- 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
- CVS Health (Austin, TX)
- …and consistent responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical ... the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director … more
- Prime Therapeutics (Austin, TX)
- …and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** ... The Senior Director Clinical Strategy and Oncology Specialty Solutions is responsible for owning the execution of Prime's oncology specialty products and programs,… more
- Molina Healthcare (San Antonio, TX)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review ... and expertise in the performance of prior authorization, inpatient concurrent review , discharge planning, case management and interdisciplinary care team… more
- Prime Therapeutics (Austin, TX)
- …every decision we make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description** The Clinical Solutions Strategy Senior ... Director is responsible for developing new, bold clinical solutions...and implementation of innovative drug solutions, including optimizing drug utilization , patient outcomes, and cost-effectiveness through value-based care models,… more
- Atlas (Austin, TX)
- …great company. Come join us! **Role Overview** The Texas Business Development (BD) Director and Key Account Manager (KAM) is responsible for driving sales and growth ... This role will have no direct reports, at least initially. The Texas BD Director and KAM will lead a client-relationship team that includes seller/doers who are… 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...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… 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
- 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