• Director of Managed Care

    UTMB Health (Galveston, TX)
    Director of Managed Care & Population Health **Galveston, Texas, United States** **New** Executive - Business Professional UTMB Health Requisition # ... 2507122 **Summary:** The Director of Managed Care & Population Health works closely with the Vice President, Managed Care and Clinical… more
    UTMB Health (12/18/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have...as a focus on collaborative business relationships, value based care , population health, or disease or … more
    Humana (10/25/25)
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  • Medical Director - Medicaid (remote)

    Humana (Austin, TX)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... as a focus on collaborative business relationships, value based care , population health, or disease or ...size of region or line of business. The Medical Director conducts Utilization Management of the care more
    Humana (12/07/25)
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  • Medical Director - IP Claims Management

    Humana (Austin, TX)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...well as a focus on collaborative business relationships, value-based care , population health, or disease or … more
    Humana (12/11/25)
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  • Director , Quality Improvement

    Health Care Service Corporation (Richardson, TX)
    …and/or MBA. + Quality experience and Medical Management experience in a leading managed care /insurance or provider organization. + Health Informatics Training + ... responsible for managing and directing clinical quality improvement and population health oversight activities, driving continuous quality improvement consistent… more
    Health Care Service Corporation (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Austin, TX)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... includes experience in an inpatient environment and/or related to care of a Medicare type population (disabled...to a Lead Medical Director . The Medical Director conducts post-service, inpatient care reviews for… more
    Humana (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Austin, TX)
    …on average) Eastern Time Zone hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... community and help us put health first The Medical Director actively uses their medical background, experience, and judgement...some experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
    Humana (11/15/25)
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  • Medical Director - Pharmacy Appeals

    Humana (Austin, TX)
    …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...staff to provide Humana members with optimal value based care in accordance with Medicare and Humana policy. All… more
    Humana (12/03/25)
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  • Director of Business Development, Market…

    Cardinal Health (Austin, TX)
    …+ Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging this knowledge ... OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing… more
    Cardinal Health (11/05/25)
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  • Health Analytics Financial/Actuarial…

    WTW (Houston, TX)
    …organization, health benefits consulting or brokerage environment, health insurance carrier, managed care organization or another leading health care ... **Description** As a Health Analytics Director you will partner with other Senior Consultants...Pre/post program implementations + Key cost driver analyses + Population health analytics + Scorecard development + In concert… more
    WTW (12/04/25)
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