- Prime Therapeutics (Austin, TX)
- …design and implementation of innovative drug solutions, including optimizing drug utilization , patient outcomes, and cost-effectiveness through value-based care ... we make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description** The Clinical Solutions Strategy...years of work experience within medical and pharmacy drug management within a PBM or managed care … more
- BrightSpring Health Services (Houston, TX)
- …Works with nursing personnel on survey preparation/ chart reviews/staffing concerns/ED utilization and hospital admission reduction.* Provides survey management ... follow up.* Provides consultation on medically fragile individuals or those with complex care needs and disease state management .* Acts as a facilitator for… more
- Humana (Austin, TX)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- RTX Corporation (Mckinney, TX)
- …of a rapidly evolving global market. We are seeking an Associate Director , Strategic Planning & Processes to orchestrate multi-disciplinary teams from pre-RFP ... and competitive environments, shaping win strategies, pricing approaches, and capture management to deliver compliant, compelling, and highly competitive offers. The… more
- Sedgwick (San Antonio, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Data Tools, Governance and Architecture **PRIMARY PURPOSE OF THE ROLE:** This ... approaches with the overall enterprise architecture and minimize costs. The Tech Director will collaborate closely with the Enterprise Architecture , Security , DBA… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior Director of ... complex actuarial modeling + Collaborates with underwriters, client engagement, and senior management on RFP process and other pricing initiatives related to all… more
- Comerica (Dallas, TX)
- Job Description Director Of InvestmentsThis leader will be responsible for building and delivering a consistent and sustainable investment and service strategy to ... procedures. This position will be accountable for ensuring the consultative investment management process serves as the foundation for providing the required client… more
- Molina Healthcare (San Antonio, TX)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review, ... performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that… more
- Highmark Health (Austin, TX)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...management process are consistent with community standards of care . + Participate as a member of the CMDM… more
- Texas Tech University (Lubbock, TX)
- **41366BR** **Extended Job Title:** Associate Director Marketing Cloud Enrollment Marketing **Position Description:** Performs administrative duties in the ... management and coordination of a large, specialized project and...to team members on Marketing Cloud capabilities, CRM data utilization , and marketing best practices. + Develop documentation, workflows,… more