- Cardinal Health (Austin, TX)
- …team on prescribed medications, supplies and related processes. **_Job Summary_** The Market Director of Pharmacy provides overall regional leadership direction ... and management assistance of operation processes and initiatives within the...managers and staff. + Supports the Account Manager, Clinical Director , Market DOP colleagues, and client system… more
- CVS Health (Austin, TX)
- …ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality ... willing to obtain a Texas License. In the Medical Director role you will provide oversight for medical policy...of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum… more
- Elevance Health (Grand Prairie, TX)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... director provides clinical expertise in all aspects of utilization review and case management . Provides input...services by members. Involved in identifying and managing medical utilization trends, emerging trends and market changes… more
- Humana (Austin, TX)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Austin, TX)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Centene Corporation (Austin, TX)
- …functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. + ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Centene Corporation (Austin, TX)
- …functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. + ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Humana (Austin, TX)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... with prior experience participating in teams focusing on quality management , utilization management , case ...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
- CenterWell (Arlington, TX)
- …patient care and business outcomes. **KEY RESPONSIBILITIES** **Leadership & Organizational Management :** + Understand organizational & market priorities, trends, ... the year. **Dyad Partnership:** + Collaborate with operational leaders (Associate Operations Director and/or Market President) and Shared Services partners to… more
- CenterWell (Fort Worth, TX)
- …patient care and business outcomes. KEY RESPONSIBILITIES *Leadership & Organizational Management : *Understand organizational & market priorities, trends, and ... the year. Dyad Partnership: *Collaborate with operational leaders (Associate Operations Director and/or Market President) and Shared Services partners to… more