- Molina Healthcare (San Antonio, TX)
- …Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting ... adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/ Quality Program management + HMO/Managed care experience **PREFERRED… more
- Houston Methodist (Houston, TX)
- …include overseeing the activities of the department staff, ensuring quality , productivity, functional excellence and efficiency to accomplish strategic and ... and ensures development for staff to meet overall objectives in terms of quality , service and cost effectiveness. Provides timely guidance and feedback to help… more
- Houston Methodist (Houston, TX)
- …include overseeing the activities of the department staff, ensuring quality , productivity, functional excellence and efficiency to accomplish strategic and ... and ensures development for staff to meet overall objectives in terms of quality , service and cost effectiveness. Provides timely guidance and feedback to help… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …+ Show evidence of sustained professional engagement through research and scholarly activity ( peer - review research materials) in counseling + Show evidence of at ... meaningful advancements in research and creative works, expanding access to high- quality and affordable healthcare, and fostering authentic community engagement and… more
- Evolent (Austin, TX)
- …as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. . Aids and acts as a resource to Initial ... reviews to be completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
- Evolent (Austin, TX)
- … Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with ... + Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering… more
- Evolent (Austin, TX)
- …as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial ... reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers,… more
- Texas Tech University (TX)
- …and teaching programming + Evidence of effective teaching including student evaluation, peer review , and self-reflection, delivery of content, learning outcome ... is expected to develop and maintain a productive research program in food chemistry that is focused on meat...Evidence of research enterprise such as a record of peer -reviewed referred publications in high quality journals,… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …regular staff meetings, Medical Staff meetings, and compiles with Psychology Service peer review procedures. (Dependent of license level and acclimation to ... are determined by the VHA Education Loan Repayment Services program office after complete review of the... director or coordinator in the execution of ongoing program evaluation and data-driven quality improvement projects… more
- Cardinal Health (Austin, TX)
- …corrective action, not limited to termination when applicable. + Continually monitor program adherence, quality , attendance, and address accordingly. + Report ... patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to… more