- MD Anderson Cancer Center (Houston, TX)
- …meetings. Represent MD Anderson at community events, educational forums, and among referring physician groups across the region. Practice clinical medicine in an ... as a practitioner for faculty, fellows and residents and students. 4. Provide peer review for assessing the clinical practice of faculty within the Department.… more
- Evolent (Austin, TX)
- …provides clinical rationale for standard and expedited appeals. . Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...**What You Will Be Doing:** . Serve as the Physician match reviewer in Advanced Imaging cases,… more
- Evolent (Austin, TX)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...**What You Will Be Doing:** + Serve as the Physician match reviewer in Imaging cases, that… more
- Evolent (Austin, TX)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,… more
- Evolent (Austin, TX)
- …Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... to make a difference in patients' lives, in a non- clinical environment. You can enjoy better work- life balance...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
- Highmark Health (Austin, TX)
- …and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal ... multiple drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion… more
- AdventHealth (Fort Worth, TX)
- …of a coordinated region-wide approach to service line expansion, program development, physician integration and strategies to create clinical quality and ... leadership oversight for the development of high quality, cost efficient and integrated clinical programs within the Service Lines across the region. . Create a dyad… more
- Houston Methodist (Houston, TX)
- …or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation ... rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional… more
- Elevance Health (Houston, TX)
- …decisions to members and providers. **How you will make an impact:** + Perform physician -level case review , following initial nurse review , of Medical ... ** Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical...Oncology regimens and supportive care. + Perform physician -level case review , following initial nurse … more
- Immigration and Customs Enforcement (El Paso, TX)
- …the United States Graduate from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) Certificate of ... the United States. Graduate from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Certificate of… more