- Molina Healthcare (Fort Worth, TX)
- …read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor entry and Sr. level ... as NCQA reviews, CAHPS and state audits by reviewing clinical documentation. + Provides data collection, presentations and report...SKILLS & ABILITIES:** + 5 years experience in healthcare Quality /HEDIS specific to medical record review and… more
- MD Anderson Cancer Center (Houston, TX)
- *Position Title: *Assistant Professor, Clinical Faculty Appointment *Department: *AnatomicPathology *Division: *Pathology & Laboratory Medicine *Reports to: ... in subspecialty rotations(s), and (b) to develop and implement basic or clinical and translational research in the subspecialty field of surgical pathology… more
- Centene Corporation (Austin, TX)
- …provider practice patterns, and adequacy of benefit/payment components. + Identifies clinical quality improvement studies to assist in reducing unwarranted ... leadership of all for utilization management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining… more
- Prime Therapeutics (Austin, TX)
- …including documentation of all daily activities. + Performs related duties as requested. + Clinical and Quality oversight for this program is provided by the ... decision we make. **Job Posting Title** Infusion Referral Nurse Sr- REMOTE **Job Description** Under supervision, is responsible for performing referral services… more
- MD Anderson Cancer Center (Houston, TX)
- …patients by phone conversations or in writing to other physicians. D. Provide peer review for assessing the clinical practice of faculty within the department. ... F. Participate in quality improvement and institutional effectiveness or healthcare excellence projects....and Service - 7% A. Participate in investigation and review of best practice initiatives and clinical … more
- Merck (Austin, TX)
- …content review and approval for IND/CSA submissions to enable clinical trial initiation. + Participate in regulatory due diligence activities for in-licensing ... the preparation, submission, and follow-up of regulatory applications and ensure quality and compliance across all documentation. + Interact independently with… more
- CVS Health (Austin, TX)
- …of the Lead Clinical Psychologist, this position will focus on utilization, quality , and review of fraud, waste, and abuse for individual Aetna member ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health...+ Make recommendation for enhancements to current managed care, review guidelines, and clinical criteria based on… more
- UTMB Health (Galveston, TX)
- …participates in committees as assigned related to risk management, safety, and quality improvement. + Provide support to clinical risk management programs ... Senior Risk Management Specialist (Partially Remote ) - Department of Legal Affairs **Galveston, Texas,...Nursing or a healthcare-related field. Five (5) years of clinical experience and/or related experience in risk management. Must… more
- MD Anderson Cancer Center (Houston, TX)
- …* *Collaboration and Development* . Participates during the pre-submission stage in the clinical review of the upcoming protocols and provides feedback on any ... by the National Cancer Institute. The primary purpose of the Senior Clinical Studies Coordinator position is to provide independent and advanced patient care… more
- CVS Health (Austin, TX)
- …cost-effective outcomes. **Assessment of Members:** + Through the use of clinical tools and information/data review , conducts comprehensive assessments of ... do it all with heart, each and every day. ** Clinical Case Manager Behavioral Health** **Position Summary** This is...Case Manager Behavioral Health** **Position Summary** This is a remote role, requiring 75% travel to meet in-person with… more