- Highmark Health (Austin, TX)
- …designs, competitive position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist ... and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract… more
- BrightSpring Health Services (San Antonio, TX)
- …of Business MUST BE A FULLY LICENSED BCBA IN THE STATE OF TEXAS HYBRID REMOTE WORK AND FLEXIBLE SCHEDULE! We are seeking a Youth Behavioral Clinic Supervisor that ... professional teams. Provide staff/family training on implemented programs. + Review all Functional Behavior Assessments/Behavior Support Plans prior to… more
- Ross Stores, Inc. (Dallas, TX)
- …Operations, MPT, etc\.\) and analytics\. + Identify shortage risks through regular review of indicator reports; partner with stores to develop action plans to ... the company and address new types of theft and fraud\. + Maximize utilization of all available merchandise protection tools and resources \(including EAS, domes,… more
- CVS Health (Austin, TX)
- …is with Aetna's National Medical Excellence (NME) team and is a fully remote position. Candidates from any state are welcome to apply, however, preference is ... is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for...+ Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- CVS Health (Austin, TX)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that… more
- Intermountain Health (Austin, TX)
- …patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care. Plans interventions ... to Friday with varying hours from 6:30 to 5 Pm. This is a fully remote position with NO on call requirements.** Participates in huddles with primary care practices… more
- Valmont Industries, Inc. (Brenham, TX)
- …the world with more reliable energy and access to renewables, enhancing connectivity in remote and urban locations to create a sustainable future and so much more. ... work-in-process inventory (WIP), and finished goods inventory. Inventory management includes utilization of ABC analysis tools. Reporting on production and supplier… more
- Ross Stores, Inc. (Mckinney, TX)
- …Operations, MPT, etc\.\) and analytics\. * Identify shortage risks through regular review of indicator reports; partner with stores to develop action plans to ... the company and address new types of theft and fraud\. * Maximize utilization of all available merchandise protection tools and resources \(including EAS, domes,… more
- Public Storage (Plano, TX)
- …reporting of claims and compliance with state filing requirements + Oversee medical utilization + Review and analyze all claims; identify claims with potential ... + Approve claims reserves, payments and denials + Compile, review , order or issue any necessary forms for compliance...with the option to take up to three flexible remote days per month. + Our office is based… more
- Ryder System (Austin, TX)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** ... and management + Monitor network performance and capacity (availability, utilization , throughput, latency) to identify and address potential bottlenecks or… more