- Huron Consulting Group (Austin, TX)
- …structures and improving operational workflows within post-acute settings + Seeking specific clinical leadership experience in specialty pharmacy with a focus on ... and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient...within a consulting firm setting with a focus on pharmacy + Specific experience in cost and expense management… more
- Prime Therapeutics (Austin, TX)
- …Pharmacy clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all clinical ... Pharmacy clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all clinical … more
- CenterWell (Austin, TX)
- …Associate Director , Clinical Coding Education (RN) role will report to the National Director , Clinical Education, and work as a thought partner with ... care model in the primary care network. The Associate Director , Clinical Coding Education (RN) will develop,...or project manager. + As a team leader in National Clinical Education team, be an ambassador… more
- Wolters Kluwer (Austin, TX)
- …including: + Expertise in pharmacy operations and leadership in clinical pharmacy , drug diversion, and reimbursement/finance. + Successful preparation for ... on the posting) **OVERVIEW** You will coordinate and implement clinical programs that meet the needs of our external...individual contributor role. You will report to the Associate Director , Specialized Pharmacy Consulting. **DUTIES** You will… more
- CVS Health (Austin, TX)
- … clinical leadership to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, ... a Medical Director (Medical Affairs). The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical … more
- CVS Health (Austin, TX)
- …closely with health plan leadership, the Chief Medical Officer, other Medical Leadership, Pharmacy Director , clinical staff (including those in utilization ... Director will report to the Senior Medical Director for Clinical Solutions and will work...required regarding utilization management of the service benefit and pharmacy benefit within the state health plan and additional… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West Coast **Job Description Summary** ... successful relationships with internal customers (ex. Finance, Accounting, Rebate Operations, Clinical and Account Management Staff). + Serves as Preferred Drug List… more
- Omnicell (Austin, TX)
- …**transforming pharmacy care** through **outcomes-centric innovation** designed to optimize clinical and business outcomes across all settings of care. We strive ... technology? Omnicell is seeking a customer-centric, dynamic and experienced Senior Director of Product Management to spearhead the strategy and execution of… more
- CVS Health (Austin, TX)
- …"base plan" and in the round robin based on "same or similar specialty" needs. * Pharmacy coverage - The medical director will perform pharmacy reviews. * ... to its membership. Aetna is looking for a medical director to be part of a centralized team that...lead daily rounds. **Required Qualifications:** Minimum 3-5 years of clinical practice experience. Two (2) + years of experience… more
- CenterWell (Austin, TX)
- …of our caring community and help us put health first** The Associate Director , Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, ... other payers, and over government agencies. In addition, the Associate Director , Risk Adjustment oversees all medical coding education activities. The Associate… more
- Evolent Health (Austin, TX)
- …Behavioral Health Medical Director to be a member of the Evolent clinical team. As a collaborative member of a team of clinicians, physicians, pharmacists, ... You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- CVS Health (Austin, TX)
- …clinical practices, utilization management, care management, claims adjudication, pharmacy utilization, quality improvement, grievance and appeals, policies and ... comprised of utilization management, quality management, network management and clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral… more
- Omnicell (Austin, TX)
- …**transforming pharmacy care** through **outcomes-centric innovation** designed to optimize clinical and business outcomes across all settings of care. We strive ... management technology? Omnicell is seeking a customer-centric, dynamic and experienced Director of Product Management to spearhead the strategy and execution of… more
- Centene Corporation (Austin, TX)
- …with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. + Participates ... be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, … more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Senior Director , Product Development & Innovation **Job Description Summary** Provide leadership in ... and launching new products and enhancements. **Job Description** The Senior Director , Product Development and Innovation is accountable for the development and… more
- The Cigna Group (Austin, TX)
- …healthcare delivery models. They will partner with the Health Plan's Pharmacy Director , Medical Director and clinical staff to provide a comprehensive ... of the pharmacy /healthcare landscape and pipeline, as well as strong clinical , analytical, financial, and business skills to develop and present a comprehensive… more
- Takeda Pharmaceuticals (Austin, TX)
- …the role:** Under the direction of the US PDT Vice President of Sales and National Head of IHS Sales, the Integrated Health System Director (IHSD) manages all ... Management Team). + With direction and partnership from the National Head of Sales, the IHSD will be responsible...+ Manage in a complex matrix environment including sales, clinical , solutions and services + Excellent project management skills… more
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. **Position Summary** As the Director of Commercialization and Growth, part of the Health Care Delivery business ... with cross-functional teams (sales, strategy, product, marketing, finance, actuarial, clinical , sales operations, contracting, partner success, etc.) to develop… more
- Evolent Health (Austin, TX)
- …Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical, pharmacy and ancillary claims data, membership data, clinical operational ... a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a strategic advisor to… more
- Brookdale Senior Living (Austin, TX)
- …at all times. Remains in accordance with federal and state regulations. + Assists the Director of Clinical Services in managing the day-to-day operations of the ... Award from the American Healthcare Association. This is a National Quality Award received byonly 4% of SNFs in...day-to-day operations. Makes written and verbal recommendations to the Director of Clinical Services concerning the operations… more