• Customer Success Technical Architect- Skillbridge

    Confluent (Austin, TX)
    **Location:** Remote , United States **Employment Type:** FullTime **Location Type:** Remote **Department** Job Fairs & Work Programs, Skillbridge **Overview** ... such as architecture planning, cluster & security design, monitoring & automation; review & provide guidance on upgrade or migration plans, platform & application… more
    Confluent (10/02/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Austin, TX)
    …of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative ... on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance organizations,… more
    Humana (10/02/25)
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  • Clinical Business Lead

    Humana (Austin, TX)
    …+ Identify opportunities for new clinical program initiatives by assessing cost and utilization drivers, inclusive of a chronic condition focus. + Prepare data and ... through analysis and monitoring of key performance indicators. + Review the delegation team audits and, if needed, supplement...influence and collaborate across teams. + Thrive in a remote work environment with independent work skills. + Travel… more
    Humana (10/01/25)
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  • Medical Director - (Pain Management SME)

    CVS Health (Austin, TX)
    …consistent responses to members and providers. You will lead all aspects of utilization review /quality assurance, directing case management. In this role you ... for a Medical Director (Pain Management) that can be remote based, work from home. This role can be remote based anywhere in the US. The Medical Director (Pain… more
    CVS Health (09/06/25)
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  • Corporate Medical Director - Medicare Grievances…

    Humana (Austin, TX)
    …first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on ... on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance organizations,… more
    Humana (09/05/25)
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  • Case Manager

    Apex Health Solutions (Houston, TX)
    …Reports to: Director, Health Services Location: Houston, TX area; will consider remote deployment on a case by case basis Education Education: Registered Nurse ... communication skill Some travel in the Houston metro area may be required Remote deployment will be considered SKILLS Knowledge of healthcare delivery Ability to… more
    Apex Health Solutions (08/24/25)
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  • Medical Director - Spine

    CVS Health (Houston, TX)
    …consistent responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical expertise ... effective use of health care resources. **This is a remote based (work at home) based anywhere in the...opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine)… more
    CVS Health (08/08/25)
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  • Client Partner, Senior Director - Healthcare

    Acxiom (Austin, TX)
    …being sold and technical expertise to drive and increase adoption and utilization of Acxiom's products. Demonstrates product features beyond central functionality to ... high quality work on time and against commitments, proactive pitch proposals and business review presentations. **WHAT WILL SET YOU APART:** + 12 + years of relevant… more
    Acxiom (08/01/25)
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  • Consultant, Nurse Disability I

    Lincoln Financial (Austin, TX)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee residing outside...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
    Lincoln Financial (10/01/25)
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  • Sr Client Manager

    Zelis (TX)
    …timely manner in accordance with contracted SLAs + Conducts and leads all Business Review 's to optimize value within client book + Supports Sales for cross-sell and ... in healthcare industry + Demonstrated success in revenue management and increased utilization within an assigned book of business + Strong negotiation skills and… more
    Zelis (09/26/25)
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