• Medical Director -- Claims

    Humana (Austin, TX)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/29/24)
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  • Director of Patient Safety

    HCA Healthcare (Round Rock, TX)
    …healthcare experience. + Minimum of 2 years in risk management , quality, and medical staff experience. + Director and management experience required. + ... dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** The Director of Risk Management is responsible for directing, planning,… more
    HCA Healthcare (01/04/25)
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  • Medical Director - Florida

    Humana (Austin, TX)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (12/14/24)
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  • Medical Director - National Medicare…

    Humana (Austin, TX)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
    Humana (11/08/24)
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  • Director , Medical Affairs - NYC…

    Merck (Austin, TX)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
    Merck (12/19/24)
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  • Director , Risk Management

    Western Digital (Austin, TX)
    …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… more
    Western Digital (12/27/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Austin, TX)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (01/07/25)
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  • Director Care Management - Aetna…

    CVS Health (Austin, TX)
    …solutions. + Knowledge of the regulations, standards, and policies which relate to medical management . Ability to communicate in a highly effective manner with ... , program operations with core organization-wide business functions including claims , member services, compliance, quality, utilization management , and… more
    CVS Health (01/04/25)
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  • Director , Medicaid Trend Mitigation…

    Humana (Austin, TX)
    …functions strategy. + Establishes and oversees Medicaid segment trend mitigation strategy ( claims and revenue management ) + Researches industry trends and ... part of our caring community and help us put health first** The Director , Medicaid Trend Mitigation Strategy provides data-based strategic direction to identify and… more
    Humana (01/08/25)
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  • Managing Director - Insurance Advisory…

    EPAM Systems (Austin, TX)
    …driving strategic and operational excellence across client functions such as underwriting, claims and distribution management . You will contribute to the ... - go-to-market, sales, engagement delivery and practice development. As a **Managing Director - Insurance Advisory** , you will lead the demand generation, pursuit,… more
    EPAM Systems (12/18/24)
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  • Director Healthcare Economics & Trend…

    Baylor Scott & White Health (Austin, TX)
    claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott &… more
    Baylor Scott & White Health (12/21/24)
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  • Director Client Services

    Sedgwick (Austin, TX)
    …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director Client Services **PRIMARY PURPOSE** : To determine account management more
    Sedgwick (01/07/25)
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  • Actuarial Director , Medicaid Trend…

    Humana (Austin, TX)
    …our caring community and help us put health first** The Actuarial Director , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more
    Humana (01/03/25)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Austin, TX)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (10/16/24)
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  • Lead Director , Practice Transformation…

    CVS Health (Austin, TX)
    …background in health care analysis methods and tools, clinical performance improvement ( Medical Loss Ratio/MLR, Medical Expenditure Management ), clinical ... health care more personal, convenient and affordable. **Position Summary** The Lead Director , Practice Transformation plays a key role by leading transformation of… more
    CVS Health (01/08/25)
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  • Regional CM/CEI Practice Director

    Johnson, Mirmiran, and Thompson Inc. (Round Rock, TX)
    …services in Texas. CM services include c onstruction and p rogram management , construction inspection, claims s upport, scheduling and cost estimating, ... 500 Design Firms. JMT is seeking Regional CM/CEI Practice Director for any of our Texas locations. The successful...project controls and other related construction management responsibilities. You will be responsible for driving growth… more
    Johnson, Mirmiran, and Thompson Inc. (01/01/25)
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  • Sales Administrator

    Fujifilm (Austin, TX)
    …Sales Administrator for Latin America and the Caribbean will report to the Director of Sales for ID/Optical Devices/ EID. The primary responsibility of this position ... be to support sales for Latin America and Caribbean accounts currently under management by FNAC. Achieve the division sales plan, provide weekly and monthly detail… more
    Fujifilm (01/07/25)
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  • Principal Client Solution Architect - State…

    Mathematica (Austin, TX)
    …or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * Ability to describe difficult technical problems and solutions to a ... data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
    Mathematica (01/04/25)
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  • AVP, Human Resources Business Partner

    SitusAMC (Austin, TX)
    …team! This role is responsible for aligning business goals with employees and management . The position should anticipate HR needs in a proactive manner and ... communicate these requirements and potential solutions to the management team. This position is the HR point of contact for management and employees for their… more
    SitusAMC (01/04/25)
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  • Cloud Solutions Architect Leader

    Sedgwick (Austin, TX)
    …and goals for cloud-based infrastructure services in conjunction with senior IT management . The Director Infrastructure Services - Cloud designs and drives ... This role is responsible for the overall planning and management of the company data center and corporate IT...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
    Sedgwick (10/18/24)
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