• Director , Consult Partner - Contact Center…

    Kyndryl (Austin, TX)
    …in contact center environments. + Excellent communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is ... leading healthcare -focused journey redesign from eligibility verification to care management . + Align contact center transformation with healthcare business… more
    Kyndryl (07/29/25)
    - Related Jobs

  • Director , Practice Management

    Community Health Systems (Longview, TX)
    …Recognition & Reward Programs + Exclusive Discounts & Perks* **Job Summary** The Director , Practice Management is responsible for the operational, financial, and ... clinical oversight of physician practices within the healthcare system. This role ensures optimal resource utilization , efficient service delivery, regulatory… more
    Community Health Systems (07/24/25)
    - Related Jobs

  • Medical Director - Care Plus - Florida

    Humana (Austin, TX)
    …Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in… more
    Humana (09/04/25)
    - Related Jobs

  • Medical Director - NorthEast Region

    Humana (Austin, TX)
    …Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical ... decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and...size of region or line of business. The Medical Director conducts Utilization Management of… more
    Humana (07/25/25)
    - Related Jobs

  • Behavioral Health Medical Director…

    Humana (Austin, TX)
    …Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical ... behavioral health topics to the clinical operations team and healthcare organization. The Medical Director 's work includes...with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (08/09/25)
    - Related Jobs

  • Medical Director -Pain Management…

    Elevance Health (Grand Prairie, TX)
    **Medical Director -Pain Management /Anesthesia Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required ... accommodation is granted as required by law. The **Medical Director Pain Management /Anesthesia Appeals** is responsible for...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
    Elevance Health (08/21/25)
    - Related Jobs

  • Director of Development and Marketing

    Devereux Advanced Behavioral Health (League City, TX)
    …referrals. Additionally, the Director will supervise the admissions and utilization management department, ensuring a seamless and compassionate process for ... This person will lead marketing initiatives and oversee the admissions and utilization management team for our residential treatment program for individuals… more
    Devereux Advanced Behavioral Health (08/28/25)
    - Related Jobs

  • Director of Patient Care Services

    UTMB Health (League City, TX)
    …achieving the UTMB mission. Represents UTMB within regional, state and national healthcare communities. **Scope:** The Director , Patient Care Services has ... responsible for assuring compliance with policies, practices, and competencies of other healthcare professionals for whom the Senior Director has administrative… more
    UTMB Health (08/01/25)
    - Related Jobs

  • Medical Director

    Elevance Health (TX)
    …a State agency.*_ **Preferred Skills, Capabilities and Experiences:** + 1-2 years Utilization Management experience strongly preferred. + Strong oral, written, ... entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical… more
    Elevance Health (08/30/25)
    - Related Jobs

  • Director , Performance Suite Analytics

    Evolent (Austin, TX)
    …economics related position within Utilization Management /Clinical Vendor Management functions + Knowledge of healthcare underwriting methodologies + ... for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools...Familiarity with value-based care and utilization management + Understanding of data systems… more
    Evolent (07/09/25)
    - Related Jobs