- KBR (Houston, TX)
- …the development and utilization of required databases. + Conduct peer (record) review s for the HP Staff as directed by governing credentialing body and local ... by local HP program manager and/or coordinator. + Document work performed, utilization , encounters, referrals, and all other information in the Military's… more
- Ross Stores, Inc. (Dallas, TX)
- …Operations, MPT, etc\.\) and analytics\. + Identify shortage risks through regular review of indicator reports; partner with stores to develop action plans to ... the company and address new types of theft and fraud\. + Maximize utilization of all available merchandise protection tools and resources \(including EAS, domes,… more
- Evolent (Austin, TX)
- …to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through collaboration ... prior authorization lists, facilitating timely decision-making for clinical and business review teams. + Demonstrate strong analytical abilities, with a proven track… more
- Ross Stores, Inc. (Mckinney, TX)
- …Operations, MPT, etc\.\) and analytics\. * Identify shortage risks through regular review of indicator reports; partner with stores to develop action plans to ... the company and address new types of theft and fraud\. * Maximize utilization of all available merchandise protection tools and resources \(including EAS, domes,… more
- Clean Harbors (Odessa, TX)
- …to include but not limited to improving operational efficiencies through effective utilization of equipment and scheduling of personnel. Interact with Sales Team and ... and all applicable discrepancies. * Performs revenue forecasting. * QA/QC's all specialist work. * Oversees customer service responsibilities for office. * Enforces… more
- MD Anderson Cancer Center (Houston, TX)
- …Complies and reports quality improvement data in a format that facilitates review by the division CQI committee. * Maintains knowledge of technical procedures, ... budgetary guidelines. Monitors the finances of the section through budget review of various institutional financial activity reports, responding to significant… more
- The Hunton Group (Houston, TX)
- …is provided to the field representatives to achieve proper execution, maximize utilization , and deliver superior customer satisfaction. + Review documentation ... loading of labor and materials, a dispatcher, a billing specialist , and a process owner of each contract in...authorization, as appropriate to the type of warranty. + Review Request for Service forms from New Equipment Sales… more
- Houston Methodist (Houston, TX)
- …may include many of the following: organize work schedules, make work assignments, review and edit time cards for accuracy, conduct quality assurance audits of staff ... daily tasks and provides leadership to team members on effective and efficient utilization of time. Accurately reviews and edits team member's time cards for… more
- Methodist Health System (Dallas, TX)
- …Shift :** **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage, along with ... works with physicians, clinic support staff, case managers, nurses, insurance utilization management staff, and patients to initiate pre-authorization and resolve… more
- HCA Healthcare (San Antonio, TX)
- …to clinicians regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with ... medical necessity, homebound status, visit utilization , and documentation of individualized patient assessment and transition (discharge) planning.Reviews agency… more