- Guidehouse (Lewisville, TX)
- …with insurance portals + PC skills in a Windows environment. + Knowledge and utilization of desktop applications to include Word and Excel. + Ability to initiate and ... reflects our commitment to creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and Family Sick Time &… more
- Centene Corporation (Austin, TX)
- …quality improvement and credentialing functions for the business unit. + Provides medical leadership of all for utilization management, cost containment, and ... medical quality improvement activities. + Performs medical review activities pertaining to utilization review,...state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician… more
- Texas Health Resources (Plano, TX)
- … Officer will provide administrative oversight and assistance with hospital's medical staff, physician recruitment, hospital operations and clinical programs ... the established goals of THR while also providing quality medical care. 5. Support effective patient throughput, utilization...staff affairs. a. Work with committees and chairs and medical directors to ascertain physician needs with… more
- Molina Healthcare (Fort Worth, TX)
- …practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease ... productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy … more
- Catholic Health Initiatives (Houston, TX)
- …Additional market accountabilities as the MCMO include patient safety, patient experience, physician engagement, physician recruitment, and medical staff ... **Responsibilities** The Market/ Baylor St. Luke's Medical Center Chief Medical Officer (MCMO)...safe patient care through oversight of all aspects of physician performance, quality, and clinical integration. Specifically responsible for… more
- Evolent (Austin, TX)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the ... utilization management team. We can offer you a meaningful...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. Aids and acts… more
- ZOLL Medical Corporation (San Antonio, TX)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... as well as support activities to promote consistent use (Local Medical Education Programs, Tradeshows, clinical symposiums and conferences). Call points include:… more
- Evolent (Austin, TX)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...Director you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Austin, TX)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . Participates ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...Oncology, you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Austin, TX)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a ... the culture. **What You'll Be Doing:** As a Field Medical Director, MSK Surgery you will be a specialty...cases. you will be a key member of the utilization management team. We can offer you a meaningful… more