- Evolent (Austin, TX)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Austin, TX)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Physical Medicine and Rehab you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- YesCare Corp (Waxahachie, TX)
- …Veterans._ **Responsibilities** Below is a list of your responsibilities as a **Site** ** Medical Director II** at Ellis County, located in Waxahachie, TX. ... need for non-formulary medication on non-formulary request form for Medical Director 's approval when non-formulary medication is...event review + Actively participant of the Utilization Review process and follow proper procedures.… more
- Genesis Healthcare (Dallas, TX)
- …Area Director ). 9. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support… more
- Elevance Health (Grand Prairie, TX)
- ** Medical Director - Medicare Fee for Service** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... and Medicaid Services to transform federal health programs. The ** Medical Director ** is responsible for drafting and...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- CenterWell (Fort Worth, TX)
- …a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in… more
- CenterWell (Arlington, TX)
- …a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities… more
- Humana (Austin, TX)
- …put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- CVS Health (Austin, TX)
- …ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight...eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management) experience *Active and current state medical… more
- CVS Health (Austin, TX)
- …ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / ... License without encumbrances or willing to obtain a Texas License. In the Medical Director role you will provide oversight for medical policy implementation.… more