- CenterWell (Austin, TX)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… more
- CenterWell (Austin, TX)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to… more
- Humana (Austin, TX)
- …and leadership during Medicare and Medicaid LOB - Medicare Clinical Criteria Review (MCCR), Utilization Management Committee (UMC), Medical Coverage Policy ... develop and maintain medical coverage policies utilizing an evidence based medicine review process. **Location:** work at home anywhere Humana is seeking a Senior… more
- Terracon (Amarillo, TX)
- …operations of a department including staff training, development, and performance review , utilization of equipment and facilities, safety oversight, quality ... of services and work product, timely delivery of services and deliverables, and adherence to policies and procedure. Plan for and participate in business development activities to identify, develop, win, and execute project opportunities and build and maintain… more
- Ensono (Houston, TX)
- …performance, reliability and consistency. + Increase efficiency through automation and/or template utilization as appropriate. + Review and seek out cost ... reductions, efficiency improvements and better methods to support applicable technology environments. + Keeps informed of latest industry, trends, products, services with relevant existing and emerging technologies. + Train and communicate with Associates and… more
- Terracon (Lubbock, TX)
- …operations of a department including staff training, development, and performance review , utilization of equipment and facilities, safety oversight, quality ... of services and work product, timely delivery of services and deliverables, and adherence to policies and procedure. Plan for and participate in business development activities to identify, develop, win, and execute project opportunities and build and maintain… more
- Burns & McDonnell (Houston, TX)
- …and guidelines to meet program management, global practice, and regional objectives. + Regularly review team utilization of staff to make sure employees have a ... clear path of development and support and those resources are adequately leveraged and empowered to their strengths and skillsets. + Oversight and management of chargeability and proper allocation of staff in the organization to meet regional KPI objectives.… more
- Republic Services (Houston, TX)
- …and monitor all required testing, including sampling of monitoring wells; monitors utilization of cover material; review soil reports and provide information ... to Environmental Manager. + Monitor and control all liquid and/or gas extraction systems on or around the landfill site. + Manage relationship with all outside contractors. + Establish productivity goals where needed; ensure adherence to operating standards;… more
- Citizens (Plano, TX)
- …expand relationships and improve processes + Lead the contract renewal process: + Review vendor performance, utilization , and volume alignment with forecasts + ... supporting materials Develop a Vendor Expense Optimization program + Analyze utilization and identify cost-saving process improvements + Explore market capabilities… more
- Molina Healthcare (TX)
- …field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital or medical clinic ... standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). **Preferred Experience** 3-5 years clinical practice with managed care,… more