- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues... will collaborate with clinicians and support staff to provide Humana members with optimal value-based care in accordance… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- Summary This position serves as the Assistant Medical Center Director located within the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), ... Network (VISN), VA Medical Center (VAMC). The Assistant Medical Center Director exercises line authority for multiple administrative and allied health services… more
- Immigration and Customs Enforcement (Houston, TX)
- …review reports to IHSC behavioral health unit administration for program and credentialing reviews. Provide tele-behavioral health services to other ICE ... Summary The Supervisory Behavioral Health Provider oversees clinical performance, program evaluations, and behavioral...appropriate plan of care. Determines the need for and provide direct mental health services to detainees with identified… more
- Cardinal Health (Austin, TX)
- …value that supports the patient throughout the continuum of care. The Interim Director of Pharmacy will provide leadership on an interim/transitional basis in ... where your license is applicable. **_Responsibilities_** + The Interim Director of Pharmacy will provide leadership on...diverse projects across the territory. + May require vendor credentialing . **_What is expected of you and others at… more
- HCA Healthcare (San Antonio, TX)
- …We care like family! Jump-start your career as a Payment Resolution Director today with Parallon. **Benefits** Parallon offers a total rewards package that ... benefits may vary by location._** Come join our team as a Payment Resolution Director . We care for our community! Just last year, HCA Healthcare and our colleagues… more
- Molina Healthcare (Houston, TX)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... + Attends or chairs committees as required such as Credentialing , P&T and others as directed by the Chief...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- Molina Healthcare (Fort Worth, TX)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... + Attends or chairs committees as required such as Credentialing , P&T and others as directed by the Chief...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more