- Centene Corporation (Austin, TX)
- …leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines. + Provide oversight ... healthcare services to health plan members. + Serves as clinical advisor to and educator of medical management staff...and gaps in care and recommends corrective actions. + Review all quality of care issues and… more
- MD Anderson Cancer Center (League City, TX)
- …care in the ambulatory care setting in the Houston Area Locations. impacts quality of patient care and patient outcomes throughout the care continuum. Perform ... basis which would otherwise be performed by a physician. Provides quality direct and/or indirect patient care clinically, administratively, and/or academically. The… more
- Actalent (Houston, TX)
- 100% REMOTE POSITION(PRIOR AUTHORIZATION) Job Title: Pharmacist : Job Description: Your main role will be utilizing your clinical skills to complete utilization ... your peers and other pharmacy professionals. Performance is measured by monthly quality and productivity goals. All new pharmacists are considered as potential… more
- CVS Health (Austin, TX)
- …day. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live in any state. **Normal Working Hours: ... is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the… more
- CVS Health (Austin, TX)
- …responses to members and providers. You will lead all aspects of utilization review / quality assurance, directing case management. In this role you will provide ... for a Medical Director (Pain Management) that can be remote based, work from home. This role can be... clinical expertise and business direction in support of medical… more
- Humana (Austin, TX)
- …health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical necessity and comprehensive medication ... prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate… more
- Fujifilm (Austin, TX)
- …IT infrastructure design and deployment, medical imaging industry in general and clinical environment workflow. In addition to technical expertise, HCUS relies on ... information dissemination. Responsible in maintaining existing written documentation, periodic review , and Intranet postings. **Company Overview** At FUJIFILM Healthcare… more
- BrightSpring Health Services (San Antonio, TX)
- …Care Overview Job Title: Board-Certified Behavior Analyst (BCBA) - Full-Time, Hybrid Location: Remote /Hybrid -Travel to San Antonio, TX every 6- 8 weeks required Job ... Antonio. This is afull-time, hybrid role. This position offers the flexibility of remote work while requiringtravel to San Antonio, Texas every 6- 8 weeksto provide… more
- Walgreens (Frisco, TX)
- …projects to ensure business needs are being met. + Drives compliance and continuous quality improvement in the delivery of clinical pharmacy patient care and ... Executes patient intervention pharmacy programs and ensures compliance of clinical pharmacy services. Responsible for executing against identified partner-established… more
- Texas A&M University System (College Station, TX)
- …matters, routine and regulatory testing, test development, client communications, quality assurance, safety, and employee well-being. Also responsible for scientific ... case. Coordinates progress of high consequence cases. Provides analysis and review of unexpected results or results of significance. Provides diagnostic… more