Comfortable with technology, including Microsoft Office, email, and electronic medical records software. Strong knowledge of current state regulations. When you’re applying for a job, you want to feel like more than just a page in a stack of resumes. Ensure that you are fully prepared for ever...
The essential functions of a Pharmacists in Prior Authorization are reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic environment. This position is for a Clinical Pharmacist working in the Prior Authorizat...
Caring for Others - part of Caring for Family of Companies - is seeking an high caliber Executive Director dedicated to unparalleled professionalism, process adherence, growth and business development, relationship development of community partners, and oversight of the administrative staff and bran...
The Project Manager will be based on the construction project site. Participate with project team and preconstruction services in development of a Project Chart of Accounts. Coordinate with Project Superintendent in development of a project site logistics plan. Clayco specializes in the "art and sci...
A leading design and engineering consultancy is looking to appoint a QA/QC Project Manager to work on mission-critical projects which include some of the most technological advanced spaces internationally. The QA/QC Project Manager will receive limited direction on day-to-day work and general instru...
Receive phone calls from prior authorization pharmacy techs and/or providers for clinical information. Interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases. Gather complex clinical information, coverage policy and criteria information and work...
Hold project team members accountable with project owner to timeline and deadlines. Lead business development projects across the AMS region. Provide tracking and project management with AMS and Norway teams. ...
The Medical Director will provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. The medical director will partner with the APP, RN and SW as needed to interact/ communicate with the primary care physician a...
The Project Manager role is project-driven and will support clients by acting as the first point of contact to ensure that their organizational goals are met. In addition, the Project Manager will be dedicated to monitoring and controlling the scope of work, engagement team priorities and project fi...
The Business Operations Manager oversees daily operations to ensure goals are achieved in a Home Health Agency. This role is responsible for the non-clinical aspects of the day-to-day operations in an agency including directing all business personnel in the areas of billing, patient and intake sched...
Caring for Others — part of Caring for Family of Companies — is seeking an high caliber Executive Director dedicated to unparalleled professionalism, process adherence, growth and business development, relationship development of community partners, and oversight of the administrative staff and bran...
The Clinical Pharmacist has the responsibility for the provision of high-quality, individualized, cost-effective pharmaceutical care and integrated pharmacy operational services in collaboration with the healthcare team to optimize patient's medication therapy outcomes and quality of life. Upon hire...
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty, including post-graduate direct patient care experi...
The Manager, Projects will be responsible for leading and managing the successful design, construction execution and completion of a renewable energy project. The Manager, Projects is responsible for managing the major activities of Engineering and construction through commercial operation. The Mana...
Associate Medical Director Behavioral Health or UM Medical Director. As a member of the Utilization Management team, our Associate Medical Director Behavioral Health and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations across all lines of business wit...
As Director of Nursing, you will play a pivotal role in overseeing all aspects of nursing operations. Do you thrive in a leadership role and have a passion for exceptional patient care? Are you looking to make a real difference in a supportive and collaborative environment? If so, we encourage you t...
Skills and Competencies: Demonstrated Project Management expertise Ability to analyze data in Microsoft Office Excel and/or other data modeling tools Excellent organizational skills and attention to detail Strong interpersonal, analytical, and problem-solving skills Ability to manage project budgets...
Senior Clinical Research Associate. Worldwide Clinical Trials (Worldwide), a leading global contract research organization (CRO), works in partnership with biotechnology and pharmaceutical companies to create customized solutions that advance new medications – from discovery to reality. ...
Teach and mentor residents, fellows, and medical students. ...
This is a great opportunity for a Project Manager to join Proofpoint and help with our Core Financial initiatives. The Project Manager will have the ability to "think big", be creative and have fun while ensuring change is adopted over the long term. The PM will help to optimize the Core Financial p...
Responsible for the supervision of clinical staff and the maintenance of compliant clinical documentation under federal, state and local regulations and accreditation standards. Evaluates clinical employees in annual performance including effective clinical acumen, professional development and evalu...
The Hospice Registered Nurse Clinical Manager is responsible for ensuring that care and services are delivered appropriately and for the supervision of clinical personnel. The Hospice Registered Nurse Clinical Manager is responsible for ensuring that patient care is coordinated and managed appropria...
QuidelOrtho unites the strengths of Quidel Corporation and Ortho Clinical Diagnostics, creating a world-leading in vitro diagnostics company with award-winning expertise in immunoassay and molecular testing, clinical chemistry and transfusion medicine. Channel Sales Manager for the California & Paci...
Responsibilities of this Medical Director role are related to Medicare Appeals. An Active state medical license without encumbrances. Medical Management - Medicare Complaints, Grievance & Appeals experience. The Company offers a full range of medical, dental, and vision benefits. ...
The Project Manager is responsible for the successful execution of the life cycle of a range of AI-Data projects, through the utilization of expertise and technical skills to manage project budgets, timelines, and quality requirements. The Project Manager is a results-driven and innovative project l...