ... analytical and evaluative support to the VA North Texas Health Care System clinical staff and appropriate clinical committees. Responsibilities Duties include but… more
- Elevance Health (Grand Prairie, TX)
- …Associate Medical Director** **Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule: 10:00-7:00 Central Time** ... how healthcare is delivered and promoting the advancement of care for the people we serve._ The **Clinical Operations...decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review … more
- HCA Healthcare (Houston, TX)
- …indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Fertility and ... + Family support, including adoption assistance, child and elder care resources and consumer discounts + 401(k) Plan with...Summary and Qualifications** Under the direction of the Security Manager or designee, the off duty Armed Police Officer… more
- Adecco US, Inc. (Houston, TX)
- …recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations ... pertaining to, but not limited to, gaps in care , high risk medications, compliance and adherence, drug interactions,...special projects . Other duties as assigned by Operations Manager **Qualifications of the Pharmacist:** . Bachelor's Degree in… more
- Wolters Kluwer (Austin, TX)
- …opportunities in the named customer base, including: + Conducting regular account review meetings and reviewing account utilization management reporting to ... the US. If you have a passion for improving care for patients around the world, a drive to...and marketing campaigns + Other duties as assigned by Manager **Job Qualifications** **Education** : + Bachelor's degree or… more
- Houston Methodist (The Woodlands, TX)
- …nursing research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline priority initiatives ... in practice: evidence-based practice, the conduct of research, research utilization , and research dissemination. Collaborates and develops innovative programs to… more
- AbbVie (Dallas, TX)
- …products. Our aesthetics portfolio includes facial injectables, body contouring, plastics, skin care , and more. Our goal is to consistently provide our customers ... target account universe. Consultative services include offering including the utilization of Allergan Access, financial benchmarking, operational efficiency, as well… more
- PNC (Houston, TX)
- …a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. * Ability to demonstrate software enhancements that are developed and ... deployed by related Agile development teams. * Utilization of Mural to document customer and employee journey maps * Designing User Acceptance and Business End to… more
- CSL Plasma (Houston, TX)
- …to ensure efficient plasma collections. You will report to the Center Manager . **The Role** + In compliance with Standard Operating Procedures (SOPs), supervise ... and donor flow. Monitor time card reporting procedures, attendance, and utilization of overtime. + Conduct error investigations and develop recommendations for… more