- Evolent (Austin, TX)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- RxBenefits (Houston, TX)
- …channel management , B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, ... prospect member size, marketing agreements, broker commissions, and drug utilization . + Be the SME on dozens of medical...closed won groups into a client record for Account Management (AM) and Implementation including the initial gathering of… more
- Texas Health Resources (Plano, TX)
- …also providing quality medical care. 5. Support effective patient throughput, utilization management , and compliant documentation. MEDICAL STAFF GOVERNANCE: 1. ... medical education programs. b. Assist the Medical Staff Office in the management of visiting medical students, Residents, Fellows, and observers. 3. Work with… more
- Ascension Health (Austin, TX)
- …setting (Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to ... a talented group of physicians apply today! **Responsibilities:** Work in areas of utilization management and denial mitigation, including but not limited to: +… more
- Evolent (Austin, TX)
- …**What You'll Be Doing:** As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Austin, TX)
- …Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. .… more
- Humana (Austin, TX)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Molina Healthcare (Houston, TX)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program activities in… more
- Molina Healthcare (Dallas, TX)
- …healthcare services professionals, in some or all of the following functions: utilization management , care management , care transitions, behavioral health, ... or more of the following key health care services (HCS) functions: care management , care transitions, utilization management , behavioral health and/or nurse… more
- Molina Healthcare (San Antonio, TX)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program activities in… more