- Humana (Austin, TX)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies and… more
- CVS Health (Austin, TX)
- …and every day. **Position Summary** We are seeking an innovative and experienced ** Director of Engineering Clinical AI** to lead our initiatives in developing ... (EHR) systems and clinical workflows. + Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD-10). + Experience with clinical… more
- Datavant (Austin, TX)
- …to deliver complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
- Humana (Austin, TX)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Austin, TX)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Sumitomo Pharma (Austin, TX)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), including… more
- Baylor Scott & White Health (Dallas, TX)
- …Note: Benefits may vary based on position type and/or level **Job Summary** Director Revenue Integrity will serve as a strategic leader and resource for the ... strategy, structure, productivity standards, metrics, policies and procedures. The Director Revenue Integrity is responsible for hiring, training, developing, and… more
- CVS Health (Austin, TX)
- …Responsible for predetermination reviews ad reviews of claim determinations, providing clinical , coding , and reimbursement expertise, using multiple computer ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources....Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the Houston ... payment contracts, quality metric bonus program and risk contracts. The Director position responsibilities include overseeing the activities of the department staff,… more
- Omnicell (Austin, TX)
- Director , Information Security (Cloud Architecture, AppSec, Data & Product Security focus) This candidate will define and execute on the architecture and technical ... to deployment. + Lead the design and implementation of security coding practices, security testing methodologies (SAST, DAST, IAST), and vulnerability management… more