16 management jobs found in Austin, TX

Adecco Medical & Science is hiring a Utilization Management Nurse! This role is remote (work from home) but you must reside in the state of Texas.Please read below and apply with an updated resume for consideration:**Job Overview:**+ Performs utilization review activities, including pre-certification, concurrent, and retrospective reviews according to guidelines.+ Determines medical necessity of each request by applying appropriate medical criteria to first level reviews and utilizing approved evidenced based guidelines/criteria.+ Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care services.+ Answers Utilization Management directed telephone calls; managing them in a professional and competent manner+ Refers case to a review physician when the treatment request does not meet necessity per guidelines, or when guidelines are not available. Referrals must be made in a timely manner, allowing the...

CONSULTANT - (Remote/Home Office) ABOUT US MSB Consulting is an educational consulting firm that works directly with the Special Education community. We help our clients maximize their reimbursements from the Medicaid to Schools program, providing much-needed funding back to the school districts that we serve. We are able to accomplish this by always looking to Our Purpose: to collaboratively pursue excellence in Medicaid with school districts in a way that builds compliance, accuracy, and maximization and yields client loyalty. We focus exclusively on meeting the needs of school districts, implementing new technologies and processes with a commitment to excellence in quality and compliance in order to fulfill our purpose. We pride ourselves on going above and beyond the call of duty, not just existing as another billing vendor. MSB is not a one-size-fits-all company; we are versatile and fully customizable to fit each individual district's needs. Rather than providing...

Who we are - what we do.:The Healthy Back Institute is a high-growth, fast-paced, E-Commerce platform created to help people worldwide live life pain-free, naturally. We are on a mission to change the way people think about health. Over the years, we have helped millions of people who suffer from back and joint pain. Everything that happens at the Healthy Back Institute is rooted in our core values: Freedom, Love, Team, Growth, Excellence, and CourageHere is a link to a self-made video from one of our team members, going "All In" with our Values.- Yep- this is how we roll... These values are the foundation of how we serve our customers and how we treat each other. We are seeking a highly talented Customer Service Representative to join our team! The Role: As our Customer Service Representative, you will be the eyes and ears for our team, fielding customer inquiries and authentically connecting with our customers to assist them in the best way possible. You will be handling a high...

Job DescriptionThe representative is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The representative will make determinations if a complex request should be transferred to a technician or pharmacist for assistance. Additionally, they are responsible for maintaining complete, timely, and accurate documentation of all approvals and denials. To be successful in this role, you will need proficiency in pronouncing drug names and diagnoses and recognizing medical terminology. As well as navigating multiple software systems to document conversations and outcomes, which require keyboarding skills.This is a call center environment and the representative will be required to take inbound calls. This position could require mandatory overtime.We offer a comprehensive benefits package that includes medical, dental, and vision insurance as well as a wide-ranging list of supplemental benefits and discount programs." In addition...

**Remote, work from home - East, TX (must live in/or near area)****Summary**The Provider Performance Advisor is a key member of a cross-functional, collaborative organization which includes Market Provider Performance, Sales, Stars & Risk Adjustment, Finance, Marketing, Provider Relations, and Network Development & Solutions. Reporting to the Provider Performance Senior Manager, the Provider Performance Advisor ensures the effective performance outcomes of their assigned providers.The Provider Performance Advisor's responsibilities include:+ Cultivating key provider partner relationships in order to drive optimal performance on Stars, risk adjustment, utilization management, and overall financial performance.+ Leading market level projects and strategies related to provider engagement.+ Preparing for and facilitating external provider meetings and value based contract administrative meetings (JOCs).+ Preparing for and facilitating a monthly financial review to senior...

The Data Sales Account Executive is responsible for managing the client relationship, daily account activity and business development. This role oversees and maintains a consultative relationship with the client, acting as the primary contact and partner for all Acxiom products and services. Responsible for maintaining excellent client communication at all levels of the organization. Works closely with the client to regularly review account performance, identifying and communicating opportunities for additional Acxiom support. In addition, they are responsible for developing the business by identifying and selling additional services within the Acxiom product portfolio. DUTIES AND RESPONSIBILITIES Responsible for client satisfaction, serving as the main point of contact for all assigned account activity Ensuring the client is informed related to daily account activities, including delivery format and/or schedule, existing product updates and new product information Responsible...

At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) The TN C&S Health Plan Provider Relations represents government products to build and improve physician, facility and practice satisfaction for the TN C&S Health Plan. This is an internal and external focused position and is responsible for the market and will maximize the providers ability to interact with the Health Plan as applicable. If you are located within the Brentwood, TN area, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Acts as a TN C&S Health Plan navigational specialist for internal and external business...

Job Description Our People & Places Solutions business - reinforces our drive to improve the lives of people everywhere and epitomizes the "why" of what we do - the tremendous positive impact and value our solutions bring to our communities and society as a whole. From facilities delivering life-saving therapies and ensuring clean water to enabling the connection of people through all modes of transportation and providing access to technology - we're integrating a multitude of these solution elements to build the smart environments of tomorrow. Start your Jacobs career with a company that inspires and empowers you to deliver your best work so you can evolve, grow and succeed - today and into tomorrow. Position Summary At Jacobs our RCDD Communications Systems Designers work on various projects as assigned by organization leadership or Project Managers. This position will play a role in the entire design process including but not limited to preliminary assessments, concept...

Our People & Places Solutions business - reinforces our drive to improve the lives of people everywhere and epitomizes the "why" of what we do - the tremendous positive impact and value our solutions bring to our communities and society as a whole. From facilities delivering life-saving therapies and ensuring clean water to enabling the connection of people through all modes of transportation and providing access to technology - we're integrating a multitude of these solution elements to build the smart environments of tomorrow. Start your Jacobs career with a company that inspires and empowers you to deliver your best work so you can evolve, grow and succeed - today and into tomorrow. Position Summary At Jacobs our RCDD Communications Systems Designers work on various projects as assigned by organization leadership or Project Managers. This position will play a role in the entire design process including but not limited to preliminary assessments, concept creation, design,...

Description No experience? No problem. If you're committed to learning the craft, we'll deliver the training and development to make you successful. Join our team and fuel your passion for work and life. As an Collections Representative, you will: Do meaningful work that makes a difference to people. Connect with customers through multiple contact channels of our communication platform. Negotiate payment arrangements and deliver solutions to help customers resolve their delinquent accounts. Demonstrate strong communication skills. Listen to understand, respond with empathy, treat customers with respect, respond professionally and efficiently in a fast-paced environment. Engage with our company's culture and activities. The more you invest in your career, the more it gives back to you. Manage your performance with the help of a management team who will invest in you. When you join Afni, we will: Instantly make you part of our global family of diverse people...

Personal development and becoming the best you is all about growth and exploring new skills and opportunities - both in and out of the office. At Accruent, we call this Grow Without Limits, and we're proud to offer each of our employees the resources, coaching and support necessary to achieve Growth Without Limits in their personal and professional lives. Explore where the path takes you. Why you want to work for our Product Management team: Within our Product Management team, you will be involved through the entire lifecycle of our products. The team supports our customers drive the future set and functionality to help them manage their physical resources. We are customer centric in ensuring our products deliver value in every aspect! The Technical Writer is responsible for writing, editing, updating, and revising functional and technical documentation for Accruent products. This includes working closely with Engineering, Product Management, Services, and Support, and...

Job DescriptionThis position is permanent work from home for any candidates in the CST time zones and includes a $1000 sign on bonus as well as an additional $2000 180 days after your start date The sign on and retention bonuses are not applicable to current internal employees of CVS or Aetna. Are you looking for flexible work at home and bilingual? Then we have a Bilingual Customer Service Representative opening for you This position is permanent work from home for any candidates in the CST time zone and includes a $1000 sign on bonus as well as an additional $2000 180 days after your start date The sign on and retention bonuses are not applicable to current internal employees of CVS or Aetna. (Bonuses are only applicable to specific positions, locations, and business groups. Applicable roles have the bonus language in the job posting.)We are currently recruiting top talent for our next class of Bilingual Customer Service Representatives (CSR) in our Medicare Customer Service...

Job DescriptionAs a Rep II, Operations you will work closely with healthcare providers to process Prior Authorizations (PA) and drug benefit exception requests in a call center environment. In the Rep II, Operations role, you will play a meaningful role in ensuring member and client satisfaction. You will be performing all work in accordance with Medicare Part D guidelines. In this role, you would have flexibility to work any shift between 7:00am - 8:00pm (Monday - Friday) and1000a-200pm(Saturday).As a Rep II, Operations, you'll show a high level of attention to detail, verbal and written communications skills, and the ability to problem solve in this dynamic work environment. You'll be working various assignments that require demonstrated urgency and the ability to meet set timelines. You'll have the opportunity to project a professional business image through phone interactions as well as internal communication.Your responsibilities will include:- Working incoming cases via phone...

Current Employees: If you are a current employee at Ryder (not a Contractor or temporary employee through a staffing agency), please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process. Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\ You are the driving force behind our company. Start your career with Ryder today! Summary Lead Solutions Design Engineers are responsible to support the growth of our Supply Chain Solutions & Dedicated Transportation Solution offerings by developing, designing and winning new business through: Designing solutions that deliver financial value to our Customers Demonstrating an understanding of our Customer's business Providing feasible designs that are aligned with our Customer's needs Helping the pursuit team with shaping wins plans...

The schedule is now open to the following: REMOTE - WORK FROM HOME ON SITE - IF YOU DO NOT HAVE THE NETWORK TO SUPPORT REMOTE WORK HYBRID - A MIX OF OFFICE/HOME Schedule: 10am - 7pm M-Th and 8pm - 5pm Fri Looking for a new opportunity with an innovative global organization that fosters a high performance culture through Agility, Collaboration, Effective Communication, Building Trust, Taking Ownership, Focusing on Customers, and Creating Opportunities? Headquartered in Basel, Switzerland, the Straumann Group is a global leader in tooth replacement and orthodontic solutions that creates smiles and restores confidence. For more than six decades, we have been stretching the limits, entering new fields, and creating opportunities to make patients' lives better. We are the leading independent player in our industry. From the first Dental Implant in 1974 to the latest Digital Solution - we do things different than others. We deliver innovation based on evidence. This is part...

Job Description Salary: ABOUT US MSB Consulting is an educational consulting firm that works directly with the Special Education community. We help our clients maximize their reimbursements from the Medicaid to Schools program, providing much-needed funding back to the school districts that we serve. We are able to accomplish this by always looking to Our Purpose: We anticipate the ever-changing needs of school districts by cultivating meaningful connections while consistently delivering our hallmark service, consultation, and leadership. We focus exclusively on meeting the needs of school districts, implementing new technologies and processes with a commitment to excellence in quality and compliance in order to fulfill our purpose. We pride ourselves on going above and beyond the call of duty, not just existing as another billing vendor. MSB is not a one-size-fits-all company; we are versatile and fully customizable to fit each individual districts needs. Rather than providing...