- CenterWell (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will… more
- Humana (Austin, TX)
- …of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Austin, TX)
- …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Governmental Reporting is responsible for ensuring that Houston Methodist meets all internal and external financial and ... governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and… more
- CVS Health (Austin, TX)
- …health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the Medical Management staff ... to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the...Two (2) + years of experience in managed care ( Medicare and/or Medicaid) MD or DO; Board certification in… more
- Genesis Healthcare (Denton, TX)
- …expertise with our Clinicians in Action professional development program Responsibilities The Director of Rehab PT is responsible for the efficient management of ... in integration of rehabilitation services in all settings. The Director of Rehab PT ensures that the highest standard...year of management experience. 7. A thorough knowledge of Medicare and third party billing is also required. Genesis… more
- ChenMed (Houston, TX)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical Director … more
- Humana (Austin, TX)
- …our caring community and help us put health first** The Associate Director , HEDIS Operations of Non-Standard Supplemental for business operations supports all ... of configuration control, data management, and deficiency reporting. The Associate Director , Data Management requires a solid understanding of how organization… more
- Evolent (Austin, TX)
- …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 can ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Evolent (Austin, TX)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more