- Novo Nordisk Inc. (Austin, TX)
- …Educators, Medical Liaisons) covering the same geographic areas. The Specialty Field Sales Representative actively shares information and plans to develop a ... HCPs (eg HEP/GI ) and key customers. Relationships Externally, the Specialty Field Sales Representative maintains relationships with physicians, pharmacists, nurses,… more
- CVS Health (Austin, TX)
- …specialty medication prior authorization (PA) requests reviewed by the Aetna Specialty Medical Prior Authorization department. Reporting to the Pharmacy ... is necessary and will involve computer system data entry, data management , and reporting. + Review criteria-based prior authorizations following policy and… more
- CVS Health (Austin, TX)
- …med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in central time zone. ... and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- Molina Healthcare (Austin, TX)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical...resource management . + Develops and implements a Utilization Management program and action plan, which… more
- The Cigna Group (Austin, TX)
- …with the Program Management Senior Manager, Clinical Program Managers, and specialty pharmacy operational team and Medical Economics. + Reviews multiple ... analytical thinker who is responsible for the focus of supporting medical specialty pharmacy redirection savings research, calculation, monitoring, and… more
- Grifols Shared Services North America, Inc (Austin, TX)
- …110 countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...protocol changes within their related area of practice. + Utilization of corporate resources including Key Account Manager, Managed… more
- Evolent (Austin, TX)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Medical Director, MSK Surgery you will be a specialty match reviewer for Spine Surgery cases. you will...cases. you will be a key member of the utilization management team. We can offer you… more
- Centene Corporation (Austin, TX)
- …the business unit. + Provides medical leadership of all for utilization management , cost containment, and associated activities including quality improvement ... standards **Education/Experience:** Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation… more
- Evolent (Austin, TX)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Austin, TX)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Director you will be a key member of the utilization management team. We can offer you...+ Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining medical licenses… more
- CenterWell (Austin, TX)
- …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Divisional Director role is a hybrid with travel requirements to ... understanding and creating solutions that will lead to acute and post-acute care utilization reductions aligned with the PCO's objectives and goals. As a guideline,… more
- Evolent (Austin, TX)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... Oncology, you will be a key member of the utilization management team. We can offer you.... Current, unrestricted clinical license in medicine or required specialty . Obtaining and maintaining medical licenses… more
- Evolent (Austin, TX)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... FMD, you will be a key member of the utilization management team. We can offer you...+ Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining medical licenses… more
- Cardinal Health (Austin, TX)
- **_What Specialty Networks (UroGPO) contributes to Cardinal Health_** _UroGPO_ creates clinical, operational & economic value for independent Community based Urology ... outcomes by getting each patient to the right care at the right time. Specialty Networks works with over 11,500 providers across 3500+ independent specialty … more
- Humana (Austin, TX)
- …health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical management ... + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Humana (Austin, TX)
- …health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical management ... Current and ongoing Board Certification in an approved ABMS Medical Specialty + **A current and unrestricted...Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management … more
- Humana (Austin, TX)
- …health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical management ... + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Humana (Austin, TX)
- …health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical management ... Current and ongoing Board Certification of an approved ABMS Medical Specialty + A current and unrestricted...on size of team or line of business. The Medical Director conducts Utilization Management … 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 ... DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community...(DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical… more
- Baylor Scott & White Health (Austin, TX)
- **LOCATION:** Remote ** SPECIALTY /DEPARTMENT:** Care Management : Case Management Utilization Management Appeals or grievances **SHIFT/SCHEDULE:** ... prevention, and healthcare terminology. + A deep respect for medical and nursing ethics, and commitment to safeguarding patient...IN ONE OR MORE OF THE FOLLOWING SPECIALITIES:** **Case Management ** ** Utilization Management ** **Appeals or… more
