- Community Health Systems (Longview, TX)
- …Recognition & Reward Programs + Exclusive Discounts & Perks* **Job Summary** The Director , Practice Management is responsible for the operational, financial, ... with regulatory agencies, accreditation bodies, and healthcare laws governing physician practice management , billing, coding, and patient privacy. + Collaborates… more
- Cardinal Health (Austin, TX)
- …+ Experience in a managed services, physician enterprise, or oncology practice management setting + Familiarity with payer models, oncology value-based ... experienced team is passionate about helping oncology practices navigate the future. The Director of Practice and Network Strategy will be responsible for… more
- Humana (Austin, TX)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Humana (Austin, TX)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Humana (Austin, TX)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Austin, TX)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- UTMB Health (Huntsville, TX)
- Assistant Director Pharmacy Services **Huntsville, Texas, United States** **New** Allied Health UTMB Health Requisition # 2506054 The mission of Correctional ... Managed Care is to address the healthcare needs of...Juvenile Justice Department (TJJD). **_JOB SUMMARY_** **:** The Assistant Director oversees, plans, and directs all pharmacy services in… more
- UTMB Health (Galveston, TX)
- …**:** To provide administrative and leadership expertise in the redesign, development, and management of UTMB Correctional Managed Care operations based on the ... Director of Operations, - CMC - Galveston County...UTMB Health Requisition # 2503778 The mission of Correctional Managed Care is to address the healthcare needs to… more
- Molina Healthcare (Houston, TX)
- …HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice , capitation, HMO regulations, managed healthcare systems, quality improvement, ... including: + 2 years previous experience as a Medical Director in a clinical practice . + Current..., and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E**… more
- Molina Healthcare (Fort Worth, TX)
- …HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice , capitation, HMO regulations, managed healthcare systems, quality improvement, ... including: + 2 years previous experience as a Medical Director in a clinical practice . + Current..., and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE,… more