- Prime Therapeutics (Austin, TX)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... cost solutions that meet the desired outcomes of the customer; general management of the account, including P&L responsibility; and accountability for contract… more
- Trane Technologies (Mcgregor, TX)
- …and storage requirements, and creates processes for receiving product, equipment utilization , inventory management , and shipping. . Continuous development, ... warehouse, and cycle count teams. This responsibility includes PIV fleet management , warehouse optimization, and maintaining a robust cycle count program to… more
- Elevance Health (TX)
- …nursing preferred. + Participation and/or certification in a managed care or utilization management organization preferred. + Ability to understand clinical ... - Carebridge - Bilingual** is responsible for determining the appropriate Care Management program for members referred through internal and external sources and… more
- CVS Health (Austin, TX)
- …experience in health care delivery (clinical practice) Experience in managed care, care management , utilization management , quality management , or ... products and programs as well as sales and account management . Duties include support for - case management... management . Duties include support for - case management , clinical content research & development, chronic condition … more
- Molina Healthcare (Austin, TX)
- …including 3 or more years in one or more of the following areas: utilization management , case management , care transition and/or disease management ... work of external vendors. + Focuses on process improvement, organizational change management , program management and other processes relative to the business.… more
- 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
- Centene Corporation (Austin, TX)
- …+ 7+ years clinical experience in the practice of medicine required + Management experience preferred + Utilization Management experience and knowledge ... Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied...sure correct clinical judgment is applied to all medical management determinations. + Provide leadership and expertise in the… more
- CommonSpirit Health (Houston, TX)
- …not limited to physicians, Radiology and nursing staff, business and financial services, utilization management and quality management ; Utilizes a scientific ... and authority for the development, implementation and evaluation of outcomes management programs for the defined patient population. Utilizes a variety of… more
- HCA Healthcare (Dallas, TX)
- …City Dallas. + Presentation research and development on a variety of case management topics including utilization management , discharge planning, and ethics. ... + Website development and maintenance on an on-going basis for the case management department. + Job aid and Standard Operating Procedure development for current and… 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