- Travelers Insurance Company (Austin, TX)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically… more
- HCA Healthcare (Houston, TX)
- …planning, implementation and overall evaluation of individual patient needs. Care coordination, utilization review and management , as well as discharge planning ... acute care experience required. Minimum of two (2) years of utilization review/case management experience and minimum of one (1) year experience in discharge… more
- MTC (Anson, TX)
- …of all patients' medical records. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply ... perform other duties as assigned within his/her capabilities as determined by management . **Education and Experience Requirements:** Requires DDS or DMD degree and… more
- MTC (Livingston, TX)
- …the use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain ... plan **Make a Difference Where It Matters!** Operated by Management & Training Corporation, the **IAH Detention Facility in...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more
- MTC (Livingston, TX)
- …performing the duties of the position. + Implement basic cost containment and utilization management for patient care and facility operations. + Maintain ... off (PTO) + Paid holidays + Bereavement, civic duty and military leave Management & Training Corporation operates the **IAH Detention Center in Livingston, Texas** ,… more
- Molina Healthcare (Austin, TX)
- …with NCQA file review standards and surveyor interactions. + Experience with conducting Utilization Management and Population Health Management file audits, ... system analysis and program staff. These positions' primary focus is project/program management . **Job Duties** **Program Oversight & Project Management ** +… more
- Molina Healthcare (Fort Worth, 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
- Prime Therapeutics (Austin, TX)
- …formularies, including items such as manufacturer and GPO negotiation, rate and utilization management policy creation and interpretation, formulary modeling and ... internal and external stakeholders. This position is also responsible for the management of the Trade Client Strategy government programs team, which is responsible… 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
- Prime Therapeutics (Austin, TX)
- …specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products ... stakeholders through effective consultative services. **Responsibilities** + Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics… more