- Molina Healthcare (San Antonio, TX)
- …healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare ... utilization and cost containment reports and makes recommendations based...ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing… more
- CenterWell (San Angelo, TX)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...care analysis to determine efficiency, the efficacy of case management system as well as any other systems and… more
- Ryder System (Farmers Branch, TX)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : Job Description ... equipped to succeed and empowered to develop your account management & logistics career. You thought that was it?...rental margin and revenue. This is done by maximum utilization of vehicles, controlling operational costs and an aggressive… more
- Parsons Corporation (San Antonio, TX)
- …Unit - San Antonio (NAMRU-SA) and its collaborating institutions in the management of research programs. NAMRU-SA's mission is to improve survival, operational ... and Human Protections Director with administrative tasks related to the Scientific Review Board (SRB) and Human Research Protections Program (HRPP). The role… more
- Toshiba International Corporation (Houston, TX)
- …methods, and quality control standards. + Analyzes and plans work force utilization , space requirements, and workflow, and designs layout of equipment and workspace ... times, staffing requirements, and related costs to provide information for management decisions. + Plans, directs, and coordinates manufacturing processes. +… more
- Elevance Health (Houston, TX)
- …+ Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate on committees or in ... **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually… more
- Elevance Health (Grand Prairie, TX)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... law._ The **Pharmacist Clinical** is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS… more
- Catholic Health Initiatives (Houston, TX)
- …recipients from waitlist per OPTN/UNOS regulations. Participates in recipient waitlist management review forums as indicated and monitor appropriate ... recipient transplantation. Primary responsibilities for this position include logistics management , preservation, packaging and labeling of organs for transplantation;… more
- CenterWell (Arlington, TX)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
- CenterWell (Corpus Christi, TX)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more