- American Heart Association (Dallas, TX)
 - …us. The American Heart Association has an excellent opportunity for a **Benefits Director ** based in Dallas, TX, at our National Center office. This position will ... The ideal candidate will bring deep expertise in benefits design, vendor management , employee engagement, and team leadership. This is a highly collaborative role… more
 
- Fotona (Irving, TX)
 - …unparalleled quality, reliability, ease of use, and durability. Fotona is seeking a dynamic Director of US Marketing to drive the adoption and growth of our dental, ... role will oversee all aspects of local brand and portfolio management , innovation commercialization, integrated marketing campaigns, and communications. The ideal… more
 
- Sevita (Denton, TX)
 - …every day. Join us today, and experience a career well lived. **Operations Management Area Director , IDD Services** _Denton, TX_ _Starting Salary: $75,000_ ... Responsible for the financial performance of the area business unit, review financial statements, oversee purchasing, assure billing compliance, and documentation. +… more
 
- Travelers Insurance Company (Austin, TX)
 - …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more
 
- Molina Healthcare (Austin, TX)
 - …Reforecast according to Corporate guidelines. + Collaborate with Actuarial staff to review IBNR estimates and rate adequacy studies. + Analyze results to identify ... and trends. + Research and develop reports and analysis for senior management , effectively presenting and communicating results. + Works closely with operational … more
 
- USAA (San Antonio, TX)
 - …settlement authority within their process (or as delegated). + Monitors the utilization , quality and costs of independent appraiser, adjusters, alliance partners and ... + Proven leadership and ability to influence at all levels of management . + Demonstrated ability to effectively communicate, both orally and in writing,… more
 
- Molina Healthcare (Dallas, TX)
 - …+ Manage projects spanning multiple domains + Supports Market and Enterprise management and other team members are related to all things financially related ... guidelines + Coordinate the Market month-end close with Accounting staff; review all non-IBNR reserves for appropriateness monthly + Work collaboratively with… more
 
- Health Care Service Corporation (Richardson, TX)
 - …experience + Hematology and Oncology experience + Peer to peer experience + Utilization Management / review experience **This is a Telecommute (Remote) role: ... Must reside withing 250 miles of the office or anywhere within the posted state.** **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service… more
 
- CenterWell (Austin, TX)
 - …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
 
- HCA Healthcare (Conroe, TX)
 - …issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review / management . + Consults with ... of quality and cost improvement and develops systems to review utilization of resources and objectively measure...facility-level staff regarding delegated utilization management and disease management operations under managed… more
 
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