- Highmark Health (Dover, DE)
- …CCS Certification **Preferred** + None **SKILLS** + An understanding of Total Quality Management (TQM) concepts, techniques, process and outcome measurements ( ... and implements process improvements related to the potential of quality medical care and service to members and to...solving skills with the ability to understand and interpret clinical data + Prior project management experience… more
- Humana (Dover, DE)
- …will follow established guidelines/procedures. + Partner with Clinical Leads, Senior Clinical Pharmacists, Quality Professionals and other individuals ... role will collaborate with key internal Pharmacy partners, Program Clinical Leads, Senior Clinical Pharmacists,...for the creation and management of the Clinical Drug Evaluation and Policy Strategies Team's quality… more
- Evolent Health (Dover, DE)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of ... Clinical Reviewers. **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management , reviewing cases that do not… more
- CenterWell (Dover, DE)
- …Officer. This role reports to the National Director, High Risk Patient Management . Responsibilities will include: + Lead comprehensive clinical pharmacy service ... and other crucial areas; as well as development of other pharmacy-related clinical initiatives to improve medication quality , cost, and appropriate use… more
- J&J Family of Companies (Dover, DE)
- …the strategy and the content for regulatory documents. + Works with senior clinical staff, establishes credible relationships with external stakeholders such ... of the Johnson & Johnson Family of Companies, is recruiting for a Director/ Senior Director, Clinical Rseearch Physician for **Late Development Oncology** . The… more
- Sharecare, Inc. (Dover, DE)
- …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Senior Proposal Writer - Clinical is directly responsible for all facets ... in nature, and serve as proposal writer on clinical sections of proposals (care management , coordination,...sections of proposals (care management , coordination, disease management , population health, quality ) as assigned. +… more
- Evolent Health (Dover, DE)
- …+ Active Board Certification in Orthopedic Surgery- **Required** + Strong clinical , management , communication, and organizational skills- **Required** + ... the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, you will be a key member of...you will be a key member of the utilization management team. We can offer you a meaningful way… more
- CenterWell (Dover, DE)
- …a part of our caring community and help us put health first** The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical ... for clinical community within the enterprise. The Clinical Strategy and Practice Lead works on problems of...the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation +… more
- Cardinal Health (Dover, DE)
- …customers and suppliers at various management levels may interact with senior management + Interactions normally involves resolution of issues related to ... for defining the product/service and market strategy and life cycle management including customer need identification, market research, product or service offering,… more
- J&J Family of Companies (Dover, DE)
- Senior Technical Writer - 2406186355W **Description** At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to ... health for humanity. Learn more at https://www.jnj.com/. Ethicon is recruiting for a Senior Technical Writer based anywhere in the United States. Ethicon, part of… more
- Bristol Myers Squibb (Dover, DE)
- …in their personal lives. Read more: careers.bms.com/working-with-us . Position: Senior Therapeutic Area Specialist (TAS) Therapeutic Area (TA): Psychiatry ... - Creates demand for BMS medicines by articulating in a balanced manner the clinical and scientific rationale for use of products in appropriate patients. - Engages… more
- Mathematica (Dover, DE)
- …firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Read more about our ... We are seeking a motivated *Client Solution Architect / Senior Client Solution Architect* who is passionate about leading...as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and HIEs, to… more
- Humana (Dover, DE)
- …this role, you will be a leading an Agile Release Train that delivers clinical solutions to benefit the health outcomes of our members. You'll collaborate with ... and to drive agile maturity for the program. The Senior Release Train Engineer work includes serving as the...scrum and product teams -Work with Product and Solution Management , Product Owners, and other stakeholders to help ensure… more
- Humana (Dover, DE)
- …a part of our caring community and help us put health first** The Senior Behavioral Economics Professional, Primary Care (SBEP) is a core member of Humana's ... in cross-functional environments to design and implement field experiments assessing clinical outcomes, financial impacts, and other key factors. The team's work… more
- Humana (Dover, DE)
- …performance of business and growth strategies. The position will work directly with senior management , including the Segment President, Senior Leaders and ... and home infusion services. The Value-Based finance team is seeking a Senior Financial Analytics Professional. This individual will work across the business, and… more
- Cardinal Health (Dover, DE)
- …The Senior Global Product Specialist will lead core product management activities that will drive growth for the Compression portfolio globally. An ... and TED (TM) anti-embolism stockings. **_Responsibilities_** + Lead product lifecycle management activities for the portfolio, including but not limited to key… more
- Intermountain Health (Dover, DE)
- …healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class ... Software Engineer is expected to collaborate with technical staff, management , and business operations staff throughout all phases of...a strong background in React) experience is needed. The Senior role is a high level contributor and an… more
- Highmark Health (Dover, DE)
- …to guide HCC coding decision making. Achieves and maintains coding productivity and quality accuracy metrics set by the management team.20% + Contributes to ... (ACA) through Hierarchical Condition Category (HCC) coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services… more
- Highmark Health (Dover, DE)
- …to the protocol as needed + Conducts and participates in review and quality control of project deliverables, ensuring that output meets expectations and is ... time estimates for completion of study-related activities with stakeholders and management and proactively communicates to management any difficulties with… more
- CenterWell (Dover, DE)
- …facilities, rehab programs, etc. * Proven ability to move the needle on clinical quality outcomes (eg, avoidable hospitalizations, ER visits, readmissions, total ... and monitoring rapid cycle process improvement. * Excellent project and program management skills * Demonstrated ability for complex clinical decision making.… more