- RxBenefits (Houston, TX)
- …on our modeling. + Apply knowledge gained from repricing, formulary disruption, contract language, group size, claim utilization, clinical trend, and appropriate ... correct and released. Job Responsibilities Include: + Operate as the central project manager for the business on new opportunity prospects, playing a pivotal role in… more
- Compass Group, North America (Tyler, TX)
- Intelas **Position Title: Director Biomedical Manager III** **Join Intelas, a Compass One Healthcare company.** Intelas, a Compass One Healthcare company, delivers ... Summary** JOB DUTIES AND RESPONSIBILITIES: Respond expeditiously to calls from clinical departments to evaluate and rectify valid operator complaints and concerns.… more
- Alaka'ina Foundation Family of Companies (San Antonio, TX)
- …requirement packages, IACUC/IRB protocols for projects performed under this contract , research proposals and protocols, manuscripts, SOPs, reports and presentation ... requirements. + Ability to develop and coordinate the implementation of clinical research studies, including regulatory requirements, maintenance of study records… more
- Elevance Health (Grand Prairie, TX)
- …ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or ... the medical management processes. + Assesses and applies medical policies and clinical guidelines within scope of licensure. + These reviews may require in-depth… more
- Fresenius Medical Center (Dallas, TX)
- …and other third party payors regarding rate structures for services, clinical and financial reporting obligations, establishment of other business terms per ... the FMCNA Guidelines, contract maintenance such as facility list updates and amendments....+ Negotiates and implements contracts with payors that require clinical and quality outcomes measurements. + Contributes to the… more
- Robert Half Technology (Dallas, TX)
- …Beaker and third-party applications, utilizing tools like Data Innovations Instrument Manager . * Develop and maintain Reporting Workbench reports to provide ... least two years of experience in a hospital or clinical setting is preferred. * Epic Beaker certification in...job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and… more
- Merck (Austin, TX)
- …prescribed (outpatient vs in-patient infusion, as part of hospital or GPO contract , etc.) + Comprehend complex accounts and local market interdependencies to ... plans in collaboration with the local team and district manager (known as the Oncology Customer Team Leader). +...therapeutic to oncology customers. + Oncology field sales or clinical oncology experience. + Documented history of strong performance… more
- Veterans Affairs, Veterans Health Administration (Temple, TX)
- …seeking a full-time Physician (Home Base Primary Care Medical Director) to provide clinical oversight of all Non-Institutional Care (NIC programs to include all Home ... and Community Based Services, Contract Nursing Homes and State Veterans Home Programs) in...State Veterans Home Programs) in collaboration with NIC program Manager . A Recruitment/Relocation Incentive may be authorized for a… more
- Veterans Affairs, Veterans Health Administration (Temple, TX)
- …a full-time Podiatrist (Home Base Primary Care Medical Director) to provide clinical oversight of all Non-Institutional Care (NIC programs to include all Home ... and Community Based Services, Contract Nursing Homes and State Veterans Home Programs) in...State Veterans Home Programs) in collaboration with NIC program Manager . Responsibilities The HBPC Medical Director is the senior… more
- Elevance Health (Cleveland, TX)
- …responsibility for the member's case. As required by applicable state law and contract , the Clinician contributes to the LTSS care coordination process by performing ... + Assists responsible RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN. + Assists the responsible RN… more