- Houston Methodist (Sugar Land, TX)
- … Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
- Cardinal Health (Austin, TX)
- **_Senior Specialist - Injunctive Relief Compliance_** **_What Quality Compliance contributes to Cardinal Health_** Quality develops and implements quality policies, ... all applicable Open Source and Law Enforcement searches as required + Review any disciplinary documentation associated with any individual/entity to determine if any… more
- Citigroup (Irving, TX)
- We are seeking a highly skilled and innovative Database GenAI & AI Specialist to join our dynamic team. The Database Management AI Agent Specialist will be ... AI agent development, machine learning, and natural language processing. The specialist will build agents that perform proactive monitoring, automated problem… more
- HCA Healthcare (Dallas, TX)
- …acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong ... and personal growth, we encourage you to apply for our Clinical Rehab Specialist opening. We promptly review all applications. Highly qualified candidates will… more
- HCA Healthcare (San Antonio, TX)
- …and personal growth, we encourage you to apply for our Clinical Pharmacist Specialist opening. We promptly review all applications. Highly qualified candidates ... **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist you want with your current employer? We have an exciting opportunity… more
- HCA Healthcare (San Antonio, TX)
- …growth, we encourage you to apply for our Transplant Clinical Pharmacist Specialist opening. We promptly review all applications. Highly qualified candidates ... like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. **Benefits** Methodist… more
- HCA Healthcare (Dallas, TX)
- …this opportunity compelling, we encourage you to apply for our Clinical Pharmacist Specialist BMT opening. We promptly review all applications. Highly qualified ... **Description** **Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating...(tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …all phases of budget development, monitors budget expenditures and reports to senior management regularly on the state of budget expenditures and provides advice ... recommends controls to ensure sound program and operations management. Advises senior management on appropriate staffing levels based on quantitative workload data… more
- Centene Corporation (Austin, TX)
- …agency including internal data reporting. + The role will participate during the product Utilization Review , which usually occurs on a yearly basis, and includes ... of projects or clinical initiatives. + The role will include engagement with internal stakeholders to review clinical outcomes based on reported data from the state… more
- HCA Healthcare (Austin, TX)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... use within the facility. This individual works with the Division EHR Support Specialist Team and facility core team members to develop training materials and deliver… more
- Evolent (Austin, TX)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical… more
- HCA Healthcare (San Antonio, TX)
- …to clinicians regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Kingwood, TX)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... drug therapy selection. + Identify, design and analyze drug utilization reviews to promote rational drug therapy and determine...+ Minimum of 1 year as a Pharmacy Clinical/Operations Specialist required. + 5 years of hospital pharmacy experience,… more
- CenterWell (Fort Worth, TX)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... budgeting, staffing, operational excellence, and clinical initiatives *Champion our senior -focused primary care strategic vision and initiatives and foster… more
- CenterWell (Arlington, TX)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... staffing, operational excellence, and clinical initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster stakeholder… more
- ASM Research, An Accenture Federal Services Company (Austin, TX)
- …and design. Provides direction to other IT Administrators on the project in a senior administrator capacity. Considered a technical specialist in a variety of IT ... as needed (aside from on-call rotation). + Optimize system operations and resource utilization as well as perform system capacity analysis and planning. + Utilize… more