- Elevance Health (Houston, TX)
- …+ Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate on committees or in ... **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual:** This role enables associates to work virtually… more
- CenterWell (Dallas, TX)
- …providing medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the ... care being provided meets appropriate standards and to ensure cost-effective utilization practices. + Oversee the development, revision, and implementation of… more
- Ryder System (Austin, TX)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** This ... may manage CI resources and reports to the CI Manager /Sr. CI Manager and is closely aligned...Identify and support Automation projects. Regularly interacts with account Management and/or customer(s). + Demonstrate a high level of… more
- Highmark Health (Austin, TX)
- …triaging members to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...**Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management … more
- Molina Healthcare (TX)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and...the specific programs supported by the plan such as Utilization Review , Medical Claims Review ,… more
- Ryder System (Roanoke, TX)
- …position reports to the Lead Engineer, CI Manager or Sr. CI Manager and is closely aligned with Operations Management . **Essential Functions** + Collects ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...Identify and support Automation projects. Regularly interacts with operations management and/or customer(s). + Develop and demonstrate competency in… more
- HCA Healthcare (Dallas, TX)
- …staff committees as necessary. + Assists with staff performance evaluations. + Acts as manager in charge as assigned. + Provides review and guidance on physician ... participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements… more
- CenterWell (Arlington, TX)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
- TruePoint Communications (TX)
- …recommendations to upsell and increase our existing clients' budgets + Provide crisis management help as needed + Review all media outreach and influencer ... Manage staffing to maintain optimal coverage, skill sets, and utilization across accounts + Take ownership of account team...in strategy, media relations (consumer and B2B), and crisis management + Strong editor and writer with the ability… more
- Hatch (Houston, TX)
- …applicable local legislation. #HatchUS Nearest Major Market:Houston Job Segment: M&A, Manager , Sustainability, Project Manager , Engineer, Management , Energy, ... + Support KPI targets for the Business Unit, including connectivity, utilization , multiplier, margin, volume + Oversee engagements for commercial, financial, and… more
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