- Centene Corporation (Sacramento, CA)
- … reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with… more
- Helio Health Inc. (Syracuse, NY)
- … data for statistical reporting and enhance the program's efforts to track, review , and analyze data relating to continuous quality improvement. This is ... and conduct analysis for reporting on quality measures. + Review and make recommendations to program leadership based on...clinical training focus. + Maintains various sets of data including, but not limited to; health data… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Up to 50% local travel requirement between provider locations. **Description** The Clinical Quality Data and Reporting Analyst serves as a liaison between ... This role is responsible for educating and guiding practices in appropriate clinical documentation, optimizing EMR data capture, enabling CPT II coding,… more
- Insight Global (Cascade, MI)
- Job Description Our client is looking for a clinical research data coordinator to work five days on site at their facility. The daily responsibilities will ... research, adhering to protocols, regulatory requirements, and patient safety standards. Data collection, and maintaining compliance with Good Clinical Practice… more
- Insight Global (Irvine, CA)
- …with leading all aspects of clinical data management associated with data cleaning and quality review processes for assigned projects. S/he ensures ... Job Description The Lead Clinical Data Manager will be responsible… more
- Insight Global (San Diego, CA)
- Job Description A Life Science company based in San Diego, CA is seeking a Sr. Clinical Data Engineer to join their team. They will be responsible for the design ... 500) Experience with statistical concepts and methods as it related to clinical data - descriptives, probability, hypothesis testing Familiarity with … more
- Molina Healthcare (Lexington, KY)
- …surveys and federal/state QI compliance activities. **Job Duties** + The Mgr, Clinical Data Acquisition uses knowledge, skills and technical expertise to ... monitoring process, including HEDIS, state-based measure reporting and medical record review . + Manages annual HEDIS data collection activities. Responsibilities… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Data Integrity / Clinical Trials Billing Specialist performs charge validation through account review in a timely and billing compliant manner. The ... Data Integrity / Clinical Trials Billing Specialist...daily. + Ability to apply billing requirements/regulations to the clinical care and research patient charge review … more
- Catholic Health Services (Roslyn, NY)
- Overview REGISTERED NURSE CLINICAL DATA COORDINATOR St. Francis Hospital & Heart Center(R) is New York State's only specialty designated cardiac center. A member ... to the required national and regulatory databases. Job Responsibilities: Supports accurate data abstraction and chart review as needed within established… more
- J&J Family of Companies (Irvine, CA)
- …talents will help patients on their journey to wellness. **About the Role:** The ** Clinical Data Science - Lead Biostatistician** will serve as a technical ... robust statistical analyses and innovative methodological applications. Reporting to the Clinical Data Science - Associate Director of Biostatistics, this… more