• Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    … Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
    Houston Methodist (07/31/25)
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  • Clinical Pharmacist Specialist BMT

    HCA Healthcare (Dallas, TX)
    …this opportunity compelling, we encourage you to apply for our Clinical Pharmacist Specialist BMT opening. We promptly review all applications. Highly qualified ... **Description** **Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating...in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement… more
    HCA Healthcare (07/14/25)
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  • Sr. Consultant, Nuclear Product Sales…

    Cardinal Health (Dallas, TX)
    Job Description ** Senior Consultant, Product Sales Specialist - NPHS** The Product Sales Specialist is responsible for developing opportunities, selling, ... growing and maintaining product utilization among targeted healthcare providers and administrators. The incumbent...and directors in their respective geographies. The Product Sales Specialist will be held accountable for learning and maintaining… more
    Cardinal Health (06/27/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Austin, TX)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical… more
    Evolent (07/30/25)
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  • Associate Medical Director-Dallas

    CenterWell (Fort Worth, TX)
    …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... budgeting, staffing, operational excellence, and clinical initiatives *Champion our senior -focused primary care strategic vision and initiatives and foster… more
    CenterWell (08/12/25)
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  • Associate Medical Director- Dallas

    CenterWell (Arlington, TX)
    …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... staffing, operational excellence, and clinical initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster stakeholder… more
    CenterWell (07/18/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Austin, TX)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Scope Analyst, Scope Management** The Specialty Scope Management team is made up ... to own the opportunity to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst, Scope Management plays a crucial role in supporting the… more
    Evolent (07/18/25)
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