- Humana (Austin, TX)
- …The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... the managed care industry including Medicare Advantage and Managed Medicaid. + Utilization management experience in a medical management review organization,… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
- Fresenius Medical Center (Olmito, TX)
- … practices to meet patient needs. + Facilitate the application process for physician privileges and compliance with Medical Staff By-Laws, including assisting ... any governmental or regulatory body having jurisdiction in the premises. Assists the Medical Staff to ensure that medical practices and procedures meets… more
- Fresenius Medical Center (Tyler, TX)
- …equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal ... **PURPOSE AND SCOPE:** Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision… more
- Fresenius Medical Center (Farmers Branch, TX)
- …equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal ... **PURPOSE AND SCOPE:** Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision… more
- Houston Methodist (Pearland, TX)
- …The MA position participates in patient care which is under the direction of a physician and within the scope of a medical assistant. This position may also ... At Houston Methodist, the Medical Assistant Certified (MA) position is responsible for...visiting the clinic under the direct supervision of a Physician , Registered Nurse, or clinic leadership procedures. In collaboration… more
- Travelers Insurance Company (Austin, TX)
- … Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social ... Summary This Medical Support Assistant (Advanced), also referred to as...patients with third-party insurance. Promotes Veteran registration for and utilization of My HealtheVet (MHV); Schedules Veteran appointments with… more
- Humana (Austin, TX)
- …Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review organization,… more
- CVS Health (Austin, TX)
- …Independent Review Organization a Plus **Preferred Qualifications:** -Health plan/payor Utilization Management / Review experience -Electronic medical ... it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this… more