- Conviva (Austin, TX)
- …of our caring community and help us put health first** The UM Administration Coordinator. Provides non-clinical support for the policies and procedures ensuring best ... service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care… more
- Pfizer (Austin, TX)
- …not limited to, portfolio utilization , internal teamwork/collaboration, project management , and administration . **BASIC QUALIFICATIONS** * BS/BA Degree ... Pituitary Specialists, Pediatric and Adult Endocrinologist to drive Pfizer's Rare Disease portfolio of Somavert, Ngenla and Genotropin. The territory will require… more
- Veterans Affairs, Veterans Health Administration (Austin, TX)
- …the clinical performance of individuals with clinical privileges, drug utilization evaluation, medical records reviews, performance of external services, patient ... evaluation of the primary care programs. Participates in administrative, management , quality assurance, and other requirements activities, meetings, or committees… more
- Veterans Affairs, Veterans Health Administration (Austin, TX)
- …the clinical performance of individuals with clinical privileges, drug utilization evaluation, medical records reviews, performance of external services, patient ... evaluation of the primary care programs. Participates in administrative, management , quality assurance, and other requirements activities, meetings, or committees… more
- Evolent (Austin, TX)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- The Cigna Group (Austin, TX)
- …advanced clinical and administrative techniques associated with integrated health trends, case management and utilization management to generate new ... the performance of our programs and services + Service utilization patterns + Clinical outcomes + High dollar claim...industry to include an understanding of managed care, care management , disease management and health… more
- Highmark Health (Austin, TX)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- HCA Healthcare (Austin, TX)
- …CT Department. Monitors and directs all technical functions, which includes efficient utilization of equipment and human resources based upon patient load. Optimizes ... monitor the staff compliance to safety practices; infection control, contrast administration , fall precaution billing and other SAMC policies and guidelines.** +… more