- Novo Nordisk Inc. (San Antonio, TX)
- …and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic/professional credentials and scientific ... two years' experience in a health-related system, pharmaceutical company, or managed care environment required Relevant clinical and/or therapeutic experience… more
- Organon & Co. (Austin, TX)
- **Job Description** **The** **Position** The Field Medical Director is a field-based professional with scientific, clinical and therapeutic area expertise ... scientific support for Organon's Women's Health programs. The Field Medical Director engages in scientific exchange with medical and scientific experts, including… more
- Fresenius Medical Center (Dallas, TX)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Hilton (Addison, TX)
- …team that's helping hotels consistently grow market share and outperform competitors\. On the Managed Team reporting to the Director , you will accomplish this by ... of a Revenue Management Consolidated Center \(RMCC\) that is offering owned, managed , and franchised Hilton hotels world\-class revenue management talent and tools\.… more
- Guidehouse (San Antonio, TX)
- …Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & Long-Term Disability + Tuition ... Reimbursement, Personal Development & Learning Opportunities + Skills Development & Certifications + Employee Referral Program + Corporate Sponsored Events & Community Outreach + Emergency Back-Up Childcare Program **About Guidehouse** Guidehouse is an Equal… more
- Baylor Scott & White Health (Dallas, TX)
- …the hospital, and BSWH. Develops guidelines for working with insurers, managed care organizations, referral providers, patients, and families. Monitors ... **JOB SUMMARY** Director , Comprehensive Care Management (CCM) is a System Director responsible for planning, developing, and implementing the comprehensive … more
- Humana (Austin, TX)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ...medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as… more
- Humana (Austin, TX)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external… more
- Humana (Austin, TX)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- CenterWell (Austin, TX)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... 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 … more
- Cardinal Health (Austin, TX)
- …covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with ... and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic...seasoned expertise in the managed care industry, this leader translates the… more
- Baylor Scott & White Health (Dallas, TX)
- …denials. This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The ... a matrixed organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations. **Essential Functions of the… more
- Option Care Health (Austin, TX)
- …IG to include clinical, market, and payer dynamics + Knowledge of reimbursement, managed care , and marketing **Basic Qualifications** + Proven record of ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...brightest talent in healthcare. **Job Description Summary:** The National Director IG Business Development role will be responsible for… more
- UTMB Health (Huntsville, TX)
- …States** Allied Health UTMB Health Requisition # 2506054 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... UTMB Health System including but not limited to UTMB Hospital, UTMB Correctional Managed Care Operations and Clinics in assigned areas **_ESSENTIAL JOB… more
- Humana (Austin, TX)
- …on average) Eastern Time Zone hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- CVS Health (Austin, TX)
- …Minimum 3-5 years of clinical practice experience. Two (2) + years of experience in managed care (Medicare and/or Medicaid) MD or DO; Board certification in an ... to its membership. Aetna is looking for a medical director to be part of a centralized team that...state where we have an Integrated plan. Experience with managed care (Medicare and Medicaid) utilization review… more
- IQVIA (Dallas, TX)
- …and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic/professional credentials and scientific ... **Alzheimer's Medical Liaison Field Director ** We are hiring a Medical Liaison (ML)...experience in a health-related system, pharmaceutical company, or + Managed Care Environment required. + Proven track… more
- Cardinal Health (Austin, TX)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… more
- Oracle (Austin, TX)
- **Job Description** Job Summary: Oracle Cloud Infrastructure's (OCI) Oracle Managed Kubernetes (OMK) team is seeking a visionary and results-driven Director of ... growing group. OMK is OCI's enterprise-grade Kubernetes service that provides a managed , scalable and secure environment to deploy containerized applications. It is… more
- Health Care Service Corporation (Richardson, TX)
- …needed for electronic documentation of case reviews **PREFERRED REQUIREMENTS:** + 3 years Managed Care experience + Hematology and Oncology experience + Peer to ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more
