- Fresenius Medical Center (Olmito, TX)
- …Preparedness Plan; ensure maintenance of equipment . Ensure proper medical records management and HIPAA compliance . Oversees the continuous and data driven Quality ... and policies, and then developing and implementing an associated center specific management plan. . Ensure adverse events are reported, documented and necessary… more
- Centene Corporation (Austin, TX)
- …network practitioners to provide education on best practice models and utilization management processes + Interact with the Medical Director , or designee, to ... reviews, appeals, and occasional peer-to-peer consultations, as well as participating in Utilization Management clinical rounds. We welcome applicants who **hold… more
- Datavant (Austin, TX)
- …healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred...as it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse… more
- Houston Methodist (The Woodlands, TX)
- …The CQO position works in close association with the System CQO and entity Director and/or VP of Quality & Outcomes and collaborates with all disciplines, hospital ... teams to enable the effective and efficient completion of objectives. + Oversees management of and ensures development for staff to meet overall objectives in terms… more
- Parsons Corporation (San Antonio, TX)
- …Unit - San Antonio (NAMRU-SA) and its collaborating institutions in the management of scientific research programs. NAMRU-SA's mission is to improve survival, ... operations. The Program Manager III will report directly to the Chief Science Director (CSD) and provide a senior-level advisory role to program managers and… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are ... within the **RN/LVN/LPN** scope of practice, under the Medical Director 's direction, using independent nursing judgement and decision-making, physician-developed… more
- Cardinal Health (Austin, TX)
- …risk assessments to define audit priorities based on previous audit findings, management priorities, coding utilization patterns, national normative data, CMS ... and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director , this position supervises and manages compliance audits to determine… more
- UTMB Health (Galveston, TX)
- …Prevention and Antimicrobial Stewardship -** hospital epidemiology services, antimicrobial utilization review , and quality improvement initiatives across the ... the division as a regional referral center for complex infectious disease management and antimicrobial stewardship. **INSTITUTIONAL CONTEXT** UTMB is a $3.5 billion… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …policies and GMA goals. This role reports directly into the Vendor Contracts and Management Lead who reports into the Executive Director , Medical Excellence and ... team within Global Medical Affairs. This role is responsible for end-to-end management of contracts that support Global Medical Affairs operations, excluding those… more
- Microsoft Corporation (San Antonio, TX)
- …Azure platform. By enabling data center capacity through increased Infrastructure Utilization Effectiveness (IUE) and Power Harvesting (PH), you will lead the ... **Support the DC Project Manager's with project estimation, budget management , ROI calculations, formulate project delivery strategies** while establishing… more