- Humana (Austin, TX)
- …professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts . The ideal ... professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts . The ideal… more
- Houston Methodist (Sugar Land, TX)
- …processes, managed care contracts and coordination of benefits related to coverage, clinical appeals, and denials to include knowledge of CPT and ICD codes and ... is responsible for performing utilization review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with… more
- Chenega Corporation (Goodfellow AFB, TX)
- …who are victims of DA (sometimes referred to as domestic violence) non- clinical emergent and urgent service whenever requested. With the exception of mandatory ... identified needs (eg, emergency shelter, housing, childcare, legal services, clinical resources, medical services, transitional compensation). + Offers follow-up… more
- Houston Methodist (Houston, TX)
- …for coordinating processes and a system for matching the research and clinical interest of faculty and/or physicians within Houston Methodist Research Institute ... the development, program products, and its collaboration with research and clinical investigators within Houston Methodist (HM), with affiliated and non-affiliated… more
- UT Health San Antonio (San Antonio, TX)
- …Antonio invites applications for a full-time, twelve-month Lecturer, Assistant Professor/ clinical , or Associate Professor/ clinical faculty position. The position ... Bexar County First Responder Group and other entities that contract with the Department for these services. EHS faculty...FRO patient care reports to ensure quality control and clinical accuracy . Ensure compliance with Texas Department of… more
- Wolters Kluwer (Houston, TX)
- …content and productivity tools. Our solutions are focused in the areas of Clinical Decision Support, Clinical Drug Information, Patient Engagement, Clinical ... long-term vision for the division, aligned with global trends in medical research, clinical practice, funder mandates and GenAI. + Lead the portfolio through digital… more
- Humana (Austin, TX)
- …70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance-based contracts with private payers, enhancing DVACO's total number of ... including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the opportunity to become acquainted with each of… more
- Omnicell (Austin, TX)
- …services, on shore / offshore licensing services and negotiation practices. + Contracts : Leads contract development and negotiation with suppliers, with support ... performance, quality, cost, and work with appropriate parties to ensure contract compliance, accountability and resolve any related issues. Generates supplier… more
- Fujifilm (Austin, TX)
- …Directly draft, review and negotiate a variety of commercial contracts , including customer, distributor and vendor agreements, non-disclosure agreements, ... development, manufacturing and service agreements, quality agreements and clinical trial and research agreements, among others. + Directly draft, review and… more
- CVS Health (Richardson, TX)
- …to support Rebate forecasting and underwriting teams during the manufacturing contract negotiating process; Clinical Managers and Client Support Services ... eligibility and contributing to enhancing our quality control processes. + Review contract language necessary to support formulary rebate contracts . +… more