- Actalent (Houston, TX)
- …main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, ... remote position. Work Environment: + These are fully remote work-from- home positions, and can be located in any state...opportunity after peak season to complete training for and review specialized cases (ex: oncology, hepatitis C, and other… more
- Huntington National Bank (Addison, TX)
- …and risk-adjusted returns) across all assigned portfolios + Assess and review risk profiles of loan acquisitions, FinTech originations, and non-core purchase ... monitoring for expected loss vs actual losses, delinquencies, vintage analysis, utilization trends, and early warning indicators across all portfolio segments +… more
- Sedgwick (Irving, TX)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **QUALIFICATIONS ... Flexible Work Schedule + Referral Incentive Program + Opportunity to work from home + Career development and promotional growth opportunities + A diverse and… more
- HCA Healthcare (North Richland Hills, TX)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... will coordinate scheduling of CT Scans for maximum equipment utilization . Staff will be available for emergency call-back after...to apply for our CT Technologist PRN opening. We review all applications. Qualified candidates will be contacted for… more
- RTX Corporation (Mckinney, TX)
- …processes. + Developing Advantageous Response and Pricing Strategies + Quality Review of all deliverable documentation required using established processes + Collect ... and assignments aligned to the Business Pipeline. + Future utilization of RLPM and ability to assist Programs to...coverage + Optional coverages you can buy: pet insurance, home and auto insurance, additional life and accident insurance,… more
- CVS Health (Austin, TX)
- …of health care resources. **This is a remote based (work from home ) position.** Preferred candidates will have Internal Medicine or Internal Medicine/Pediatrics ... to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical services. This includes First Level Appeals /… more
- HCA Healthcare (Houston, TX)
- …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... disciplines to enhance clinical outcomes, reduce length of stay, improve resource utilization and ensure patient satisfaction. + Serves as a clinical resource and… more
- TXNM Energy (Lewisville, TX)
- …Act as an SME on assigned NERC and/ or CIP compliance standards. + Review Relaying one line, AC/ DC schematics, wiring diagrams and other relay design deliverables. ... transmission, distribution, system planning, financial and regulatory issues, asset utilization , and environmental controls and regulations + Ability to read,… more
- TXNM Energy (Pecos, TX)
- …Act as an SME on assigned NERC and/ or CIP compliance standards. + Review Relaying one line, AC/ DC schematics, wiring diagrams and other relay design deliverables. ... transmission, distribution, system planning, financial and regulatory issues, asset utilization , and environmental controls and regulations + Ability to read,… more
- Kemper (Dallas, TX)
- …complex technical problems and issues with assigned applications and work processes. + Review and recommend test plans for impacted areas and end to end test ... + Consults with internal and external customers on the utilization of applications computing technologies, within areas of expertise,...This position can work remote from a US based home . The range for this position is $86,200 to… more