- Elevance Health (NC)
- \#HealthyBlueCareTogetherCFSP ** Clinical Care Advisor - Prevention and Preservation** **$2,500 SIGN ON BONUS** _We are partnering with North Carolina ... an accommodation is granted as required by law. The ** Clinical Care Advisor - Prevention and Preservation** is responsible for coordinating operations… more
- CenterWell (The Villages, FL)
- …support recovery and help patients get back to the life they love. The ** Clinical Assessment Advisor ** directly completes and oversees development/ of the plan ... clinical information for optimal assessment generation. Ensures consistent team care scheduling and dissemination of updated clinical information. Coordinates… more
- The Cigna Group (Morris Plains, NJ)
- **Program Management Clinical Advisor ** Benefit Driven Rebate Optimization **Overview** Benefit Driven Rebate Optimization works cross functionally with a ... of drug rebate eligibility based on the interpretation of applicable clinical drug policies and clients' benefit coverage against the corresponding pharmaceutical… more
- Nuvance Health (Danbury, CT)
- …ROTATIONS REQUIRED* * *Hybrid/Remote* * *Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status ... critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ensuring compliance with CMS requirements,… more
- The Cigna Group (Pittsburgh, PA)
- … Solutions team and help shape the future of healthcare delivery. As a** ** Clinical Program, Sr. Advisor ** **, you will lead the development, implementation, and ... and Account Management. + Deliver presentations internally and externally to support Care Solutions products and explain complex clinical concepts. + Demonstrate… more
- The Cigna Group (St. Louis, MO)
- . **PRODUCT STRATEGY ADVISOR ** + **Job Category:** Advisor (Contributor) **JOB DESCRIPTION SUMMARY** The Product Strategy Advisor role is responsible for the ... addition to researching and developing product strategies and drug targets, the Advisor will drive these initiatives from ideation through market launch. The Product… more
- Catholic Health Initiatives (Bismarck, ND)
- …St. Alexius Health!** Are you a physician leader passionate about optimizing patient care , ensuring compliance, and driving clinical excellence? CHI St. Alexius ... resource utilization. + **Impactful Contribution:** Drive initiatives in denial prevention , revenue integrity, and value-based care , directly contributing… more
- City of New York (New York, NY)
- …community groups; conducts research; and develops policies and programs to deliver high quality clinical care which best serve New Yorkers. The Bureau is seeking ... health of New Yorkers through identification, surveillance, treatment, control, and prevention of infectious diseases, which is achieved through varied and… more
- City of New York (New York, NY)
- …testing in mobile settings, connect clients with a new HIV diagnosis and clients not in care to clinical care , assess clients for medical and social services ... HIV, and STIs. BHHS does this through testing initiatives; prevention , care , and treatment programming; epidemiology and...persons with a new HIV diagnosis with HIV to clinical care . - Use HIV transmission network… more
- City of New York (New York, NY)
- …community groups; conducts research; and develops policies and programs to deliver high quality clinical care which best serve New Yorkers. BPHC seeks to hire a ... mission, the BPHC provides direct clinic services to people seeking health care ; monitors disease trends; provides education and training to service providers and… more
- Devereux Advanced Behavioral Health (Homestead, PA)
- **Description** **Position: DAS Residential Advisor ** **Hourly Rate: $18.25/hr up to $20.96/hr, depending on education and related experience** **Position Type: ... PA** **Devereux/TCV Community Services is Hiring for a Full-time MH Residential Advisor for its Diversion and Acute Stabilization (DAS) Program!** As a DAS… more
- CommonSpirit Health (Englewood, CO)
- …and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case ... discuss the needs of patients and alternative levels of care . **The PA performs denials management and prevention...medical staff + Provides feedback and education to the Care Management and Clinical Documentation Departments through… more
- The Cigna Group (Bloomfield, CT)
- … Advisor , Formulary Rebate Strategy, New Sales works closely with the Senior Advisor and Senior Clinical Advisors, Formulary Rebate Strategy, New Sales to ... existing rebate financial models) + Works closely with Senior Advisor and Clinical Senior Advisor ...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase… more
- Vanderbilt University Medical Center (Nashville, TN)
- …the development, implementation and evaluation of organizational strategies to improve clinical quality and care , patient safety, and financial outcomes. ... at a global crossroads of teaching, discovery, and patient care , VUMC is a community of individuals who come...Risk Prev **Job Summary:** Serves as a quality improvement advisor to provide project management facilitation, education, and data… more
- City of New York (New York, NY)
- …community groups; conducts research; and develops policies and programs to deliver high quality clinical care which best serve New Yorkers. BPHC seeks to hire a ... BPHC provides direct clinic services to people seeking health care ; monitors disease trends; provides education and training to...Tests (INSTI), provide HIV rapid test results in a clinical setting. - Prepare specimen collection room and conduct… more
- AdventHealth (Orlando, FL)
- …medical staff of specific updates, statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The PA role ... and 125,000 outpatients each year **The role you'll contribute:** As the physician advisor (PA), this role educates, informs, and advises members of the Utilization… more
- Mayo Clinic (Rochester, MN)
- …governance, and insight generation. + Collaborate across clinical and non- clinical departments to lead denial prevention workgroups focused on process ... **Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to US News & World Report. As we work together to put the… more
- City of New York (New York, NY)
- …this the Bureau provides direct clinic services to people seeking sexual health care , and services to sex partners; monitors disease trends; provides education and ... Sexual Health Clinics. This position will be working with the Director of Clinical Operations and provide critical services to New Yorkers seeking sexual health… more
- The Cigna Group (St. Louis, MO)
- **Integrated Oncology Product Lead - Product Strategy Sr. Advisor ** **Responsibilities:** + **Lead day to day development of new patient and provider facing medical ... resulting in better experience, improved outcomes, and lower costs of care .** + **Primary oversight of product strategy, business requirements, product development… more
- City of New York (New York, NY)
- …transmitted infections. BHHS accomplishes its mission through testing initiatives; prevention , care , and treatment programming; epidemiology and surveillance; ... BHHS's over 500 staff members work across eight programs: Administration, HIV Care and Treatment, HIV Epidemiology, HIV Prevention , Policy and External… more