- Molina Healthcare (Fort Worth, TX)
- …holidays.** Preferred Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
- Actalent (Dallas, TX)
- …Your main role will be utilizing your clinical skills to complete utilization management reviews, including prior authorizations, coverage exceptions, and ... team of your peers and other pharmacy professionals. Responsibilities + Conduct utilization management reviews independently. + Participate in a team of pharmacy… more
- Actalent (Houston, TX)
- …(No time off during training) Overview Join a remote team conducting utilization management reviews (eg, prior authorizations, coverage exceptions). Work ... independently within a collaborative pharmacy team. Performance is measured by monthly quality and productivity goals. Key Qualifications + PharmD or BS in Pharmacy + 2+ years in retail, managed care, or clinical pharmacy + Active US pharmacist license in good… more
- Molina Healthcare (Fort Worth, TX)
- …an integrated Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other ... clinical and non-clinical team activities to facilitate integrated, proactive utilization management, ensuring compliance with regulatory and accrediting standards.… more
- TXNM Energy (Texas City, TX)
- …be covered by NERC CIP cyber security standards. If the position is covered, prior to being hired, promoted, or transferred into the position, the candidate must ... Risk Assessment, which includes identity verification and a criminal background check. Prior to being granted unescorted access to cyber secure areas, the candidate… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a ... meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your… more
- Headquarters, Air Force Reserve Command (Lackland AFB, TX)
- …duties on other MIS. Establishes procedures for the Maintenance Group concerning utilization of all MIS within the Maintenance Group. Develops and establishes ... to the MIS within the Maintenance Group. Performs manpower utilization and allocation audits of the maintenance complex. Audits...who are current GS civil service employees or are prior GS civil service employees within the past 52… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months ... designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment… more
- DMS International (Lackland, TX)
- …to ensure effectiveness, including the training materials used for remediation, Instructor utilization and the impact of remediation on attrition and set back rates. ... + Monitors utilization of the Automated Electronic Classroom (AEC) to ensure...as required. + Conducts baseline assessment of training quality prior to the implementation of new training technology, course… more
- Valmont Industries, Inc. (Brenham, TX)
- …teams to create and manage production schedules that optimize resource utilization and minimize lead times. - Facilitate communication between different teams ... or factory location. To align production schedules for efficient utilization of resources, it will be crucial to understand...Degree in Supply Chain Management or related field + Prior experience setting up and planning in a mixed… more