- Highmark Health (Austin, TX)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Insight Global (Allen, TX)
- …possible. Help create and implement BMS/EPMS training to include mechanical plant management , utilization validation, and report/trend generation. To develop and ... Global is looking to hire a MARC Engineer -Incident Management Response (Night Shift) for one of their clients...for one of their clients within the Data Center management space. Day to Day responsibilities will include: The… more
- UTMB Health (Webster, TX)
- …the project is completed on time and on budget. The role requires solid project management skills and the utilization of project management best practices, ... Senior Clinical IS Project Manager (Remote) - ITS-Project Management Office **Webster, Texas, United States** **New** Information Technology UTMB Health Requisition… more
- Centene Corporation (Austin, TX)
- …to inform and deliver HBR initiatives. + Take a macro-level view of utilization management responsibilities to optimize clinical resource allocation and improve ... drug spend, and mitigation of provider abrasion from prior authorization and inpatient management programs. + Engage in regular analysis of medical care cost and … more
- CVS Health (TX)
- …for Part B and specialty drugs. Key areas of responsibility include utilization management , clinical programs, and operational excellence. Responsible for ... + Lead the long-term vision and strategy around Part B drug management related to utilization management (UM), clinical programs, and pharmacy operations. +… more
- HCA Healthcare (Houston, TX)
- …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and...Management promoting appropriate length of stay, readmission prevention and… more
- HCA Healthcare (Houston, TX)
- …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and...Management promoting appropriate length of stay, readmission prevention and… more
- CVS Health (TX)
- …review, and appeal request. This position is primarily responsible for Utilization Management , including prior authorization and precertification as well ... Independent Review Organization a Plus **Preferred Qualifications:** -Health plan/payor Utilization Management / Review experience -Electronic medical… more
- HCA Healthcare (Houston, TX)
- …national standards for case management scope of services including + Utilization Management supporting medical necessity and denial prevention + Transition ... patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and...Management promoting appropriate length of stay, readmission prevention and… more
- Austin Industries (Irving, TX)
- …existing equipment platform and refine and develop and implement new Infrastructure based utilization and management program + Participate in the development of ... **Texas area.** The Equipment Service Manager is responsible for maximizing the utilization of Austin Bridge and Road's equipment across the project spectrum.… more