- Humana (Austin, TX)
- …action. The Utilization Management Behavioral Health Professional 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards ... Kentucky without disciplinary action. + Such licenses are: Licensed Masters Clinical Social Worker (LCSW), Licensed Masters Social Worker (LMSW-ACP), Licensed… more
- CVS Health (Austin, TX)
- …using React Native and TypeScript for our clinical applications + **Code Review & Quality Assurance** : Conduct thorough code reviews and maintain high ... impact healthcare outcomes for millions of individuals. This is a **fully remote position** (anywhere in US) with hybrid options available for candidates located… more
- Fujifilm (Austin, TX)
- …vendor agreements, non-disclosure agreements, development, manufacturing and service agreements, quality agreements and clinical trial and research agreements, ... legal departments located outside the US + Directly draft, review and negotiate a variety of commercial contracts, including...+ Life Insurance + 401k + Paid Time Off *\#LI- REMOTE **EEO Information** Fujifilm is committed to providing equal… more
- Public Consulting Group (Austin, TX)
- …2 years' experience in Medicaid billing, Medicaid programs, incident investigation, quality assurance, and/or clinical risk management **Working Conditions** + ... desk and routine reviews of assigned providers to determine compliance with clinical policies, licensing rules, state and federal regulations. + Conduct thorough… more
- HCA Healthcare (Mcallen, TX)
- …organizations. Apply Today! **Job Summary and Qualifications** The Pathology and Clinical Lab Medical Technologist is a Bachelor's prepared Medical Technologist who ... diagnostic tests, interprets and reports results. The technologist performs quality control testing and equipment maintenance, maintains inventory, and assists… more
- Humana (Austin, TX)
- …of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative ... + Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry...protect member PHI / HIPAA information This is a remote position Travel: While this is a remote… more
- Humana (Austin, TX)
- …first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on ... CMD represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding job duties… more
- Humana (Austin, TX)
- …analytics to create, optimize, measure and scale member-facing interventions. Location: remote or if near Louisville hybrid The Program Delivery Senior Professional ... and delivery, working collaboratively with business owners, experience design, IT, clinical partners, and operational leaders to develop and deploy improvements in… more
- Cardinal Health (Austin, TX)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... of their products. **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …environment utilizing a collaborative concept of anesthesia care. Knowledge of quality improvement processes to maintain ongoing review and evaluation ... emergency airway and resuscitation management throughout the facility. Assists with quality assurance activities facility-wide and specific to the Surgery department… more