- Evolent Health (Austin, TX)
- …resolutions, driving results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- Elevance Health (Houston, TX)
- ** Utilization Management Representative I** **Location** : This is a remote position. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint ... Schedule : Monday - Friday 8am - 5pm The ** Utilization Management Representative I** is responsible for...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic ... standards to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and… more
- Citigroup (Irving, TX)
- The Program Management Senior Lead is responsible for delivering Model Risk Management (MRM) projects, partnering closely with MRM Seniors, Model Risk ... you are expected to:** + Act as the Project Management Senior Lead for MRM responsible for...timely basis. + Responsible for adhering to Citi Program Management Policy & Procedures including utilization of… more
- The Cigna Group (Austin, TX)
- **Nurse Case Management Lead Analyst -Remote -Full-Time** **Bilingual in Dari or Pashto language** **Required Work Hours: 9:00 am-5:30 pm PST.** **Major Job ... and assigning to a client based CM for further management when appropriate.** **Must be skilled in utilization... management when appropriate.** **Must be skilled in utilization of Cigna resources when identifying need for further… more
- Philips (Fort Worth, TX)
- As a Clinical Specialist with our Lead Management team you will provide clinical expertise and organic revenue generation and growth to drive customer engagement ... sustain Health Care Provider Education efforts, and help drive full product portfolio utilization to meet the needs of our customers. **Your role:** + Conducting… more
- Philips (Austin, TX)
- As a Clinical Specialist with our Lead Management team you will provide clinical expertise and organic revenue generation and growth to drive customer engagement ... sustain Health Care Provider Education efforts, and help drive full product portfolio utilization to meet the needs of our customers. **Your role:** + Conducting… more
- CVS Health (Dallas, TX)
- …to interact with a variety of external and internal audiences including senior management . Required Qualifications : * 5 to 7 years' clinical and/or managed care ... experience in the healthcare industry and quality management . * Previous experience that reflects a proven track...(CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment. A minimum of… more
- Houston Methodist (Cypress, TX)
- …as a preceptor by mentoring others regarding care of defined populations in resource utilization and time management . + Provides clinical guidance as a Nurse ... At Houston Methodist, the Lead Nurse Practitioner/Physician Assistant (NP/PA) position is responsible...the preparation of annual evaluations with supporting physicians and management personnel to ensure all paperwork is in compliance… more
- Meta (Austin, TX)
- …emerging trends, identify and normalize outliers 3. Drive efficiency improvement and utilization with thorough workforce management performance management ... models). This role will require knowledge of capacity planning, workforce management , commercial optimizations, and short term planning domains. It will require… more
- Ryder System (Dallas, TX)
- …actively applying continuous improvement methods to support new and existing operations. The Lead Engineer will identify, lead and drive change within the ... analysis - "telling the story with Data" + Yard Management + Familiarity with warehouse operations - IB, Replenishment,...completes high impact CI projects across the operation that lead to improved business results. Assesses CI initiatives and… more
- Citigroup (Irving, TX)
- …and courage to do what's right. **Digital Audience Intelligence - Digital Strategy Lead Analyst** Digital Acquisition is a critical area of focus and growth for ... acquisition and audience insights in close partnership with Media, Media Sciences, Decision Management , Risk Management , and Product Management . The team is… more
- Humana (Austin, TX)
- …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead...health of the communities it serves. The **Medicaid Capture Management ** team's purpose is to successfully position Humana to… more
- MD Anderson Cancer Center (Houston, TX)
- …written reports and project deliverables, issue logs, and key/milestone document management . Leads the creation, refinement, and utilization of standard ... healthcare projects and facilities. SUMMARY The primary purpose of the Lead Facilities Planner/Designer position in Facilities Planning, Design and Construction is… more
- Elevance Health (Dallas, TX)
- **RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit/Appeal Lead ** is responsible for leading a team of clinicians responsible for… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Lead Respiratory Care Practitioner (RCP) position functions in a lead role, for an assigned shift and/or area, performing lead job ... as a regular part of their normal job responsibilities. In addition to the lead responsibilities, also performs duties and responsibilities at a Sr RCP level which… more
- HCA Healthcare (Austin, TX)
- …and integrity. We care like family! Jump-start your career as a(an) Lead Radiology Technologist today with St. David's South Austin Medical Center. **Benefits** ... Eligibility for benefits may vary by location._** Come join our team as a(an) Lead Radiology Technologist. We care for our community! Just last year, HCA Healthcare… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Lead Phlebotomist position functions as the lead person for Phlebotomists within Laboratory Services. In this capacity, this position ... performs lead job duties and/or regularly leads projects or performs...normal job responsibilities and serves as the liaison between management , staff and physicians for routine matters, resolving questions… more
- Humana (Austin, TX)
- …+ Develop and implement strategies to enhance program efficiency, ensuring optimal utilization of resources. + **Description Management :** + Oversee the ... first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the effectiveness of existing business processes and… more
- Chenega Corporation (San Antonio, TX)
- **Summary** **CHENEGA PROFESSIONAL SERVICES, LLC** Telework The ** Lead Domestic Abuse Victim Advocate (LD)** shall help the AF Treatment Program Manager (TPM) ... oversee and direct a comprehensive DAVA program to support effective implementation, utilization , and utilization improvements of DAVA Support Services. The… more