- CVS Health (Austin, TX)
- …can be located anywhere in the United States. In this role as Medical Director MPO ( Medical Policy & Operations) you will be responsible for providing ... focused medical care with a focus on clinical and payment policy . This Medical Director provides subject matter expertise to provide clinical support and… more
- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- …audit, grievance and appeal and policy review. The Behavioral Health Medical Director will develop and present educational seminars on various behavioral ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... Corporate Medical Director works on problems of diverse scope and complexity...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Molina Healthcare (Austin, TX)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Sumitomo Pharma (Austin, TX)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Medical Director , Clinical Development - Oncology** . The medical ... of the overall product development plan, based on strong medical and scientific principles, knowledge of compliance and regulatory...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- Molina Healthcare (Austin, TX)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... sanctions from Medicaid or Medicare. **Preferred Experience** * Peer Review, medical policy /procedure development, provider contracting experience. * Experience… more
- Sumitomo Pharma (Austin, TX)
- …dynamic, highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D ... Provides oversight of clinical trial conduct, interacting with CROs, medical monitors, and vendors as required, and working with...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- Highmark Health (Austin, TX)
- …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… more
- Sumitomo Pharma (Austin, TX)
- …or follow us on LinkedIn. **Job Overview** The **Senior Director , Commercial Learning & Development (CL&D)** reports to the Executive ... Director of CL&D and is accountable for leading SMPA...short incentive plan participation, eligibility for our 401(k) plan, medical , dental, vision, life and disability insurances and leaves… more
- Oracle (Austin, TX)
- **Job Description** Fortune 100 information technology company seeks a Director , State and Local Government Affairs, reporting to the Vice President, State ... Government Affairs. The Director , State and Local Government Affairs will work with...before state and local government officials to advance company policy priorities and other objectives, including data center project… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... Otsuka's federal strategies, engagement activities and policy priorities that promote access to therapies, preserve patient/provider choice, and generally protect… more
- CVS Health (Austin, TX)
- …and every day. **Position Summary** This role will report to the Executive Director of Medicaid Business Development. This role is central to advancing our Medicaid ... by developing and executing state-specific strategies that align with healthcare policy and individual Medicaid priorities. The ideal candidate will bring deep… more
- Ryder System (Austin, TX)
- …the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy- policy ) ._ **Job Description** : **Summary** The Director Claims ... (including consultants, legal counsel, insurers, and external claims administrators). The Director manages and oversees the physical damage team and handling… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …chance to invent and to create so that we can provide answers to medical needs that have yet to be addressed. Another Japanese tenet, Jissho-Shugi, means "earning ... **Position Summary** Otsuka is seeking an experienced and visionary Senior Director , Global Clinical Development (GCD), with experience in immunology, who will… more