- Fresenius Medical Center (Dallas, TX)
- …compliance of facilities with all managed care organization requirements ensures credentialing processes are implemented. + Ensures all facilities meet and maintain ... appropriate credentialing requirements and licenses. + Develops and implements methods...employees, including performance reviews, disciplinary action and terminations. + Provide technical guidance. + Assist with various projects as… more
- Defense Health Agency (TX)
- **Overview** **Supervisory Physician ( Medical Evaluation Board) - GP-0602-15 - Fort Cavazos, TX** This is an open continuous announcement. Multiple vacancies exist ... benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings… more
- HCA Healthcare (San Antonio, TX)
- …individual is recognized. Submit your application for the opportunity below: Medical Records SpecialistMethodist Hospital **Benefits** Methodist Hospital offers a ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...for our team to ensure that we continue to provide all patients with high quality, efficient care. Did… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D ... & B). The Medical director work assignments involve moderately complex to complex...Director will collaborate with clinicians and support staff to provide Humana members with optimal value based care in… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- HCA Healthcare (Austin, TX)
- …HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Medical Surgical RN Manager with St. David's Medical Center, you can ... manager in an organization that is devoted to giving! **Benefits** St. David's Medical Center, offers a total rewards package that supports the health, life, career… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- Molina Healthcare (TX)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines… more
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