• CVS Health (Dallas, TX)
    …based on member preference. Local travel: 75% Position Summary: The Case Management Analyst will develop, implement, support, and promote health service ... strategies, policies, and programs are comprised of utilization management , quality management , network management , clinical coverage and policies. The… more
    Upward (07/08/25)
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  • ProPharma Group (Western Springs, IL)
    …product lifecycle. With deep domain expertise in regulatory sciences, clinical research solutions, quality & compliance, pharmacovigilance, medical information, and ... ProPharma offers an end-to-end suite of fully customizable consulting solutions that de- risk and accelerate our partners' most high-profile drug and device programs.… more
    Upward (07/03/25)
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  • AdventHealth (Altamonte Springs, FL)
    …and maintain Epic and other associated systems. The Epic Revenue Cycle Senior Analyst must utilize the knowledge of clinical and business practice, computer ... Support Required) The role you'll contribute: The Epic Revenue Cycle Senior Analyst has a comprehensive understanding of system build and implementation, the ability… more
    Upward (07/10/25)
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  • International SOS Government Medical Services (Orlando, FL)
    Company Description International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely ... prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include "hands on" direct care at over 800… more
    Upward (07/03/25)
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  • International SOS Government Medical Services (Tampa, FL)
    Company Description International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely ... prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include "hands on" direct care at over 800… more
    Upward (07/03/25)
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  • Kaiser Permanente (Union City, CA)
    …allocation support including business case development; and collaborating with clinical department leadership to drive operational excellence through influence, ... of health care operations and KPs integrated health care model at the clinical level. This may include interpreting large volumes of complex data (eg, medical… more
    Upward (07/07/25)
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  • Mercyhealth (Janesville, WI)
    …and appropriate charging) Participates in collaborative staffing(s) with psychologist, clinical staff, and supervisees Oversee quality implementation of Applied ... the time. Assigns work in accordance with directives and objectives of upper management . Must possess a thorough knowledge of behavioral health services relevant in… more
    Upward (07/06/25)
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  • Scismic (New York, NY)
    …needs of participants through SOS's conversational and observational assessments and formalized risk assessments tools for those identified as being at high risk ... data, as required and work with team leader, data analyst and other SOS teams to use data to...work with participants and their housing providers to resolve clinical issues that are impacting on the participant's ability… more
    Upward (07/25/25)
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  • Navitus Health Solutions, LLC (Brentwood, TN)
    …drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .. Current associates must ... - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the...an exciting time in our history. The Claims Operations Analyst will be a key member of the operations… more
    Upward (07/23/25)
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  • County of Sonoma, CA (Santa Rosa, CA)
    …options, coverage, and premium amounts, go to or contact the Human Resources' Risk Management -Benefits Office at or ###. *Important Notes: Benefits described ... the candidate for national board examinations and eventually become a Clinical Laboratory Improvement Amendment (CLIA) qualified public health laboratory director.… more
    Upward (07/23/25)
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  • Pearl Health (New York, NY)
    …Meta, Flatiron), healthcare innovators (Centivo, Aledade, Stellar, Arcadia), and experienced risk management professionals (CVS/Aetna, Humana, Oscar) who believe ... core narrative, ensuring consistent and compelling storytelling. Translate complex clinical and technical capabilities into clear, resonant value propositions. Align… more
    Upward (06/25/25)
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  • LinTech Global Inc. (Mendenhall, MS)
    …for enterprise technical refresh efforts and lifecycle replacement cycles Facilitate risk and issue management activities and recommend mitigation strategies. ... Job Title: Program Analyst - Technical Operations Center (TOC) Position Overview:...team, you will be responsible for coordinating status reporting, risk analysis, enterprise alignment activities, and governance support across… more
    Upward (07/25/25)
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  • Vertex Pharmaceuticals (Boston, MA)
    …(BAR) Associate Director will be responsible for acting as a business analyst for leading and driving complex cross-functional operational analytics solutions for ... QC - as well as functions outside CMSC like Quality, Commercial & Clinical within the Vertex Small Molecule program teams. Additionally, the position will engage… more
    Upward (07/01/25)
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  • Lead Clinical Risk Management

    Abbott (Alameda, CA)
    …generic medicines. Our 114,000 colleagues serve people in more than 160 countries. **Lead Clinical Risk Management Analyst ** **Working at Abbott** At ... diversity, working mothers, female executives, and scientists. **The Opportunity** The Lead Clinical Risk Management Analyst is responsible to lead and… more
    Abbott (07/19/25)
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  • Risk Management Analyst - St…

    Trinity Health (Albany, NY)
    …as a compassionate and transforming healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Risk Management Analyst ** **FT...the overall patient safety and clinical risk management functions related… more
    Trinity Health (07/22/25)
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  • Risk Management Analyst (Non…

    Trinity Health (Albany, NY)
    …SUMMARY** The Risk Analyst is primarily responsible for supporting non- clinical risk management activities in both the inpatient and outpatient ... data. Support the mergers and acquisitions process. Provide educational programs on non- clinical risk management topics as requested. Other duties as… more
    Trinity Health (06/18/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Boston, MA)
    clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and ... address clinical , information security, privacy, and other areas of risk .Prepare draft reports and other management reporting deliverables.Review all work… more
    Highmark Health (07/04/25)
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  • Risk Analyst - Risk

    Penn State Health (Hershey, PA)
    …and family medical or genetic information._ **Union:** Non Bargained **Position** Risk Analyst - Risk Management **Location** US:PA: Hershey | Quality | ... Health (PSH) entities by responding to routine internal and external inquiries to PSH Risk Management . Assists defense counsel, System Claims, and other PSH … more
    Penn State Health (07/19/25)
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  • Clinical Operations Management

    Rady Children's Hospital San Diego (San Diego, CA)
    JOB SUMMARY: Clinical Ops Mgmt Analyst is an experienced clinician who has expertise in pediatric patient care in both the inpatient and outpatient settings, ... and requirements into technical specifications for the HER (Electronic Health Record). The Clinical Ops Mgmt Analyst , provides expertise and support to highly… more
    Rady Children's Hospital San Diego (05/04/25)
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  • Risk Analyst Registered Nurse

    HCA Healthcare (Plano, TX)
    …City Plano we support our colleagues in their positions. Join our Team as a(an) Risk Analyst Registered Nurse and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Risk Analyst Registered Nurse opening and continue...the Patient Safety and Accreditation functions of the overall Risk Management program. Establishes a structure for… more
    HCA Healthcare (07/23/25)
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