- Conduent, Inc. (Baton Rouge, LA)
- …Are you eager to learn new skills and help adults in need? As a Medical Benefit Review Services Associate, Region 6, you will help disadvantaged and disabled ... expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran… more
- People With Chemistry (Boston, MA)
- …related industry At least 3 years of experience working with promotional or medical review committees Prior experience using Veeva systems, specifically Veeva ... and approval using Veeva PromoMats Collaborate cross-functionally with Regulatory, Medical , Legal, Marketing, and external Agency teams Review submissions… more
- Eisai, Inc (Nutley, NJ)
- …initiatives as needed.Manage and support the review of SEM and internal medical documents through Medical Review Committee according to company ... & Business Agility, Healthcare Environment Dynamics, Inquiry Resolution, Literature Evaluation, Medical Information Writing Skills, Medical Review ,… more
- Eisai, Inc (Nutley, NJ)
- …products on key internal business processes including active participation in relevant medical review committees.Work with key internal stakeholders to support ... proposals in conjunction with company policies. Participate in review of CME grants. Serve as a medical... review of CME grants. Serve as a medical leader and subject matter expert for relevant external… more
- Eisai, Inc (Nutley, NJ)
- …& Business Agility, Healthcare Environment Dynamics, Inquiry Resolution, Literature Evaluation, Medical Information Writing Skills, Medical Review , ... medical accuracy of Eisai's materials; this may include assisting with review of Eisai's advertising and promotional and/or medical /scientific materials. May… more
- Eisai, Inc (Nutley, NJ)
- …on key internal business processes including active participation in relevant medical review committees, and internal medical /scientific training.Work ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...your profile, we want to hear from you. The Medical Director will provide medical leadership for… more
- University of Southern California (Arcadia, CA)
- …on providing accurate clinical summaries, data trending, reports, and analyzes. Supports the Medical Staff Peer Review Committee functions and the flow of ... information to Medical Staff groups and hospital departments. Performs chart reviews...from recognized regulatory agencies. Works closely with the organized medical staff to fulfill their responsibilities of maintaining the… more
- Lifelancer (Boston, MA)
- …the brand. Provide medical insights and guidance for product strategies, medical review , competitive intelligence, and health outcomes. Work closely with ... lead core medical team meetings, and represent Medical Affairs on key internal promotional review committees as well as other cross functional meetings. The… more
- Bristol-Myers Squibb Company (Princeton, NJ)
- …pharmaceutical industry Cell Therapy experience preferred Demonstrates thorough understanding of medical review of promotional materials in the pharmaceutical ... be responsible for providing input and advice to conduct the review of promotional materials for scientific/ medical validity. They will also serve as the US … more
- Pyramid Consulting, Inc. (Houston, TX)
- …with all policies and standards. The nurse will be reviewing about 20 cases a day to review for medical necessity on a member that admits to the hospital. Job is ... Immediate need for a talented Clinical Review Nurse - Concurrent Review . This...benefits include, but are not limited to, health insurance ( medical , dental, vision), 401(k) plan, and paid sick leave… more
- CenCal Health (Santa Barbara, CA)
- …appeals; approves/denies or offers medical alternatives according to CenCal Health medical review criteria; willingness to outreach to providers by phone and ... leadership for medical management functions; assists subordinate managers in resolving medical claims review , grievances, appeals, and other medical … more
- Balance Health (Oak Brook, IL)
- …those limitations. The Director of Human Resources in conjunction with a medical review (and, if necessary, other appropriate management representatives) will ... in enhancing and improving care for foot and ankle medical conditions, sports medicine and clinical programs. Our mission...Operations Manager POSITION SUMMARY We are looking for a Medical Assistant to work alongside the physician and assist… more
- International SOS Government Medical Services (Houston, TX)
- …Works in a pathology lab, preparing samples, slides, and cultures for medical pathologists to review . Collect and process biological specimens for ... Company Description International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and… more
- NORTH EAST MEDICAL SERVICES (Burlingame, CA)
- …oversight and leadership for UM processes, ensuring timely and evidence-based medical decision-making. Review and approve prior authorization requests, appeals, ... Job Location Burlingame, CA Salary Range $341464.54 - $398103.69 Salary Description The Medical Director will play a pivotal role in leading and overseeing clinical… more
- Indian Health Service (Irving, NY)
- …and licensing bodies. Duties: Oversees the continued development, implementation and maintenance/ review of all medical policies, procedures and protocols ... PRC meetings. Fully participates in medical staff activities such as medical program review and organizational functions including meetings and committee… more
- UnitedHealth Group (Houston, TX)
- …with medical director teams focusing on inpatient care management, clinical coverage review , member appeals clinical review , medical claim review ... and provider appeals clinical review Success in this technology-heavy role requires exceptional leadership skills, the knowledge and confidence to make autonomous decisions and an ability to thrive in a production-driven setting. You'll be rewarded and… more
- Elevance Health (Chicago, IL)
- …Job Description: Clinical Operations Associate Medical Director Carelon Medical Benefits Management Radiology Benefit Management/Utilization Review A proud ... necessity decisions. Brings to their supervisors attention, any case review decisions that require Medical Director ...attention, any case review decisions that require Medical Director review or policy interpretation. Minimum… more
- Mount Sinai Medical Center (Miami Beach, FL)
- …clinical, financial, and operational performance; this includes concurrent and retrospective medical record review Staff Development Participates in hiring, ... legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to...In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …concurrent review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services, payors, and community providers. ... Manage department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse (RN) with a Texas… more
- Circa - IPG DXTRA (New York, NY)
- …brands and communications reporting (ie, timelines) *Prepares materials and references for medical -legal review ; manages upload of files and tagging/linking in ... choice and active participation. Real, relevant, and human. Job Overview The senior medical editor assists in the development and delivery of high-quality medical… more
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