- CVS Health (Austin, TX)
- … clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CVS Health (Austin, TX)
- …to work Monday through Friday, 10am to 7pm EST with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules will include ... holidays and evening hours.** + Utilizes clinical experience and skills in a collaborative process to...10:00am to 7:00pm eastern time with occasional holiday rotation. Utilization Management is a 24/7 operation and… more
- CVS Health (Austin, TX)
- …in research efforts, contributing to scholarly publications, and/or facilitating research utilization to improve clinical care and outcomes. - Provides ... all with heart, each and every day. **Position Summary** Applies specialized clinical and industry knowledge and performance improvement best practices to quality… more
- Highmark Health (Austin, TX)
- …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
- HCA Healthcare (Austin, TX)
- …in-service programs to facility medical staff regarding clinical resource management , appropriate documents standards, utilization and quality issues, and ... management . + Consults with facility-level staff regarding delegated utilization management and disease management ...requirements associated with these functions. + Serves as a clinical resource and consultant to hospital case… more