- Molina Healthcare (TX)
- …example, such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding. * ... and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… more
- MTC (Anson, TX)
- …are accurate and recorded as required. + Practice basic cost containment and utilization management for patient care and facility operations. + Perform quality ... duties as assigned within his/her scope of work as determined by management . **Education and Experience Requirements:** High school diploma or equivalent. Must have… more
- MTC (Livingston, TX)
- …performing the duties of the position. 14. Implement basic cost containment and utilization management for patient care and facility operations. 15. Maintain ... **Rate of Pay:** $130,000 annual salary Management & Training Corporation operates the **IAH Detention...an acceptable driving record is required, unless waived by management . _Management & Training Corporation (MTC) is an Equal… more
- MTC (Raymondville, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... of Texas with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is an Equal Opportunity Employer. All… more
- Prime Therapeutics (Austin, TX)
- …formularies, including items such as manufacturer and GPO negotiation, rate and utilization management policy creation and interpretation, formulary modeling and ... duties as assigned **Minimum Qualifications** + Bachelor's degree in business, healthcare management or other related field of study or equivalent combination of… more
- Elevance Health (TX)
- …patients with IDD and patients with special needs is preferred. + Home Health, Utilization Management or Case Management experience strongly preferred. + ... responsible for participating in delivery of patient education and disease management interventions and for performing health coaching for members, across multiple… more
- NTT America, Inc. (Plano, TX)
- …and implement corrective actions + Collaborate with health plans, clinical teams, utilization management , and other departments to address complex cases and ... recommendations and interpretations of records. + Prepare reports for senior management on appeal trends and compliance status. **Requirements:** + Requires… more
- Valmont Industries, Inc. (Brenham, TX)
- …that satisfies customer demand with optimum inventory levels and efficient resource utilization + Assist demand management in setting priorities when demand ... and distribution plans to balance demand and supply. 3. Order Tracking and Progress Management : - Monitor and track orders as they progress through the drafting and… more
- CVS Health (Austin, TX)
- …Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state medical license without ... provide oversight for medical policy implementation. You will support the Medical Management staff ensuring timely and consistent responses to members and providers.… more
- UTMB Health (Richmond, TX)
- …Develops and implements quality assurance/improvement programs at the facilities. + Implements utilization management programs at the facilities. + Assumes 24 ... - Jester 3 Unit **Richmond, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2504302 The mission of Correctional Managed Care is… more