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20 Jobs in Houston, TX

  • Medical Director

    Houston, Texas
    ... analytics. Medical Director-Internal Medicine Responsible for the administration of physical and ... Medical Director Associates. May be responsible for an entire clinical program. **This role is a hybrid ...
  • Medical Oncology Medical Director - Utilization Review

    Houston, Texas
    ... Clinical Operations Medical Director Utilization Management of Medical Oncology ... Medical Director supporting our Medical Oncology team is responsible for supporting the medical ...
  • UM Medical Director - Cardiology

    Houston, Texas
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Medicare Medical Director Clinical Programs

    Houston, Texas
    ... .** The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Analyzes and ...
  • Associate Medical Director - Neurosurgery

    Houston, Texas
    ... Clinical Operations Associate Medical Director Neurosurgery Carelon ... Associate Medical Director of Neurosurgery responsible for performing pre-authorizations and providing ...
  • UM Medical Director - Orthopedic Surgery

    Houston, Texas
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Houston, Texas
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Associate Medical Director - Interventional Pain

    Houston, Texas
    ... Clinical Operations Associate Medical Director **Carelon Medical Benefit Management ... and oncology._ The Clinical Operations Medical Director is responsible for supporting ...
  • National Solution Medical Director - Surgery

    HOUSTON, Texas
    ... A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management ... and oncology. Carelon Medical Benefits Management is looking to hire a National Medical ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Houston, Texas
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Houston, Texas
    ... .** The Behavioral Health Medical Director is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates ...
  • National Medical Director - Physiatry, Post Acute Solutions

    HOUSTON, Texas
    ... Medical Director for Post Acute Care Solutions** . This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product ...
  • National Medical Director - Total Cost of Care, Post Acute

    HOUSTON, Texas
    ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions ...
  • Health Benefits Executive Director

    Houston, Texas
    ... Health Benefits Executive Director Location: This position will work a hybrid ... . The Health Benefits Executive Director is responsible for leading the development and ...
  • Pharmacy Quality Assurance Specialist

    HOUSTON, Texas
    ... ) Specialist** . This Pharmacy Quality Assurance Specialist, reporting to the Director of ... of insurance industry and medical terminology and detailed knowledge of relevant systems and proven ...
  • Nurse Medical Management I-1

    Houston, Texas
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Provider Contract / Cost of Care Analyst Senior

    HOUSTON, Texas
    ... , ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators ... control costs; Projecting cost increases in medical services by using analytic techniques for PMPM ...
  • Provider Contract/Cost of Care Consultant Senior

    Houston, Texas
    ... looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... . Provides advice, analytic and consultative support to Medical Directors and management on cost of care ...
  • Reviewer - Therapy Services

    HOUSTON, Texas
    ... ** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ...
  • Telephonic Nurse Case Manager II

    HOUSTON, Texas
    ... effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and ...
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