- Elevance Health (Grand Prairie, TX)
- …to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum Requirements:** + ... **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule:… more
- Houston Methodist (Houston, TX)
- …while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for ... most clinically appropriate care to patients while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social… more
- Molina Healthcare (San Antonio, TX)
- …Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous ... Supervises and manages Medical Directors + Develops medical policies and procedures + Conducts peer review... medical policies and procedures + Conducts peer review **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** * Doctorate Degree in… more
- HCA Healthcare (Dallas, TX)
- …colleagues invested over 156,000 hours impacting our communities. As a Division Director of Clinical Informatics with North Texas Division Office, you can be ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...by location._** Come join our team as a Division Director of Clinical Informatics. We care for our communities… more
- CVS Health (Austin, TX)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides… more
- Evolent (Austin, TX)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... improving healthcare quality.** + **Computer proficiency** and ability to navigate electronic medical review platforms. + No current exclusions, sanctions, or… more
- Highmark Health (Austin, TX)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may… more
- HCA Healthcare (Dallas, TX)
- …and integrity. We care like family! Jump-start your career as a(an) Assistant Director Supply Chain today with Medical City Dallas. **Benefits** Medical ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...growth, we encourage you to apply for our Assistant Director Supply Chain opening. We promptly review … more
- Merck (Austin, TX)
- **Job Description** **Role Summary:** The Sr. Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical ... educational or risk management) to support appropriate and safe utilization of Our Company medicines or vaccines. **Required Qualifications,...Decision Making, Empathy, Market Access, Medical Affairs, Medical Research, Medical Review , … more
- Baylor Scott & White Health (Dallas, TX)
- …vary based on position type and/or level **Job Summary** The Urgent Care Medical Director is responsible for enhancing the planning, overseeing, and directing ... Leads, guides and facilitates physician/APP relations, recruitment, credentialing and peer/chart review activities. 8. Evaluates new developments in medical care… more