- Highmark Health (Austin, TX)
- …**Required** + 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice ) **Preferred** + 1 year in Medical Management in a Health ... as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest...Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical… more
- Houston Methodist (Houston, TX)
- … Systems, Quality Systems, Vendor Performance Management Systems, and Contract Management Systems. The Director works closely with Hospital and Physician ... At Houston Methodist, the Director Information Technology (IT) Revenue Cycle Systems position...Organization Revenue Cycle, Finance, Managed Care, Government Accounts, Health Information Management ,… more
- Molina Healthcare (TX)
- …in clinical practice * 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong ... HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice , capitation, HMO regulations, managed healthcare systems, quality improvement,… more
- Arrow Electronics (Plano, TX)
- **Position:** Sales Engineering Director - Cloud, Data/AI **Job Description:** **The start date for this position is estimated to be in January 2026.** Arrow is ... seeking a Sales Engineering Director (SED) to provide strategy, technical direction and business...our **Cloud and Data/AI practices** collaborating closely with other practice areas including Modern Infrastructure and Security. The Sales… more
- Guardian Life (Plano, TX)
- The **Dental Director ** will be responsible for ensuring that professional DHMO activities in the State of Texas are compliant with applicable state regulations. You ... report any quality-of-care issues. In addition, the State Dental Director will be expected to lend support to the...and to assume responsibility for the functions of utilization management and utilization review, as requested by the Dental… more
- 7-Eleven (Irving, TX)
- …Global Support Center (GSC) Team to ensure that utilization and bandwidth is appropriately managed . Work with GSC Management Team to ensure that team is ... Director , Strategic Sourcing - COE Apply Now (https://my7elevenhr.wd12.myworkdayjobs.com/Careers/job/SSC-Irving-TX/ Director --Strategic-Sourcing… more
- SHI (Austin, TX)
- …service partners that complement SHI's offerings in cloud, networking, security, managed services, and professional services. **Partner Relationship Management ** ... **Job Summary** SHI is seeking a dynamic and strategic Director of Services Alliances to lead and expand our...The ideal candidate will have deep experience in partner management , service delivery models, and strategic planning within the… more
- Molina Healthcare (Austin, TX)
- …to learn new programs. Preferred Qualifications * Experience with utilization/quality program management . * Managed care experience. * Peer review experience. * ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Management Consulting, Power Systems Engineering Consulting, Sustainability Consulting **Travel Required** **:** Up to 50% **Clearance ... Guidehouse** Guidehouse is a global consultancy providing advisory, technology, and managed services to the commercial and public sectors. Guidehouse is… more
- Molina Healthcare (Dallas, TX)
- …SKILLS & ABILITIES:** + 10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience ... as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous leadership experience + Peer review, medical… more