- Optum (San Juan, PR)
- … clinical logic to the providers when necessary Examine, assess, and document business operations and procedures to ensure data integrity, data security and ... of the claim for further review in a production environment. Primary Responsibilities: Clinical Case Reviews -75% Perform clinical review of professional (or… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- Job Description Grievance & Appeals Nurse Specialist At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed to ... excellence and innovation. As a leading force in the business landscape, we take pride in bringing together great people and great organizations by fostering a work… more
- Omni Inclusive (Summit, NJ)
- …career, and the ability to help patients are incredible. The Position: The Operations Specialist , Scheduling and Cell Logistics will be responsible for ... to transportation, manufacturing, distribution, and administration. The primary duty of the Operations Specialist , Scheduling and Cell Logistics is to execute… more
- Aptive (Ladson, SC)
- Job Summary Aptive is seeking an experienced Operations Specialist to support the Department of Veterans Affairs (VA) Consolidated Mail Outpatient Pharmacy ... operations . This role addresses a critical shortage of Non- Clinical and Program Support personnel by coordinating organizational activities, improving… more
- Florida Cancer Specialists & Research Institute (FCS) (Englewood, FL)
- …assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to ... care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical ...with a medical clinic. The job of Patient Services Specialist (PSS) is divided into "stations." Each station has… more
- PACS (Farmington, UT)
- …and take advantage of a workplace that truly values you! General Purpose The Regional Operations Support Specialist is a key support role within the regional ... operations team, working closely with the Regional Director of Operations to drive operational excellence across multiple senior living communities. This position… more
- Abbott (Santa Clara, CA)
- …software, vessel closure devices and peripheral stents. This Senior Regulatory Affairs Specialist position is an onsite opportunity working out of our Santa Clara, ... As an individual contributor, the function of a Senior Regulatory Affairs Specialist is to provide support for the regulatory department to ensure efficient… more
- Guidehealth (Chicago, IL)
- …The Manager, Clinical Care is primarily responsible for the day-to-day operations of an integrated multi-disciplinary clinical and clinical support ... structure that will effectively monitor, support, and lead Value Based clinical initiatives. This includes but is not limited to case management, transitions of… more
- AstraZeneca (Wilmington, DE)
- …means that all our drivers will be assigned an EV. As a Pharmaceutical Sales Specialist for the Primary Care Team, you'll play a pivotal role in channeling our ... changing patients' lives! Accountabilities *Develop and demonstrate knowledge of clinical disease states and treatment guidelines. *Effectively communicate product… more
- UF Health (Gainesville, FL)
- …is required. Knowledge and understanding of general hospital and outpatient clinic operations . Ability to integrate clinical services, and educational activities ... Overview This position will be responsible for supporting oncology clinical pharmacy services in an academic teaching service, primarily focusing on bone marrow… more
- Kaiser Permanente (San Diego, CA)
- Description: Job Summary: The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the ... the delivery of nursing care. Develops, monitors, and supervises policies that integrate business and organization plans in operations . Ensures that patient care… more
- Greater Baltimore Medical Center Healthcare (Towson, MD)
- …areas of responsibility. Establishes polices for all clinical and business operational tasks within assigned areas Strategic Operations Management: Directs ... Responsible for the supervision of Medical Technologists, Medical Technicians, Laboratory Clinical Specialist , Medical Tech Specialist Shift Supervisor,… more
- NHC (Panama City, FL)
- Insurance Preauthorization Specialist Panama City, FL location NHC HomeCare FL Regional Office is looking for an Insurance Preauthorization Specialist to join ... information with clinicians. Qualifications: High School Diploma. One year business /healthcare education or equivalent experience required. One year experience… more
- Regency Integrated Health Services (Austin, TX)
- …updated accordingly. *Collaboration: Work closely with various departments, including Legal, Clinical , IT, Finance, Operations , and Human Resources, to address ... Texas Qualifications Educational/Training Requirements *Bachelor's degree in healthcare administration, business , or a related field; advanced degree or certification… more
- Bristol-Myers Squibb Company (Devens, MA)
- …our Cell Therapy team. BMS Cell Therapy Manufacturing seeks a Specialist , Lead Manufacturing Associate Cell Therapy that brings enthusiasm, intellectual curiosity, ... with a good understanding of good manufacturing practices to support routine manufacturing operations for Cell Therapy. Shifts Available: Day Shift (6am - 6pm) Night… more
- MedStar Health (Baltimore, MD)
- …for coordinating and monitoring the denial management and appeals process. Combines clinical , business and regulatory knowledge and skill to reduce significant ... with Patient Financial Services (PFS). Reports data to the Director and Operations Review Committee. Meets with attending physicians and Physician Advisor, as… more
- Blue Shield of California (Oakland, CA)
- …Company's compliance and ethics program across the enterprise, including all business units, products, services and activities. This includes the implementation and ... reporting; and remediate control deficiencies. This Senior Level Compliance and Ethics Specialist is a critical individual contributor and program lead who will… more
- Lingraphica (Princeton, NJ)
- …on their communication journey. Job Description Purpose : The Clinical Documentation Specialist is a member of the Operations team and is responsible for ... obtaining all necessary clinical and client paperwork required to secure funding of...cross-functional teams and the ability to understand and translate business issues into actionable solutions Ability to take on… more
- Kidango (Hayward, CA)
- …need to learn, grow and realize their potential. About The Role The Clinical Supervisor holds clinical and administrative responsibilities within the Early ... Childhood Mental Health Consultation (ECMHC) program. The Clinical Supervisor provides and supports the provision of early...of the East Bay as EHS-HS Mental Health Content Specialist . Provide guidance of consultation model and ensure compliance… more
- Mitsubishi Tanabe Pharma (San Diego, CA)
- …to address challenges. Maintains an exceptional level of proficiency in selling skills, clinical , market and product knowledge and the business environment of ... unmet areas in Immunology and Oncology. MTPA is rapidly expanding its operations across all functional areas. MTPA's commitment to patients and their communities… more
