- Molina Healthcare (Austin, TX)
- …health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies ... improve quality outcomes and decrease costs. * Facilitates behavioral health-related regional medical necessity reviews and cross coverage. * Standardizes behavioral… more
- Molina Healthcare (Fort Worth, TX)
- …mental health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to ... improve quality outcomes and decrease costs. * Provide regional medical necessity reviews and cross coverage * Standardizes...EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in… more
- Molina Healthcare (Austin, TX)
- …for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and… more
- HCA Healthcare (Plano, TX)
- …while helping ensure the program meets both clinical and operational goals + Site Director collaborates with the Regional Medical Director + Collaborates ... collaborative and experienced Obgyn to serve as the Site Director of OB Hospitalists. This is an exceptional leadership...in a hospital-based setting. **Qualified Candidates:** + The Site Director plays a key dual role-leading a dedicated OB… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of ... requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and… more
- WTW (Austin, TX)
- **Description** As a Health and Benefits Financial/Actuarial Director , you will serve as the financial lead for large, complex client assignments. You'll leverage ... and client delivery for all types of financial/actuarial deliverables + Guides team ( regional and global) on deliverables based on client need; review models and… more
- Compass Group, North America (Galveston, TX)
- Morrison Healthcare + We are hiring immediately for a Regional Director , Operations(Food Services). + **Location** : Must be located in SouthEast Texas or ... and yourself.** Join a culture of opportunity with Morrison Healthcare . Our careers are filled with purpose and empower...to Work since 2012. **Job Summary** Working as a ** Regional Director of Operations (RDO)** you will… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- CenterWell (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...physicians, physician groups, facilities, or community groups to support regional market care facilitation and priorities, which may include… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more