- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues... will collaborate with clinicians and support staff to provide Humana members with optimal value based care in… more
- EPAM Systems (Austin, TX)
- …transformation service providers, we are looking to aggressively expand our Data Practice across North America to meet increasing client demand for our services. ... We are looking for people at the Senior Director and Director level within the Data... level within the Data & Analytics/Data Science Consulting Practice with a specific focus on Machine Learning (ML)… more
- UTMB Health (Huntsville, TX)
- Director Pharmacy Service - CMC Huntsville Central Pharmacy **Huntsville, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # 2504063 The ... mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and… more
- Evolent (Austin, TX)
- …health, biology) + At least 5 years of professional experience in claims-based healthcare analytics with a payer, provider , vendor, managed care, or related ... the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex… more
- UT Health San Antonio (San Antonio, TX)
- PhD Program Director San Antonio (https://uthscsa.referrals.selectminds.com/faculty/jobs/12982/other-jobs-matching/location-only) Faculty School of Nursing 25000215 ... this Job Sign Up for Job Alerts PhD PROGRAM DIRECTOR The School of Nursing at UT Health San...on candidate's experience. Essential Responsibilities 1. Program Administration a. Provide leadership for the PhD in Nursing Science program,… more
- Sanofi Group (Houston, TX)
- …best practices to help address key patient pathway implementation challenges in large healthcare centers. This role will provide appropriate support in the ... **Job Title:** Regional CPE Director , Tzield West/Mountains/South **Location:** Remote, US **About the...PCP/PED educational outreach efforts. We are an innovative global healthcare company with a focus on immunology that extends… more
- Houston Methodist (Houston, TX)
- …degree preferred **WORK EXPERIENCE** + Five years experience in a complex healthcare environment to include provider , payer, consulting, technology or related ... At Houston Methodist, the Director Managed Care Contracting position is responsible for...ESSENTIAL FUNCTIONS** + Identifies and implements innovative solutions for practice or workflow changes to improve department, entity or… more
- Elevance Health (Grand Prairie, TX)
- **Medical Director -Pain Management/Anesthesia Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required ... unless an accommodation is granted as required by law. The **Medical Director Pain Management/Anesthesia Appeals** is responsible for the review of appeals for… more
- Humana (Austin, TX)
- …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 ... Corporate Medical Director works on problems of diverse scope and complexity...decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and… more
- Baylor Scott & White Health (Dallas, TX)
- …is an outstanding opportunity to join a nationally ranked pulmonary division and practice at a nationally known academic medical center. The Division has outstanding ... lab. This is an employed position through Health Texas Provider Network (HTPN), the Baylor Scott & White employment...an outpatient and inpatient consultative opportunity. As a medical director , you will lead the growth of PH program… more
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