- Centene Corporation (Austin, TX)
- …activities. + Performs medical review activities pertaining to utilization review, quality assurance , and medical review of complex, controversial, or ... provider practice patterns, and adequacy of benefit/payment components. + Identifies clinical quality improvement studies to assist in reducing unwarranted… more
- Centene Corporation (Austin, TX)
- …activities. + Performs medical review activities pertaining to utilization review, quality assurance , and medical review of complex, controversial, or ... provider practice patterns, and adequacy of benefit/payment components. + Identifies clinical quality improvement studies to assist in reducing unwarranted… more
- Evolent (Austin, TX)
- …Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for standard and ... the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a...+ On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall… more
- Evolent (Austin, TX)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Evolent (Austin, TX)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the...to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance… more
- UT Health San Antonio (San Antonio, TX)
- …microbiology, including infectious disease testing and microbial identification. + Ensure quality assurance and regulatory compliance within the microbiology ... Director of Microbiology- Pathology San Antonio (https://uthscsa.referrals.selectminds.com/faculty/jobs/12980/other-jobs-matching/location-only) Faculty School of… more
- Evolent (Austin, TX)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. . Aids and acts as a resource ... culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Molina Healthcare (Austin, TX)
- … programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). ... reviews, peer reviews and appeals. * Supports behavioral health committees for quality compliance. * Implements behavioral health specific clinical practice… more
- CVS Health (Austin, TX)
- …system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is ... at home) based anywhere in the US.** The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert...and providers. You will lead all aspects of utilization review/ quality assurance , directing case management. In this… more
- Evolent (Austin, TX)
- …as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more