- Humana (Austin, TX)
- …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Texas Health Resources (Fort Worth, TX)
- …Finance, People and Culture, Information Services, Supply Chain, Legal, Community Health, Managed Care and physician leaders toward the achievement of the ... The Vice President & Chief Operating Officer of Texas Health...an operations officer or administrative leader in an acute care hospital or integrated delivery system required. + Experience… more
- UT Health San Antonio (San Antonio, TX)
- …and goals, accurate and timely reporting of goals and performance to the President /CEO; ensures medical practice risk is effectively managed . 2. Directs ... and Chief Medical Officer of the Center for Health Care Services (CHCS). The CHCS is the Local Mental...of provider performance. This position is accountable to the President /CEO for developing and implementing CHCS medical services strategies… more
- UTMB Health (Huntsville, TX)
- …Managerial & Finance UTMB Health Requisition # 2504063 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... and best practices, operating effectively and efficiently across the continuum of care . + Leverages technology and automated systems to optimize the medication use… more
- UTMB Health (Galveston, TX)
- …as internal and external communications. The AD assists in the patient care delivery system development and operations across the clinical enterprise, collaborating ... effectively with staff, physicians, and other members of the health care team. The position provides cohesive management, supervision, and leadership in the assigned… more
- HCA Healthcare (Live Oak, TX)
- …+ You will provide medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... serve as a resource and consultant to the Vice President Physician Services Group and/or Vice President ...regarding delegated utilization management and disease management operations under managed care contracts. You will meet all… more
- Humana (Austin, TX)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed ... The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments… more
- Baylor Scott & White Health (Temple, TX)
- …very highly preferred. + Licensed pharmacist preferred. + Proven knowledge of managed care and pharmacy benefit management. This includes prescription drugs, ... on position type and/or level **Job Summary** The Vice President Pharmacy Health Plan (HP) oversees planning, directing, and...pharmacy and medical management model. It will reshape the care delivery system and improve members' health. + Ensures… more
- HCA Healthcare (Dallas, TX)
- …incentive eligible. **Job Summary and Qualifications** In partnership with the Division Vice President of GME, the AVP of Graduate Medical Education (AVP GME) is ... information + Assist as needed to ensure that faculty agreements/contracts are being managed timely by each hospital + Assist Hospital to ensure a smooth transition… more
- Prime Therapeutics (Austin, TX)
- …a regulatory or compliance role, with a minimum of 3 years of experience working with managed care companies or other health care clients Must be eligible to ... and support to internal clients, typically at the Director or Vice President level. **Responsibilities** + Provide tactical legal advice and support to internal… more