- Molina Healthcare (Austin, TX)
- …4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical ... decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical reviews of… more
- Cardinal Health (Austin, TX)
- …of greater responsibility in the future. + Maintain working knowledge of client-facing, clinical , and industry trends, and as well as providing updates to program ... and analysis to clients to demonstrate subject matter expertise. + Grow program margin through demonstrated performance, patient support, and implementation of all… more
- Molina Healthcare (Austin, TX)
- …of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Serves as ... or health plan supervisory or managerial experience, including oversight of clinical staff. + Experience working within applicable state, federal, and third… more
- BAYADA Home Health Care (Austin, TX)
- …insurance, 401k with company match, direct deposit, and employee assistance program **Responsibilities:** + Review clinical information for appropriateness, ... opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely....for this role (Please note, while this is a clinical opening, BAYADA does have non- clinical openings… more
- Sharecare (Austin, TX)
- …for everyone. To learn more, visit www.sharecare.com. **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program ... high-quality telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team… more
- Sharecare (Austin, TX)
- …4:30pm CST. **Job Summary:** Under the general supervision of a Customer Service Manager , the Program Engagement Representative has the primary responsibility of ... enroll and schedule members in the telephonic lifestyle management or clinical coaching. Additionally, Engagement Specialists will explain platform features and… more
- EBSCO Information Services (Austin, TX)
- …Join us to help make an impact. **Your Opportunity** The Customer Success Manager (CSM) partners with EBSCO's Clinical Decisions customers to drive meaningful ... than 2,700 people worldwide, with most embracing hybrid or remote work models. As an AI-enabled service leader, we...increase the adoption of our tools and solutions across clinical workflows and care teams. The CSM is responsible… more
- Fujifilm (Austin, TX)
- …. **Job Description** **Essential Job Functions:** + Partner with Territory Manager in assigned territory to understand prospect's clinical needs, ... Manager to pursue and close deal + Provide Clinical / Technical / Educational support to new and...a fantastic compensation package, including benefits, and a 401k program . Visit us today to learn more about our… more
- Molina Healthcare (Austin, TX)
- …/ QI Compliance + Acts as a lead specialist to provide project-, program -, and / or initiative-related direction and guidance for other specialists within the ... key quality strategies that require a component of near real-time clinical decision-making. These activities may include initiation and management of interventions… more
- Prime Therapeutics (Austin, TX)
- …decision we make. **Job Posting Title** Senior Vice President, Operations - REMOTE **Job Description** The Senior Vice President, Operations is accountable for ... driving transformation in Prime's Operations organization including member and clinical operations, claims and benefit operations, implementations, operational regulatory… more
- CVS Health (Austin, TX)
- …heart, each and every day. **Requisition Job Description** The Pharmacy Program Manager position is a 100% remote role requiring a HIPAA-compliant workspace ... plan sponsor requests pharmacist attendance for an onsite visit/assessment/audit. Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary… more
- BrightSpring Health Services (Austin, TX)
- Our Company ResCare Community Living Overview The Program Manager will be responsible for the operation of Therapeutic Foster Care as far as all actions, ... and performances within the total scope of the treatment program . The Program Manager will...+ Five years of paid experience working in a clinical setting with trouble children and families + Two… more
- Eliassen Group (Austin, TX)
- …Program Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Insurance **Workplace Type:** Remote **Reference ... + Recommended Jobs **Description:** Our industry-leading client is looking for a Project/ Program Manager to help with overseeing and coordinating smaller… more
- EBSCO Information Services (Austin, TX)
- …EBSCO employs more than 2,700 people worldwide, with most embracing hybrid or remote work models. As an AI-enabled service leader, we thrive on innovation, ... Join us to help make an impact. **Your Opportunity** The **Regional Sales Manager - Growth (RSM)** is responsible for driving market share and revenue growth… more
- CVS Health (Austin, TX)
- …more compassionate. And we do it all with heart, each and every day. This Case Manager RN role is with the Costco Team and is fully remote ; however, candidates ... weekends or holidays will be required** . The Case Manager RN is responsible for telephonically and/or face to...(not an all-encompassing list): - Through the use of clinical tools and information/data review, conducts an evaluation of… more
- CVS Health (Austin, TX)
- …compassionate. And we do it all with heart, each and every day. **This Case Manager RN role is fully remote ; however, candidates must reside within 45 minutes ... **No weekends or holidays will be required** The Case Manager RN is responsible for telephonically and/or face to...include (not an all-encompassing list). -Through the use of clinical tools and information/date review, conducts an evaluation of… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. **Position Summary** This Case Manager RN role is with the Costco Team and is fully remote ; ... weekends or holidays will be required** . The Case Manager RN is responsible for telephonically and/or face to...(not an all-encompassing list): - Through the use of clinical tools and information/data review, conducts an evaluation of… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. **Position Summary** **This Case Manager RN role is with the Costco Team and is fully remote ; ... **No weekends or holidays will be required** The Case Manager RN is responsible for telephonically and/or face to...include (not an all-encompassing list). -Through the use of clinical tools and information/date review, conducts an evaluation of… more
- CBRE (Austin, TX)
- …remote position with up to 50% travel. We are looking for a project manager with Healthcare or clinical experience to support one of our pharmaceutical ... Senior Healthcare Construction Project Manager - Travel Required Job ID 200441 Posted 06-Jan-2025...Location(s) Chicago - Illinois - United States of America, Remote - US - Remote - US… more
- Eliassen Group (Austin, TX)
- …Project Manager ** **Anywhere** **Type:** Contract **Category:** Program /Project Management **Industry:** Financial Services **Workplace Type:** Remote ... **Shortcut:** http://careers.eliassen.com/QG20Yv + Description + Recommended Jobs **Description:** **100% Remote ** Our Fintech client is looking for a Senior Product… more