• Clinical Appeals Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …of members for Commercial lines of business. Ensures quality management of the clinical appeal process to reduce the risk of State and Federal Regulatory fines ... for Care Management. We are looking for an experienced clinical leader in the greater Baltimore metropolitan area who...decisions are accurate based on the member's health benefit contract and CareFirst Medical Policy and are compliant with… more
    CareFirst (01/06/26)
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  • Flight Clinical Program Manager

    Baylor Scott & White Health (Temple, TX)
    **Job Summary** The Flight Clinical Program Manager is responsible for the provision of patient care services from admission, stabilization, operative ... agent and subject matter expert (SME) related to program management, process improvement, clinical and contract performance. + Acts as a liaison across the… more
    Baylor Scott & White Health (12/20/25)
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  • Clinical Program Manager REMOTE

    Baylor Scott & White Health (Providence, RI)
    …upon position type and/or level._ **Job Summary** As a licensed clinician, the Clinical Program Manager guides clinical programs and performance initiatives. ... change agent and Subject Matter Expert (SME) in program management, process improvement, and clinical and contract performance. + Acts as a liaison across the… more
    Baylor Scott & White Health (01/17/26)
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  • Clinical Outcomes Manager

    Bon Secours Mercy Health (Florence, SC)
    …cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Bon Secours** **Reports to Title:** Director ... Clinical Population Health Outcomes **\# of Direct Reports:** 0...of the key drivers for each practice, translating the data to insights for the practices, collaboratively identifying actionable… more
    Bon Secours Mercy Health (01/07/26)
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  • Clinical Project Manager - Oncology

    Actalent (Salem, OR)
    Job Title: Local Study Associate Director - Oncology/ Sr. Clinical Project Manager Job Description We are seeking a dedicated Local Study Associate Director to ... and manage the study team, ensuring strategic oversight of clinical trials at a national level. This position requires...study commitments within the country, ensuring timely delivery of data to the required quality. + Lead and optimize… more
    Actalent (01/14/26)
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  • Nurse Practitioner- Contract Medical…

    Chenega Corporation (Rockville, MD)
    …Professional Services Strategic Business Unit** company, is looking for a Nurse Practitioner- Contract Medical Reviewer (CMR) to support the Department of Health and ... Compensation Program (CICP).Ideal candidates bring 5+ years of recent, hands-on clinical experience and strong familiarity with outpatient medicine, as this aligns… more
    Chenega Corporation (01/15/26)
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  • Clinical Manager , RN - Wantagh…

    Mount Sinai Health System (Wantagh, NY)
    **Job Description** The Offsite Clinical Manager is responsible for administering, directing, planning and coordinating all staff and activities at the Medical ... science profession, Masters preferred + 5 years of nursing or relevant clinical experience with three years supervisory experience including one year in health… more
    Mount Sinai Health System (01/01/26)
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  • Clinical Data Specialist - Chicago,…

    Adecco US, Inc. (Louisville, CO)
    A Clinical Data Specialist role is now...match them to an EDC as required. Assists study coordinator/ manager in tracking study demographics and data ... and Science. In this role, you will be responsible for assisting the Clinical Study Coordinator in facilitating the Study in a specific Laboratory (Blood Pressure)… more
    Adecco US, Inc. (01/10/26)
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  • Director: Payor Relations & Contract

    Fresenius Medical Center (Franklin, TN)
    …experience in direct contract negotiation + 3+ years' experience as a Manager ; or 3+ years' experience in a senior managerial role. + Demonstrated experience ... and other third party payors regarding rate structures for services, clinical and financial reporting obligations, establishment of other business terms per… more
    Fresenius Medical Center (01/16/26)
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  • Strategic Sourcing/ Contract Mgr

    Northern Light Health (Brewer, ME)
    …and the value analysis process. Upon completion of agreements Strategic Sourcing and Contract Manager will work with the Supply Chain Analytics team to ... for supporting the strategic sourcing and contracting process aimed at reducing clinical and non- clinical non-labor expense. This position reports to Director… more
    Northern Light Health (01/08/26)
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