- Humana (Austin, TX)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Olsson (Austin, TX)
- BMS Engineering Leader - Data Center Arizona - Remote ; Arkansas - Remote ; Florida - Remote ; Georgia - Remote ; Idaho - Remote ; Illinois - Remote ; ... Remote ; Iowa - Remote ; Kansas - Remote ; Kentucky - Remote ; Louisiana - ...Monitor and enhance the group's project performance and employee utilization and workload, identifying potential areas of improvement and… more
- Kemper (Dallas, TX)
- Location(s) Remote -AL, Remote -CT, Remote -FL, Remote -GA, Remote -IL, Remote -IN, Remote -MI, Remote -NC, Remote -OH, Remote -PA, ... complex technical problems and issues with assigned applications and work processes. + Review and recommend test plans for impacted areas and end to end test… more
- Amazon (TX)
- …delivery and improve healthcare accessibility. You'll oversee the operations for the National Remote Primary Care (RPC) team managing remote providers across the ... monitor quality and customer experience, provide gap analysis and business review documents while working cross functionally throughout the organization to lead… more
- Texas Health Resources (Arlington, TX)
- …or chemical dependency experience Required and * 6 Months in case management or utilization review Required * Prior experience with EPIC EMR Licenses and ... are Better + Together_ Work location: Texas Health Resources - Behavioral Health, Remote Work hours: Full-time (40hours) Monday - Friday 9:00AM - 5:00PM Education *… more
- Health Care Service Corporation (Richardson, TX)
- …reviews in accordance with the medical contract and regulations, medical criteria, utilization review , and quality of care. **JOB REQUIREMENTS** **:** + ... not required to obtain multi-state licenses. **PREFERRED JOB REQUIREMENTS** **:** + Utilization review or utilization management experience **Telecommute:**… more
- Humana (Austin, TX)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Texas A&M University System (College Station, TX)
- …accounts. Monitors and reports on CMTS budget activity, including service-block utilization . Prepares monthly and annual financial reports. Provides input to ... maintains CMTS operational reports, including active project reports, service-block utilization , and workload summaries; may create or update reporting dashboards… more
- Oracle (Austin, TX)
- …procedures, contractual budgets, providing expert-level insight on the development, utilization , and revision of contractual agreements. + Maintains customer ... to key leaders. Technical Delivery Management: + Leading the review of and advises customers on optimal use and...service to customers and optimize overall product and service utilization to achieve ROI goals, influencing roadmaps and customer… more
- Humana (Austin, TX)
- …Delivery Systems, health insurance, or clinical group practice management + Utilization management experience in a medical management review organization ... us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments… more