- Evolent (Austin, TX)
- …and provides clinical rationale for standard and expedited appeals. . Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...MD review process to reflect appropriate utilization and … more
- Evolent (Austin, TX)
- …+ Provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, MSK Surgery you will be a specialty...MD review process to reflect appropriate utilization and … more
- Evolent (Austin, TX)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...MD review process to reflect appropriate utilization and … more
- Evolent (Austin, TX)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD ... reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...review process to reflect appropriate utilization and … more
- Evolent (Austin, TX)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, Physical Medicine and Rehab you will be...MD review process to reflect appropriate utilization and … more
- Justice, Bureau of Prisons/Federal Prison System (Three Rivers, TX)
- …organizing and checking medical records for completeness, accuracy, and compliance with regulatory requirements. Experience in maintaining tracking and ... preparing individuals for successful reentry into our communities. Responsibilities Analyzes medical records for completeness, consistency and compliance with… more
- IQVIA (Denver City, TX)
- …and conduction of advisory boards. + Consult with physicians, pharmacists, and other medical professionals, in compliance with relevant laws and regulations, to ... Our collaborative teams play a vital role in ensuring that biopharmaceuticals, medical devices, patient support services reach those who need them. We offer… more
- Houston Methodist (Houston, TX)
- …leadership, and hospital quality and accreditation team members to ensure the regulatory compliance with CMS Conditions of Participation for Transplant Centers, ... transplant program in order to facilitate quality activities and regulatory compliance goal attainment. + Collaborates with...clinical documents and data necessary in preparation for onsite review or regulatory response submission to any… more
- Providence (TX)
- …Program:** + Communicate with patients, claimants, caregivers, providers, leadership + Review and analyze medical records, interview witnesses, assist with ... to address coverage + Set appropriate indemnity and expense reserves + Select appropriate medical experts for case review + Develop a plan of action for… more
- Merck (Austin, TX)
- …growth opportunities and drive innovation. + In-depth expertise in local regulatory frameworks, ethical standards, and pharmaceutical compliance requirements. + ... Care, Cross-Functional Team Leadership, Executive Leadership, Healthcare Delivery Systems, Medical Affairs, Pharmaceutical Compliance , Scientific Communications, Scientific… more