• Medical Director - National Medicare

    Humana (Austin, TX)
    … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (07/21/25)
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  • Director Case Management

    HCA Healthcare (Arlington, TX)
    …a part of our team. **Job Summary and Qualifications** The Facility Case Management Director has the overall responsibility for managing and coordinating ... join an organization that invests in you as a(an) Director Case Management ? At Medical City Arlington,...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    HCA Healthcare (08/09/25)
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  • Remote Medical Director - Texas

    Centene Corporation (Austin, TX)
    …functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. + ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
    Centene Corporation (08/02/25)
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  • Medical Director , MSK Surgery

    Evolent (Austin, TX)
    …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
    Evolent (05/20/25)
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  • Field Medical Director , Interventional…

    Evolent (Austin, TX)
    …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (07/30/25)
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  • Director of Rehab

    Genesis Healthcare (Dallas, TX)
    …Area Director ). 9. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
    Genesis Healthcare (07/31/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Austin, TX)
    … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
    Molina Healthcare (08/08/25)
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  • Market Case Management Director

    Ascension Health (Austin, TX)
    …M-F Days + **Location:** Ascension Seton Administrative Offices The Regional Case Management Director has the overall responsibility for managing and ... coordinating case management department activities. The Director ensures staff...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… more
    Ascension Health (08/08/25)
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  • Medical Director - South Central

    Humana (Austin, TX)
    … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (07/11/25)
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  • National Technology Accounts Business…

    Robert Half-Robert Half Corporate (Dallas, TX)
    …+ Prior experience as a Robert Half Branch Manager or Strategic Accounts National Director highly desired. + Experience with developing relationships with ... **JOB REQUISITION** National Technology Accounts Business Development Director ...services, with enterprise firms with large IT professionals (1000+) utilization , within an assigned territory. This position will leverage… more
    Robert Half-Robert Half Corporate (05/16/25)
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