- Houston Methodist (Sugar Land, TX)
- …engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource ... achieve continuous improvement and expedite care/facilitate discharge. + Performs post-discharge review by analyzing the inpatient record to ensure that compliance… more
- Centene Corporation (Austin, TX)
- …cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality assurance, and ... approved quality improvement and utilization management programs in accordance with regulatory , state, corporate, and accreditation requirements. + Assists the Chief… more
- Walgreens (Houston, TX)
- …such as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- Quanta Services (Houston, TX)
- …process deliverables with team members of all disciplines. + Research, review , and design integration of Company Standards, Municipality Requirements, and ... Regulatory Codes as it pertains to project deliverables. +...deliverables. + Perform independent QA/QC of drawing deliverables. + Review other discipline deliverables to ensure process designs are… more
- Coinbase (Austin, TX)
- …that will play a crucial role in financial reporting and other statutory and regulatory filings. *What You'll Be Doing (ie, Job Duties)* * Lead the preparation of ... and preparation of disclosures. * Assist in coordinating the review and approval of quarterly and annual SEC filings...Investor Relations through tie out and other quality assurance review of their externally published materials, and prepare and… more
- Humana (Austin, TX)
- …site of service should be authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources which may include national ... provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational… more
- Citigroup (Irving, TX)
- …of the sub-function/job family through complex deliverables. Applicants to this role should review the list of key responsibilities below as well as the list of ... or 3rd parties. + Negotiate with customers and internal Citi product/customer partners. + Review accounts on a routine basis to gauge the level of progress achieved… more
- CenterWell (Austin, TX)
- …of potential projects + Manage client relationship + Monitor proposed regulatory changes to Medicaid and provide strategic recommendations to government affairs ... performance and proactively bring issues to the forefront for review + Support new business implementations with a goal...and present to client + Escalate issues for immediate review and action whenever necessary + Request, review… more
- Molina Healthcare (Fort Worth, TX)
- …into ARB review processes. + Familiarity with compliance standards and regulatory needs (eg, HIPAA, GDPR, SOC 2) within data platforms + Strong ability ... Leads solution architecture reviews and approvals as part of the Architecture Review Board (ARB) function for Data Lakehouse platforms across the enterprise.*… more
- Houston Methodist (The Woodlands, TX)
- …for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use, ... focus given to discharge plan and elimination of barriers. + Performs post-discharge review by analyzing the inpatient record to ensure that compliance with quality… more