• State Director , Health Services

    BrightSpring Health Services (Houston, TX)
    …Works with nursing personnel on survey preparation/ chart reviews/staffing concerns/ED utilization and hospital admission reduction.* Provides survey management ... nursing and health services. Provides oversight for health and safety, survey management , incident management , MAR/EHR applications, training and education for… more
    BrightSpring Health Services (06/20/25)
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  • Medical Director - (Ortho/Total Joint)

    CVS Health (Austin, TX)
    …consistent responses to members and providers. You will lead all aspects of utilization review/quality assurance, directing case management . In this role you ... is a remote based (work at home) based anywhere in the US.** The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a background in… more
    CVS Health (08/30/25)
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  • Associate Director , Regional Marketing…

    Bayer (Houston, TX)
    …diverse minds to make a real difference, there's only one choice.** **Associate Director , Regional Marketing - Oncology Portfolio - Western USA** **PURPOSE** As part ... to strategic decision-making, execute regional meetings, and deliver programs to Healthcare Professionals (HCPs) for Bayer Oncology's Prostate Cancer Portfolio. The… more
    Bayer (08/21/25)
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  • Associate Director , Commercial Operations…

    Sumitomo Pharma (Austin, TX)
    …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Commercial Operations - Enterprise CRM** that will enable field force ... + Monitor and improve field adoption through training, feedback loops, and change management . + Support development and maintenance of dashboards and KPIs to track… more
    Sumitomo Pharma (08/13/25)
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  • Director , Benefits

    Verint Systems, Inc. (Austin, TX)
    …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... covering the four pillars. + Responsible for all aspects of leave management , tuition reimbursement, paid time off, annual holiday schedules and worker's… more
    Verint Systems, Inc. (06/13/25)
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  • Director , Consult Partner

    Kyndryl (Dallas, TX)
    …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. Contribute to Profitable ... development; Secure client references Operational Excellence: + Achieve individual and team utilization targets + Lead the design of complex engagements and take… more
    Kyndryl (08/22/25)
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  • VP & Medical Director

    Travelers Insurance Company (Austin, TX)
    …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more
    Travelers Insurance Company (07/25/25)
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  • Manager of Case Management

    HCA Healthcare (Fort Worth, TX)
    …or limits? Our Medical City Fort Worth team is looking for a Manager of Case Management . HCA Healthcare is an advanced healthcare network that has committed ... Summary and Qualifications** + Under the supervision of the Director of Case Management , the Case ...projects. + Works cooperatively with physicians to achieve the utilization of the case management plan. +… more
    HCA Healthcare (08/23/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    …other third party payers in accordance with procedures set forth in the Hospital Utilization Management Plan and the criteria and standards approved by the ... and Qualifications** + Under the direction of the Case Management Manager and the Director of QRM,...extended stays in accordance with criteria approved by the Utilization Management Committee and Medical Staff with… more
    HCA Healthcare (09/04/25)
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  • Chief Medical Officer

    HCA Healthcare (Live Oak, TX)
    …review/ management + You will consult with facility-level staff regarding delegated utilization management and disease management operations under managed ... ongoing in-service programs to facility medical staff regarding clinical resource management , appropriate documents standards, utilization and quality issues,… more
    HCA Healthcare (06/21/25)
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