- Evolent (Austin, TX)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice… more
- BrightSpring Health Services (Austin, TX)
- Our Company ResCare Community Living Overview The Program Director directs, manages, and administers the coordination and service delivery components of programs. ... performance though effective leadership, mentoring, and training. + Assists the Executive Director and or Associate Executive Director with timely, open, and… more
- Molina Healthcare (Austin, TX)
- …providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- The Cigna Group (Austin, TX)
- …architecture strategy and be a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This role sets the north‑star ... (first 12-18 months)** + **North‑Star Architectural Vision for PBS & Pharmacy :** Publish a business‑aligned target state and pragmatic multi‑wave sequence… more
- CVS Health (TX)
- …initiatives, including new products and product enhancements for Medicare pharmacy business strategic plans, product implementation, regulatory oversight Medicare ... MAPD, DSNP for both individual and employer plan types. Represent Medicare Pharmacy and Product strategic issues with within Medicare matrix partners in addition… more
- Boehringer Ingelheim (Dallas, TX)
- …of the Market Access team, this individual will report directly to Executive Director , Access& Reimbursement. The incumbent will lead a team of Access & ... Expert in Specialty Access & Reimbursement including HUB Services, Specialty Sales, Specialty Pharmacy and Payer Sales. + Minimum twelve (12) years experience in the… more
- BrightSpring Health Services (Houston, TX)
- …the Directors of Nursing in the delivery of nursing services recommending system development and implementation at the operation to enhance quality of health ... of mortality reviews in conjunction with operations for submission to Regional Director of Clinical Practice and Quality.* Provides consultation services to nursing… more
- CenterWell (Fort Worth, TX)
- …of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... root cause analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and operational colleagues to improve… more
- CenterWell (Arlington, TX)
- …of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining ... root cause analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and operational colleagues to improve… more
- Sedgwick (Austin, TX)
- …Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports escalated due to deficient ... + Knowledge of utilization review procedures + Knowledge of clinical quality systems and measurements + Knowledge of resources available regarding regulations and… more