- Highmark Health (Austin, TX)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Humana (Austin, TX)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex...requires an in-depth evaluation of variable factors. **Become a part of our caring community and help us put… more
- Elevance Health (Grand Prairie, TX)
- **National Accounts Medical Director ** Location: This role enables associates to work virtually full- time , with the exception of required in-person training ... law. Alternate locations may be considered. The **National Accounts Medical Director ** is responsible for serving as...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- AccentCare, Inc. (College Station, TX)
- Overview Find Your Passion and Purpose in a dual role of Hospice Medical Director and Team Physician Reimagine Your Career in Hospice As a medical ... incredible memories while providing world-class patient care. The Hospice Medical Director (HMD) will be responsible for...30 hours per week and their families, including: * Medical , dental, and vision coverage * Paid time… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Elevance Health (TX)
- ** Medical Director ** _Please note that per...several times per week. Specific requirements and expectations for time onsite will be discussed as part ... policy t_ _his role enables associates to work virtually full- time , with the exception of required in-person training sessions,...an accommodation is granted as required by law._ The ** Medical Director ** is responsible for the administration… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse...a remote position. **Scheduled weekly hours** **:** 40 hours (full- time ): four 10-hour workdays per week, either Friday-Monday or… more
- Evolent (Austin, TX)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... state. Multiple opportunities for a flexible schedule and both part - time and full- time options available.**...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more