- CenterWell (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...and ongoing Board Certification in an approved ABMS Medical Specialty as well as ABQAURP, or other boarddemonstratingadvanced training… more
- Centene Corporation (Austin, TX)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- The Cigna Group (Austin, TX)
- …ideal-state architecture with real-world execution. **Nice to Have** + Prior **PBM/ specialty pharmacy ** platform knowledge (eg, claims/benefit management, care ... a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This...in client value proposition. + **Executive Advising & Alignment:** Provide clear trade‑off narratives (cost, risk, velocity) to SLT/CIO… more
- Centene Corporation (Austin, TX)
- …Hiring: Remote Medical Directors** Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, ... + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Molina Healthcare (San Antonio, TX)
- …providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Merck (Austin, TX)
- …Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry ... **Job Description** Associate Director , Field Access Management The Associate Director...ongoing maintenance of standard operating procedures (SOPs) regarding Hub, specialty pharmacy , field access managers, and appropriate… more
- UTMB Health (Galveston, TX)
- Professor, Division Director - Internal Medicine-Rheumatology **Galveston, Texas, United States** **Hot** Faculty UTMB Health Requisition # 2302485 **Division Chief ... through partnership with Shriners Hospital for Children, transplant services, and specialty medical care for a substantial portion of Texas's incarcerated population… more
- Molina Healthcare (Fort Worth, TX)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. * Assumes leadership… more
- HCA Healthcare (Houston, TX)
- …and State and Federal laws. Responsible for clinical activities as determined by pharmacy director or lead pharmacist. Responsible for the provision of services ... child, adolescent, adult, and geriatric). **Duties** + Under the supervision of the Director of Pharmacy , ensures the compounding and dispensing of all… more