- Evolent (Austin, TX)
- …specialty match reviewer for Spine Surgery cases. 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
- Molina Healthcare (Dallas, TX)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims Payment and ... requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, leads, and… more
- Molina Healthcare (Houston, TX)
- …health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs ... - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
- CVS Health (TX)
- …+ Consulting with and recommending standard and custom formulary options and utilization management edits. + Collaborating with internal partners to develop ... value and drives lowest net cost. + Consulting with and recommending utilization management programs or other clinical programs to a client. + Consulting 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
- Centene Corporation (Lubbock, TX)
- …or medical group experience, provider relations, quality improvement, claims, contracting utilization management , or clinical operations. Project management ... align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in… 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
- UTMB Health (Webster, TX)
- …necessary to coordinate and facilitate product standardization, supply cost reduction, utilization management and supply availability. Primarily responsible for ... of related experience **MAJOR DUTIES / CRITICAL TASKS:** . Monitors supply utilization and purchase patterns on a routine/scheduled basis; compiles reports, analyzes… 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