- Sedgwick (Austin, TX)
- …satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple ... business lines; and to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the… more
- Deloitte (San Antonio, TX)
- …+ Assistance in financial management of client engagements, project management through utilization of project management tools. Qualifications ... with Audit Client's methodology and estimates. + The detailed review of Audit Client's methodology used to develop estimates...all parties updated on progress. + Oversight and project management of junior actuaries and staff work streams, while… more
- Molina Healthcare (Dallas, TX)
- …Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review , medical ... and expertise in the performance of prior authorization, inpatient concurrent review , discharge planning, case management and interdisciplinary care team… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …functions including but not limited to Performance Improvement, Patient Safety, and Clinical/ Utilization Review and Management , Making decisions that reflect ... need to be developed, improved, or sustained, Performing additional Quality Management (QM) service activities, Completing general QM projects that support other… more
- HCA Healthcare (Austin, TX)
- …evaluate, monitor and improve the patient flow program effectiveness as it relates to utilization review , resource management and discharge planning and care ... team, Nursing, Social Work, PT, OT, Speech and Case Management . * You will serve as the educational leader...to physicians and employees as it relates to resource management and patient flow. * You will work collaboratively… more
- USAA (San Antonio, TX)
- …rules and regulations and use of regulatory reporting platforms ie Axiom, etc + Utilization of financial management tools ie Oracle Cloud General Ledger (GL), ... Reporting Senior** , you will serve as a key contributor in the preparation, review , and analysis of reports compiled for regulatory agencies to include the FR Y-9C,… more
- AdventHealth (Burleson, TX)
- …Nursing **EDUCATION AND EXPERIENCE PREFERRED:** 2-3 years in hospital quality, case management , utilization review , or performance improvement. Strong ... winning facility and departments including Great Place to Work by Beckers Hospital Review and Gallup. + Work with the latest technology and top experts including… more
- Molina Healthcare (Austin, TX)
- …increasingly complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics. * 5+ Years of experience ... with complex data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics To all current Molina employees:… more
- Molina Healthcare (Austin, TX)
- …increasingly complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics. + 1-3 Years of experience ... rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and team productivity reporting. +… more
- Cardinal Health (Austin, TX)
- …analytical methods across multiple laboratories. This includes protocol development, data review , and troubleshooting. + **Budget Management :** Develop and ... manage the budget for stability testing activities, ensuring cost-effective utilization of resources. + **Risk Management :** Conduct risk assessments related to… more