- Elevance Health (Grand Prairie, TX)
- …Associate Medical Director** **Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule: 10:00-7:00 Central Time** ... how healthcare is delivered and promoting the advancement of care for the people we serve._ The **Clinical Operations...decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review … more
- HCA Healthcare (Houston, TX)
- …indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Fertility and ... + Family support, including adoption assistance, child and elder care resources and consumer discounts + 401(k) Plan with...Summary and Qualifications** Under the direction of the Security Manager or designee, the off duty Armed Police Officer… more
- CVS Health (Austin, TX)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... in daily/weekly/monthly operational calls with client and internal operations to review and calibrate client service metrics and performance guarantees. Analyze data… more
- Adecco US, Inc. (Houston, TX)
- …recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations ... pertaining to, but not limited to, gaps in care , high risk medications, compliance and adherence, drug interactions,...special projects . Other duties as assigned by Operations Manager **Qualifications of the Pharmacist:** . Bachelor's Degree in… more
- Wolters Kluwer (Austin, TX)
- …opportunities in the named customer base, including: + Conducting regular account review meetings and reviewing account utilization management reporting to ... the US. If you have a passion for improving care for patients around the world, a drive to...and marketing campaigns + Other duties as assigned by Manager **Job Qualifications** **Education** : + Bachelor's degree or… more
- Humana (Austin, TX)
- …make an impact** **Required Qualifications** + 1 or more years of experience with Utilization Review and/or Prior Authorization + 1 or more years of Healthcare ... for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Prior Authorization UM Administration Coordinator 2 +… more
- Houston Methodist (The Woodlands, TX)
- …nursing research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline priority initiatives ... in practice: evidence-based practice, the conduct of research, research utilization , and research dissemination. Collaborates and develops innovative programs to… more
- PNC (Houston, TX)
- …a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. * Ability to demonstrate software enhancements that are developed and ... deployed by related Agile development teams. * Utilization of Mural to document customer and employee journey maps * Designing User Acceptance and Business End to… more
- Elevance Health (Grand Prairie, TX)
- …**Clinical Configuration** **Pharmacist** is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as ... information to the Pharmacy and Therapeutics Committee. + May review and approve or deny coverage for pharmaceuticals (as...in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of… more
- CSL Plasma (Houston, TX)
- …to ensure efficient plasma collections. You will report to the Center Manager . **The Role** + In compliance with Standard Operating Procedures (SOPs), supervise ... and donor flow. Monitor time card reporting procedures, attendance, and utilization of overtime. + Conduct error investigations and develop recommendations for… more