- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute ... healthcare environment. This team member will be supporting the optimization of our clinical technology platform and working daily with clinical teams to… more
- Bristol Myers Squibb (San Diego, CA)
- …lives. Read more: careers.bms.com/working-with-us . As part of the commercial organization, the ** Clinical Nurse Consultant (CNC)** is a trusted clinical ... and policies. For position offered in California, the starting compensation for Clinical Nurse Consultant job is a range from [$138,000-$163,000). plus… more
- Northern Light Health (Bangor, ME)
- …can be hybrid- remote for Maine residents only. Summary: The Grants Consultant provides high-value consultation to Northern Light Health and its members in ... pounds. + Prolonged periods of sitting. + Prolonged periods of standing. Position Grants Consultant *Hybrid- Remote for Maine Residents Only*Location Req ID null more
- Wolters Kluwer (Columbus, OH)
- …- Remote US only **Supervisory Relationships** Reports To: Director, Clinical Content Harmonization Supervises: N/A **Basic Function** The Senior Clinical ... to determine appropriate, meaningful inclusion of new information in referential or data -driven clinical decision support databases. Assesses and mitigates risks… more
- CVS Health (Hartford, CT)
- …8a-5p in time zone of residence. Position OverviewAdministers review and resolution of clinical complaints and appeals. Interprets data obtained from clinical ... with regulatory and accreditation requirements for members and providers. Coordinates clinical resolutions with internal and external support areas. What you will… more
- GE HealthCare (Boston, MA)
- **Job Description Summary** Clinical Transformation Consultant (CTC) responsibilities include pre-sales clinical assessments, current state/future state ... KPI identification and tracking, initial system configurations based on recommended workflow, data loads, clinical workflow testing, and go live support. In… more
- Philips (Richmond, VA)
- **Technical Consultant - Patient Monitoring ( Remote /Travel:** **Richmond/Williamsburg, Virginia)** Allow your passion for improving lives to shine in this role ... to ensure a high quality of service in delivering real time patient data requirements. For this position, you must reside ideally around the Richmond, Virginia… more
- CVS Health (Hartford, CT)
- …rotational weekend and holiday coverage. Position Summary The Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare ... role and remains as part of the Nurse Appeal Consultant job code. Primary duties may include, but are...duties may include, but are not limited to: requesting clinical , research, extrapolating pertinent clinical , applying appropriate… more
- IQVIA (Parsippany, NJ)
- The EBP Integrated Solutions Consultant role is a sales enablement role. The EBP Integrated Solutions Consultant will work with the EBP Integrated Solutions ... proposal creation for deals that strategically integrate multiple solutions within IQVIA. Location: Remote In this role you will: + Work closely with senior team… more
- Vanderbilt University Medical Center (Nashville, TN)
- …in developing and maintaining an ongoing training plan related to clinical documentation and coding improvement. Develops and delivers educational programs and ... and optimum payor reimbursement. . The Lead Inpatient Coding Consultant / Educator will educate the following staff: +...will educate the following staff: + Inpatient Coders + Clinical Documentation Specialist (CDS) + Auditors + Providers The… more
- Penn Medicine (Philadelphia, PA)
- …8hr Days ( REMOTE ) Summary: + With general direction the Compensation Consultant partners with UPHS Chief Human Resources Officers, HR Operations, Recruiters and ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Philips (Reedsville, PA)
- …networks to ensure a high quality of service in delivering real time patient data requirements. For this position, you must reside in central Pennsylvania or upstate ... diverse team of internal and external resources to include clinical , sales, and service partners. Coordinate project resources and...able to: + Work in an office/home office and/or remote setting, as well as in a hospital/healthcare environment;… more
- Trinity Health (Livonia, MI)
- …new initiatives and others duties as assigned. + Provides critical analysis of data to support assigned program, project and/or engagement and articulates same to ... architectures, system selection, strategy, electronic health and/or financial records, clinical systems implementations and clinical process transformation. +… more
- Sutter Health (West Valley City, UT)
- …and Remote Support experience. Serves as primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes management, ... Idaho or Utah and must have California RN license within 90 days of hire. Remote work in qualifying states only. This is a work-flow/task based position to review… more
- Trinity Health (Livonia, MI)
- …delivery of services. + Cultivates relationships with cross-functional teams including Clinical , Revenue, Finance and IT business lines in order to operationalize ... + Leverages qualitative observations to perform research and identify quantitative data in order to drive decision-making. + Leads facilitation, develops content,… more
- Actalent (Chicago, IL)
- …and coding in accordance with requirements. + Assesses provider performance data to identify and strategizes opportunities for provider improvement. + Collaborates ... + HEDIS + Medicare advantage + Site Visit + Clinical Presentation + Consultation Required: + Case managing experience...+ Consultation Required: + Case managing experience + Abstracting data for HEDIS measures + LPN, LMSW, LCW, C-SW,… more
- UTMB Health (Galveston, TX)
- Clinical Documentation Specialist ( Remote /Texas Resident) - Clinical Data Management **Galveston, Texas, United States** Medical Administrative UTMB ... record documentation and discharge, through coding, to billing and finally to data reporting. + Utilize the hospital's designated clinical documentation system… more
- AON (MN)
- …governed by the applicable plan documents and policies. #LI-Associate #LI-Mid-seniorlevel #LI-CS2 #LI- REMOTE 2540142 Aon is looking for Pharmacy Consultant and ... Aon is looking for Pharmacy Consultant and Senior Pharmacy Consultant The...The Pharmacy Consulting SME provides pharmacy strategy, financial and clinical consulting for employers across all pharmacy solutions including… more
- GEHA (Lee's Summit, MO)
- …Must be eligible to be licensed in all US states and territories. \#LI- Remote **Preferred Requirements** + Clinical proficiency and expertise pertinent to role. ... sustained by a nimble and efficient organization. The Nurse Consultant II provides professional nursing care to our members...execution of key duties within the discipline of the Clinical Operations division. Incumbents at level II support members… more
- CVS Health (Austin, TX)
- …helping others? If this sounds like the opportunity you're looking for, apply to our Consultant Pharmacist role at Omnicare today! We can't wait to meet you!As a ... Consultant Pharmacist, you have the exciting opportunity to collaborate...facilities remain compliant and aligned with federal regulations* Complete clinical reviews as required by federal and state regulation*… more