- Centene Corporation (Austin, TX)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Evolent (Austin, TX)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- CBRE (Austin, TX)
- Global Finance Director - Remote USA Job ID 233748 Posted 13-Aug-2025 Service line GWS Segment Role type Full-time Areas of Interest Accounting/Finance, ... Administrative, Data & Analytics, Project Management Location(s) Remote - US - Remote - US...special projects and prepares presentations for senior management. Facilitates review and approval of capex projects in accordance with… more
- Prime Therapeutics (Austin, TX)
- …drives every decision we make. **Job Posting Title** Clinical Staff Pharmacist Remote **Job Description** The Clinical Staff Pharmacist is responsible for the ... processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization, step...$51.92 - $88.46 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
- Anywhere Real Estate (San Antonio, TX)
- …policy/program; delivering expatriate compensation-related services, counselling on best utilization of resources (ie language and cross-cultural trainings); ... by client policy + Counsel employees to the best utilization of program benefits + Demonstrate sound knowledge of...all pertinent records and ad hoc reports for management review and decision making + Maintain and Manage relationships… more
- NexTec Group (TX)
- …must be located in the United States or Canada. This is a remote role. Objectives (Key Outcomes): + Complete assigned tasks independently and may collaborate ... within alignment of the Statement of Work, Business Process Review (BPR) documentation, and NexTec methodology. + Maintain at...and NexTec methodology. + Maintain at least 75 percent utilization on an average annual basis. + Maintain Acumatica… more
- Highmark Health (Austin, TX)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most… more
- Prime Therapeutics (Austin, TX)
- …every decision we make. **Job Posting Title** Clinical Integrity Pharmacist- REMOTE **Job Description** Job Description Summary Responsible for program alignment ... teams. + Triages clinical requests for existing and prospective opportunities for review and prioritization + Contribution and coordination of clinical team support… more
- Merck (Austin, TX)
- …(ie patient support, education, risk management) as needed for appropriate and safe utilization of company medicines. + Partner with GSVC, CSEE, US Global Clinical ... Areas of Interest consultation, dissemination, data highlights, training, and scientific review as requested by the GMSA ED. **Required Qualifications, Skills &… more
- Wolters Kluwer (Austin, TX)
- …opportunities in the named customer base, including: + Conducting regular account review meetings and reviewing account utilization management reporting to ... **_ This is a remote position covering the New England territory _**...communication **Travel Requirements** + 25-50% within territory \#LI - Remote _Applicants may be required to appear onsite at… more