- Option Care Health (Austin, TX)
- …IG to include clinical, market, and payer dynamics + Knowledge of reimbursement, managed care , and marketing **Basic Qualifications** + Proven record of ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...brightest talent in healthcare. **Job Description Summary:** The National Director IG Business Development role will be responsible for… more
- Humana (Austin, TX)
- …on average) Eastern Time Zone hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... 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
- CVS Health (Austin, TX)
- …Minimum 3-5 years of clinical practice experience. Two (2) + years of experience in managed care (Medicare and/or Medicaid) MD or DO; Board certification in an ... to its membership. Aetna is looking for a medical director to be part of a centralized team that...state where we have an Integrated plan. Experience with managed care (Medicare and Medicaid) utilization review… more
- Cardinal Health (Austin, TX)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… more
- Oracle (Austin, TX)
- **Job Description** Job Summary: Oracle Cloud Infrastructure's (OCI) Oracle Managed Kubernetes (OMK) team is seeking a visionary and results-driven Director of ... growing group. OMK is OCI's enterprise-grade Kubernetes service that provides a managed , scalable and secure environment to deploy containerized applications. It is… more
- Prime Therapeutics (Austin, TX)
- …is located + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a ... of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account ...clinical and/or managed care setting Must be eligible to… more
- Molina Healthcare (San Antonio, TX)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Elevance Health (TX)
- …+ Working in inpatient experience with strongly preferred. + Experience working within managed care strongly preferred. _If this job is assigned to any ... **Medical Director ** _Please note that per our policy this...services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and… more
- Baylor Scott & White Health (Dallas, TX)
- …for overseeing the enrollment of BSWH facilities and providers with government and managed care payers, ensuring all processes comply with regulatory and payer ... **Job Summary** The Director , Provider Enrollment, is responsible for the strategic...payer enrollments and claims submission. Collaborates with Legal, Compliance, Managed Care , Medical Staff Services, Government Finance,… more
- Guardian Life (Plano, TX)
- …simultaneously + Knowledge of, or willingness to learn, regulatory requirements for dental managed care in the State of California **You will** + Continuously ... compliance. You will provide quality oversight and report any quality-of- care issues. In addition, the State Dental Director...quality-of- care issues. In addition, the State Dental Director will be expected to lend support to the… more