- Sedgwick (Austin, TX)
- …review process including making a recommendation of specialty for the Independent Medical Review process. + Developing and delivering training materials and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The...+ Member of a client Disability Pension Board + Review of identified appeal cases for quality assurance purposes… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance ... classification software to assign procedure and diagnosis codes for insurance billing. + Review claims data to...and authorizations are in place before submission. + Conduct medical records research and correspond with insurance … more
- CRC Insurance Services, Inc. (TX)
- …by the division of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance , disability, accidental death and dismemberment, ... (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Responsible for overseeing, managing and supporting… more
- CRC Insurance Services, Inc. (San Antonio, TX)
- …by the division of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance , disability, accidental death and dismemberment, ... (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Invoices policies, coordinates the servicing of… more
- CRC Insurance Services, Inc. (Dallas, TX)
- …by the division of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance , disability, accidental death and dismemberment, ... English (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Underwrite new and renewal business in a… more
- WTW (Austin, TX)
- …with existing clients + Drives the RFP response process, including review , identification, and coordination of resources and expertise required, and ultimate ... objectives + Provides strategic planning and consulting advice to clients; monitors insurance and risk management needs in collaboration with WTW resource, practice,… more
- Houston Methodist (Sugar Land, TX)
- …responsibility of this position may include many of the following: credentialing; Medical Staff governance, including peer review ; accreditation and regulatory ... legal, and medical staff leadership as appropriate related to Peer Review , competency and physician behavior. + Regularly communicates with Medical Executive… more
- Humana (Austin, TX)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Centene Corporation (Austin, TX)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. + Supports effective implementation… more
- Highmark Health (Austin, TX)
- …and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may ... DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of...outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;… more