Company Profile

Director, Operations (Utilization Management) - On-site in TX

Company Overview

TARGETING BETTER HEALTHCARE OUTCOMES
For more than a decade, Nexus has optimized the clinical review process for insurers, third-party administrators, brokers, consultants, attorneys, employers, and government entities.

Nexus is a national leader in clinical and specialty review services, combining medical expertise with advanced technology to deliver accurate, defensible, and timely decisions that support better outcomes for all stakeholders. With decades of industry experience, our team brings together board-certified physicians, legal experts, and healthcare professionals to ensure the highest standards of quality and compliance.

We specialize in services that span the healthcare, workers’ compensation, disability, auto liability, and government sectors—supporting insurers, TPAs, employers, and managed care organizations. Our clinical-first approach is grounded in evidence-based guidelines, transparent workflows, and seamless technology integration, empowering clients to make confident decisions that are both cost-effective and patient-centered.

Nexus upholds stringent regulatory standards. Our commitment to compliance ensures confidence in our services.
-URAC Accredited
-Largest and most robust physician networks in the industry. Our panel of physician experts, selected based on high accreditation standards, covers over 98 specialties and subspecialties.
-URAC Framework Updates: Nexus stays informed and aligned with the latest compliance requirements.
-HIPAA Compliant: Patient privacy and data security are paramount.

Notable Accomplishments / Recognition

www.nexmc.com

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    14 days ago

    Director, Operations

    Director, Operations (Utilization Management) - On-site in TX - San Antonio, TX, United States
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    Job Summary: The Di rector, Operations works closely with the VP, Operations to ensure that the organization, as well as its subsidiaries, is well-positioned in a rapidly evolving and competitive environment by being an agent for ongoing organizational change. This position is directly responsible for the processes and functions and the daily administrative workflow process for Company A(name redacted), as well as its subsidiary, Company B (name redacted), and overseeing daily operations, ...

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