- Cambia Health Solutions, Inc (Boise, ID)
- …authorization requests, reconsiderations, and appeals. Prepares reconsideration requests for Clinical Pharmacy Consultant review by obtaining and organizing ... but the right candidate will be eligible for a remote role within our 4-state footprint (WA, ID, OR,...utilization data , including patient specific and population-based data , in a manner which facilitates clinical … more
- Wolters Kluwer (Columbus, OH)
- …to support proprietary domestic and international databases. You will utilize multiple data sources and clinical and technical expertise to create relevant, ... **LOCATION:** Indianapolis, IN or Remote US locations **OVERVIEW** You will participate in...**RESPONSIBILITIES** + Responsible for creating and revising accurate, high-quality clinical drug data consistent with the format… more
- The Cigna Group (Bloomfield, CT)
- …Senior Advisor - BCGP / LTC Focused **POSITION SUMMARY** + The Senior Clinical Geriatric Consultant Pharmacist will support quality, safety, and trend ... metrics. + Develop, document, and execute intervention plans utilizing the most clinical and economical effective medication treatment per protocol or clinical … more
- ICU Medical (UT)
- …on the basis of disability. * * **Title:** * Clinical Customer Success Consultant * **Location:** *United States - Remote - USA* **Requisition ID:** ... *Position Summary:* The role of the Clinical Success Consultant (CSC) is to...data to support and drive customer success and clinical compliance in support of organizational goals. Lastly, the… 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
- 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
- Philips (WA)
- **Technical Consultant - Patient Monitoring ( Remote /Travel: Des Moines/Iowa City, IA)** Allow your passion for improving lives to shine in this role where you'll ... to ensure a high quality of service in delivering real time patient data requirements. Company relocation benefits **_will not_** be provided for this position. For… 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
- Penn Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... : 3600 Civic Center Blvd. **Hours** : 8hr Days ( REMOTE ) **Summary** : + With general direction the Compensation...) **Summary** : + With general direction the Compensation Consultant partners with UPHS Chief Human Resources Officers, HR… more
- CVS Health (Columbus, OH)
- …information and documentation related to SIU flagged providers. Reviews documentation and interprets data obtained from clinical records or systems and uses ... more personal, convenient and affordable. This is a full-time remote position with less than 5% required travel. Hours...clinical decision-making to apply appropriate clinical criteria and policies in line with regulatory and… 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
- UTMB Health (Galveston, TX)
- Clinical Documentation Specialist ( Remote /Texas Resident) - Clinical Data Management **Galveston, Texas, United States** **New** Medical Administrative ... 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)
- …customer experience, sustained by a nimble and efficient organization. The Nurse Consultant II provides professional nursing care to our members through the ... execution of key duties within the discipline of the Clinical Operations division. Incumbents at level II support members... and/or plan policy development and management. The Nurse Consultant II will be involved in research and development… more
- ICU Medical (UT)
- …will not be discriminated against on the basis of disability. **Title:** *Pharmacy Consultant - Southeast* **Location:** *United States - Remote - USA* ... *Position Summary * The ICU Medical Pharmacy Consultant provides relevant training and consultation on ICU... provides relevant training and consultation on ICU Medical's clinical products/software and clinical services programs. They… more
- Randstad US (Lexington, MA)
- global pharmaceutical publications consultant . + lexington , massachusetts ( remote ) + posted 2 days ago **job details** summary + $108.33 - $110 per hour + ... treatments! Our client is currently hiring Global Pharmaceutical Publications Consultant to join their team in Boston. As a...Publications, Evidence Generation). + Experience with a variety of data types and outputs, including clinical trial… more
- Philips (Washington, DC)
- **Technical Consultant , Patient Monitoring -Washington DC area** Support the Philips Connected Care - Hospital Patient Monitoring (HPM) business as a Technical ... Consultant 2 - Patient Monitoring in the Mid- Atlantic...high quality of service to deliver real time patient data requirements. In partnership with a dynamic customer care… more
- Magellan Health Services (Anderson, SC)
- …attitude and consistent in accomplishing expected objectives. 6+ years' post graduate clinical experience. Minimum 2 years' EAP Consultant experience with high ... is an onsite role and is not available for remote work at home. Provides direct support to organizations...on variety of workplace and work based issues. Provides clinical expertise in order to restore employees with diminished… more
