- The Cigna Group (Bloomfield, CT)
- …but is not restricted to locations that are identified in this posting.** Clinical Program Advisor -Supply Chain/Formulary Consulting **JOB SUMMARY** The ... Clinical Program Advisor provides insight and guidance on...consulting team members + Review custom health plan Utilization Management policies for rebate eligibility or adherence to contract… more
- The Cigna Group (Bloomfield, CT)
- …pharmacy coverage rules and formulary decisions based on Cigna policies with support of Clinical program development partners. + Any other tasks as defined by ... **Pharmacy Clinical Consulting Senior Advisor -East Region**...MD, NC or SC** As part of Cigna Pharmacy Management , the Pharmacy Sales Senior Advisor is… more
- The Cigna Group (Bloomfield, CT)
- JOB DESCRIPTION The Clinical Program Advisor needs to have in-depth knowledge of clinical set up, familiarity with benefit setup, and overall operational ... interdependencies and regulatory requirements. Primary responsibilities include product management and guiding Product owners as well as downstream PBS partners on… more
- The Cigna Group (Morris Plains, NJ)
- … Advisor will hold a key role in in ensuring that our utilization management (UM) policies align with clinical guidance, drive formulary intent, and are ... + Strong analytical and decision-making skills + Previous experience developing or analyzing clinical criteria in relation to formulary management a strong plus.… more
- The Cigna Group (Columbus, OH)
- …Cross-Functional collaboration as needed to create alignment with stakeholders. + Project management and prioritization - Advisor role will support multiple ... Forsyth Health, we focus on a collection of data management , business intelligence and advanced analytics capabilities to support...support programs. **How you'll make a difference:** The Sr. Advisor , Real World Data position is a key role… more
- Agiliti Health (VA)
- **POSITION SUMMARY** The Clinical Advisor is a key member of the Solutions team and ensures our internal and external customers are trained on SES products and ... Location:** Home Office (VA) **Additional Locations (if applicable):** **Job Title:** Clinical Advisor **Company:** Agiliti **Location City:** Not Applicable… more
- Trinity Health (Waterbury, CT)
- …and various interventions, supporting respiratory and hemodynamic stability. + The Senior Clinical Advisor (SCA), under the general supervision of the Nurse ... leadership to create an environment that promotes excellence in clinical practice. + The SCA contributes to the effective... practice. + The SCA contributes to the effective management of the Department and Hospital. **Minimum Qualifications** +… more
- Northwell Health (Greenvale, NY)
- …and will have the opportunity to utilize expertise and skills in a clinical setting to provide accurate and reliable laboratory results to clinicians evaluating and ... including Medical Director, Section Chief, Laboratory Operations Manager and clinical laboratory technologists, and members of the Division of Hematopathology.… more
- Northwell Health (Greenvale, NY)
- …of Health (NYSDOH), College of American Pathologists (CAP), and Clinical Laboratory Improvement Amendments (CLIA) inspections, including internal and external ... proficiency testing program and other related programs. * Ensures compliance with New York State Department of Health (NYSDOH), College of American Pathologists… more
- Ochsner Health (New Orleans, LA)
- …a difference at Ochsner Health and discover your future today!** The Physician Advisor (PA-Utilization Management ) serves as the physician leader in matters ... and Post-Acute teams, Payors, Administration and Revenue Cycle) to improve utilization management , sustain quality goals, and act as a consultant to physicians,… more
- CommonSpirit Health (Phoenix, AZ)
- …innovative healthcare delivery system. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by ... feedback on program results to facility leadership (ie CMO, Care Management Directors, Quality Directors) + Provides feedback and education to the Care … more
- Sutter Health (Sacramento, CA)
- …care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM ... quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management ) ,and… more
- Catholic Health Services (Melville, NY)
- …and monitoring compliance with an educational program . Collaborates with management in recruiting new Catholic Health Physician Advisor hires. Trains ... department, and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. Supervises… more
- The Cigna Group (Bloomfield, CT)
- …for Board metrics on clinical outcomes. **Role Summary** The Performance Management Business Analytics Senior Advisor role is responsible for driving ... consistent application of Clinical Performance Management framework in the areas...for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These… more
- Catholic Health Initiatives (Bismarck, ND)
- …upon-performance and process improvement metrics for facility, UM/Medical Staff, and Physician Advisor program . + Communicate facility feedback and metrics to ... benefits to support you and your family:** + Care@Work program supporting any child care, pet care, or adult...**Responsibilities** CHI St. Alexius is looking for a Physcian Advisor to join the team! The Onsite Physician … more
- Catholic Health Initiatives (Omaha, NE)
- …risk of mortality, and DRG assignment. + Develop structure and implement a clinical documentation improvement and integrity program , taking into account the ... as well as diagnostics and emergency services. **Responsibilities** **Physician Advisor ** **Location: Lakeside and Midlands Hospital** **The Physician Advisor… more
- Sutter Health (Burlingame, CA)
- …care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM ... quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management ), and… more
- Trinity Health (Silver Spring, MD)
- …to appropriate utilization/level of care (LOC), length of stay (LOS) management , patient flow/throughput management , appropriate clinical documentation ... and physicians throughout the organization. Manages processes, policies, workflows and overall management of the physician advisor role within the organization.… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Overview** The Physician Advisor is a key member of CHI Memorial's leadership team and is charged with meeting the organization's goals and objectives for assuring ... the effective, efficient utilization of health care services. The Physician Advisor is a physician serving the hospital through teaching, consulting, and advising… more
- University of Colorado (Aurora, CO)
- **Senior Financial Aid Advisor , School of Medicine** **Description** **University of Colorado Anschutz Medical Campus** **Department:** **CU Anschutz Financial Aid ... and Scholarships Office** **Job Title:** **Senior Financial Aid Advisor , School of Medicine** **Position #:** **00832668- Requisition #:36682** **Job Summary:**… more