- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …track service activities including visits, referrals, caregiver demographics, equipment utilization and caregiver and Veteran satisfaction. develops implements and ... evaluates clinical guidelines and protocols to establish appropriate utilization of services. participates in direct caregiver and Veteran contacts to identify and… more
- Evolent (Austin, TX)
- …informatics professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with ... Management plays a crucial role in supporting the comprehensive management of prior authorization and financial scope within Evolent Specialty Services. Reporting to… more
- Molina Healthcare (Dallas, TX)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... + Performs initial receipt and review of non-formulary or prior authorization requests against plan approved criteria. Requests additional information… more
- Humana (Austin, TX)
- …communication skills. + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
- Humana (Austin, TX)
- …communication skills . + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
- Xcel Energy (Amarillo, TX)
- …professionally registered. + Responsible for effective, efficient and competitive utilization of resources, with emphasis on safety, timeliness, cost-containment, ... system reliability, customer satisfaction, optimal asset utilization and compliance with regulations. + Communicates with and establishes effective working… more
- Humana (Austin, TX)
- …communication skills. + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such… more
- Abbott (Plano, TX)
- …required clinical information for authorizations. + Work with respective carrier's utilization review department to obtain appropriate authorizations. + Assist with ... Worker's Compensation and Medicare guidelines pertaining toProspective and Retrospective Utilization Review. Some experience in medical deviceor DME Billing a… more
- Abbott (Houston, TX)
- …includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management, market ... training. + Influence stakeholders within the hospital setting. + Drive product utilization in key growth categories and driving sales/placement of capital to… more
- Evolent (Austin, TX)
- …+ Leading a team in the analysis and interpretation of cost and utilization data (medical and pharmaceutical) to explain potential upside/downside risks of a given ... track record of identifying insights from quantitative and qualitative data + Prior people management experience + Ability to work independently with limited… more
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