- Texas A&M University System (Bryan, TX)
- …standards and assists with program evaluation activities to track and analyze utilization and effectiveness of services. + Patient Review and Continuing ... A cover letter and resume a re strongly recommended and will help in our review . You may upload them on the application under the CV/Resume section. Some of the… more
- RxBenefits (Houston, TX)
- …channel management, B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, Manufacturer ... structure, new prospect member size, marketing agreements, broker commissions, and drug utilization . + Be the SME on dozens of medical vendor/PBM contracts including… more
- Texas Health Resources (Plano, TX)
- …Credentials Committee to coordinate medical staff credentialing including the review of credentials, delineation of clinical privileges, development of privileges, ... Work with the quality department and medical staff leadership to conduct robust peer review . b. Support the Quality Department and Medical Staff Leadership in Peer … more
- Molina Healthcare (Austin, TX)
- …oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical ... working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
- HCA Healthcare (Dallas, TX)
- …related to the electronic health record (EHR) including: + standardization + utilization + integration + optimization The DCI is responsible for development, ... AND DUTIES:** + Implementation and support of facility-wide standardization, utilization , integration, and optimization activities related to the EHR and… more
- Ascension Health (Austin, TX)
- …(Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to join a ... talented group of physicians apply today! **Responsibilities:** Work in areas of utilization management and denial mitigation, including but not limited to: + … more
- Parsons Corporation (San Antonio, TX)
- …and Human Protections Director with administrative tasks related to the Scientific Review Board (SRB) and Human Research Protections Program (HRPP). The role ... research documents. Additionally, the Program Manager II will assist with space utilization , financial tracking, and business planning. **What You'll Be Doing:** +… more
- Texas Tech University (Lubbock, TX)
- …space utilization & faculty collaboration. Participate in periodic space review analysis & research productivity reviews for WCOE facilities. Work with other ... safety protocols & policies for research activities. + Space Utilization - Collaborate with Dean & Assoc Deans to ensure...with Dean & Assoc Deans to ensure proper space utilization of WCOE research facilities. Compile data & make… more
- Houston Methodist (The Woodlands, TX)
- …for the department and the hospital. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use, ... issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource… more
- Houston Methodist (The Woodlands, TX)
- …engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource ... issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource… more