- ChenMed (Houston, TX)
- …ChenMed/JenCare/Dedicated Senior Health centers within the market. + Consults with the Medical Director, Cardiology to ensure compliance with guidelines along ... such as heart attacks and coronary heart disease, taking medical history, conducting physical exams, developing a plan of...on the scope and member volume. + Assists the Medical Director, Cardiology in managing the day-to-day clinical and… more
- 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...policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We ... match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or… more
- Evolent (Austin, TX)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology ... endovascular procedures, implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a subject matter… more
- Globus Medical, Inc. (San Antonio, TX)
- Bone Bank Allografts, a subsidiary of Globus Medical Inc., specializes in processing and distributing high-quality bone allografts for various medical ... renowned engineering, drives our mission to advance patient care and medical innovation through precise and efficient allograft processing and distribution.… more
- Humana (Austin, TX)
- …part of 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...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Evolent (Austin, TX)
- …Doing:** What You Will Be Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical ... and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD… more
- Prime Healthcare (Dallas, TX)
- Overview We are seeking aCredentialing Coordinator, also referred to as a Medical Staff Coordinator or Medical Staff Office Coordinator. A Credentialing ... managing timely recredentialing processes. They also maintain accurate records, ensure compliance with regulatory standards, and act as a liaison between providers… more
- MTC (Houston, TX)
- …encourage you to apply. Join our team and help us provide top-tier medical and security services to a justice involved population! **Advanced Houston Specialty ... Hospital** is looking for a ** Medical Records Technician** to work at our newly renovated...a secure correctional healthcare setting. This position ensures confidentiality, compliance , and timely documentation handling to support patient care… more
- Evolent (Austin, TX)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, MSK Surgery you will be a specialty match reviewer for Spine Surgery ... reviewer in Spine Surgery cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients,… more