- University of Texas Rio Grande Valley (Rio Grande, TX)
- …Evidence of sustained scholarship (eg, a minimum of 5 peer -reviewed works, established extramural grants, mentorship of faculty/student scholarly activity).Must ... implement a research agenda that includes scholarly activities such as authoring peer -reviewed publications and grant writing. 3. Ability to secure external funding… more
- Molina Healthcare (San Antonio, TX)
- …to the development and implementation of behavioral health medical policies, peer review processes, provider education, and contract reviews. + Represents the ... engagements, including state regulators, providers, and advocacy groups. + Conducts peer reviews and supports fraud, waste, and abuse mitigation efforts. **Job… more
- Oracle (Austin, TX)
- …high level system design, writing architectural documentation and driving engineering peer reviews to hands-on prototyping, code reviews and project bootstrapping. ... placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following:… more
- Humana (Austin, TX)
- …for intercepting inbound calls and assisting facilities/providers in scheduling and coordinating Peer to Peer discussions + Managing Humana Medical Directors' ... calendars + Monitoring and decisioning authorizations + Responding to provider inquiries regarding existing authorizations, and providing timely updates as needed via fax or phone calls, ensuring compliance with organizational policies and applicable federal… more
- Coinbase (Austin, TX)
- …the financial system? You'll work on building the next generation of peer -to- peer and cross-border payments-global, open, interoperable, and lightning-fast. This ... role is at the heart of Coinbase's next decade, where we move beyond the exchange and into making crypto payments work in the real world. *What you'll be doing* * Own all facets of a product area from crafting the vision and strategy to executing * Define and… more
- Molina Healthcare (TX)
- …from requestors to ensure appropriate creation of reports and analyses. Uses peer -to- peer review process and end-user consultation to reduce report writing ... errors and rework. + Responsible for timely completion of projects, including timeline development and maintenance; coordinates activities and data collection with requesting internal departments or external requestors. + Identify and complete report… more
- Evolent (Austin, TX)
- …+ Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering ... providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s… more
- Houston Methodist (Houston, TX)
- …positive outcomes by monitoring and improving the department workflow, supporting peer -to- peer accountability, and identifying solutions via collaboration. Role ... models situational awareness, using teachable moments to improve safety. Participates in investigations as a result of the root cause analysis process as assigned by manager. + Monitors self and ensures employee compliance with policies, procedures, and System… more
- IQVIA (Dallas, TX)
- …improve patient outcomes, and unleash new opportunities. **Responsibilities:** Provide peer -to- peer education and in-servicing to nurses, physicians, and ... hospital staff to support medical device implementations Assess customer-specific education needs and collaborate with staff to deliver a positive educational experience Utilize clinical nursing expertise to answer questions and address concerns with the… more
- Highmark Health (Austin, TX)
- …& Quality Assurance:** Manage the full publication process for assigned policies. Conduct peer reviews of other policies as part of the quality assurance process to ... candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range… more