- Humana (Austin, TX)
- … first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** As a Senior Network Performance Professional at Humana, you will play a pivotal role in ... requiring minimal instructions to achieve solutions. May provide coaching and/or review the work of lower-level associates. Makes decisions on moderately complex… more
- Humana (Austin, TX)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and… more
- HCA Healthcare (Houston, TX)
- …annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care, Health Information, and Utilization Review . Functions ... HCA Houston Healthcare West, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… more
- HCA Healthcare (San Antonio, TX)
- …Case Management will be performed. + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. + RN ... Methodist Hospital Texsan, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (San Antonio, TX)
- …Preferred:Bachelor of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior ... Methodist Hospital Stone Oak, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- HCA Healthcare (San Antonio, TX)
- …IT&S - San Antonio Division, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more
- HCA Healthcare (Georgetown, TX)
- …St. David's Georgetown Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more
- Evolent (Austin, TX)
- …HIPAA, provider and vendor contracting, compliance, population health (including utilization management), Medicare, and Medicaid. + Draft, review and ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...President, Deputy General Counsel, the Attorney will prepare and review a variety of complex contracts and provide legal… more
- HCA Healthcare (San Antonio, TX)
- …Bachelor of Science in Nursing + At least one year experience in utilization review , resource management, discharge planning or case management. Prior Case ... Methodist Hospital Texsan, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more