- Health Care Service Corporation (Richardson, TX)
- …Reviews And Telephone Reviews With Facility Ur Personnel. Additional Duties Include: Review Of "Cases" With Care Management Professional Staff (Case Consultation). ... Review Of Medical Records; Participation In Committees. Representing The...as external to HCSC. Accountability for establishing and meeting utilization goals; and other duties as assigned. **Required Job… more
- NANA Regional Corporation (San Antonio, TX)
- …services and benefits to the OPS community, ensuring awareness and proper utilization . + Daily Operations Briefings. + Operational Configuration Control Board (CCB). ... + Operational Engineering Review Board (ERB). + Design Review Board...group of Alaska natives from one of the most remote and harshest environments in the United States. **For… more
- Conduent (Plano, TX)
- …valued every day. **OPERATIONS MANAGER Hybrid- 3 days in office 2 days remote ** **Overview:** **An Operation's Manager oversees the utilization of the ... Prepare annual team reviews for corporate. Propose salary increases for team members. Review and/or correct non-exempt team time punches, entering time off etc. … more
- Amgen (Dallas, TX)
- …through payer prior authorization to appeals/denials requirements and forms + Review patient-specific information in cases where the site has specifically requested ... Offer office education during the access process, including formulary coverage/ utilization management criteria, insurance forms & procedures, benefits investigation,… more
- Texas Health Resources (Arlington, TX)
- …Arlington, TX 76011 Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week ( remote work allowed at manager's discretion) Department Highlights: + Remote ... training, and dedicated leadership resources. What You Will Do: Contract Drafting and Review : Draft, review , and negotiate contracts to ensure they meet legal… more
- Confluent (Austin, TX)
- **Location:** Remote , United States **Employment Type:** FullTime **Location Type:** Remote **Department** Customer Solutions **Compensation:** $181.8K - $213.7K ... of fun helping our customers build state-of-the-art data streaming platforms! Locations: US Remote **What You Will Do:** + Champion and advocate for the customer… more
- Arrow Electronics (Plano, TX)
- …design, product and proof of concept demonstrations, solution consultation, architecture review , and enablement of Arrow partners. The SED possesses a background ... and leading vendors + Experience leading the development and utilization of multi-vendor technology lab environments + Experience driving...to assist in closing a deal **Work Arrangement:** Fully Remote : Must be able to travel to an Arrow… more
- HCA Healthcare (Dallas, TX)
- …rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical evidence to ... source within 2 hours. + Performs on-site and off-site review of patients in designated facilities to assist Case...commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Assists in developing the annual… more
- Molina Healthcare (San Antonio, TX)
- …abuse through the identification of aberrant coding and/or billing patterns through utilization review . + Prepares appropriate FWA referrals to regulatory ... and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing...providers when overpayments are identified. + Works may be remote , in office, and on-site travel within the state… more
- Centene Corporation (Austin, TX)
- …leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines. + Provide oversight and ... local medical community, including periodic consultation with providers or prescribers. + Review case management data, identifies trends and gaps in care and… more