- Evolent (Austin, TX)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... cases. you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Austin, TX)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Humana (Austin, TX)
- …. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in… more
- MD Anderson Cancer Center (Houston, TX)
- …operational procedures. Facilitate an information technology supported central core utilization tracking and sample management systems. Organize ... students, trainees, professionals, employees and the public. The Executive Director of Institutional Shared Resources provides administrative, scientific, financial,… more
- HCA Healthcare (Georgetown, TX)
- …care in 21 states and the United Kingdom. We are looking for a(an) Director of Cardiovascular Services for our St. David's Georgetown Hospital team where excellence ... to be an influencer in healthcare? **Apply for our Director of Cardiovascular Services role today!** **Job Summary and...each shift as closely as possible. + You will review and approve employee payroll. Assure that payroll sheets… more
- CVS Health (Austin, TX)
- …Independent Review Organization a Plus **Preferred Qualifications:** -Health plan/payor Utilization Management / Review experience -Electronic medical ... review , and appeal request. This position is primarily responsible for Utilization Management , including prior authorization and precertification as well as… more
- Evolent (Austin, TX)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Surgery you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Austin, TX)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... Oncology, you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Sedgwick (Austin, TX)
- …PURPOSE** :: To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple ... and on site at client locations; to provide expertise in client specific case management and utilization review requirements; and to ensure customer… more
- Houston Methodist (Houston, TX)
- …functions and services to maintain successful operations, clinical practice, formulary management , quality assurance and financial stability. The Director ... At Houston Methodist, the Director Pharmacy Services position is responsible for the...the effective and efficient completion of objectives. + Oversees management of and ensures development for staff to meet… more