- Centene Corporation (Phoenix, AZ)
- …required licensure as outlined by the applicable state (BCBA) required. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Dignity Health (Rancho Cordova, CA)
- …work from home** **within driving distance of Sacramento, CA** **.** As a Utilization Review (UR) LVN, you will use clinical judgement in providing utilization ... position may be assigned cases in pre-authorization areas, in skilled nursing facility review or in concurrent review . Responsibilities may include: - Conducts… more
- New York State Civil Service (Bronx, NY)
- …illness. Candidates from outside or within State Service can apply.As a Utilization Review Coordinator, your duties will include:* Reviewing clinical records for ... completeness and accuracy to ensure compliance.* Collecting and analyzing data related to the utilization review process...and analyzing data related to the utilization review process and preparing reports on findings, patterns, and… more
- UNC Health Care (Morrisville, NC)
- …analytics. 4) **Community Building & Enablement** + Grow and facilitate our data steward community across clinical , operational, financial, and research domains; ... the health and well-being of the unique communities we serve. **Summary:** The Manager, Data Governance leads the health system's data governance program with a… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Senior Submissions Healthcare Data Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data ... Have Blue Cross and Blue Shield of Minnesota is hiring a Senior Submissions Healthcare Data Analyst in Eagan, MN. In this role, you will support the Submissions Team… more
- Guthrie (Sayre, PA)
- …Oncology Data Specialist will obtain cancer information through reporting and chart review . The Oncology Data Specialist will identify people that have been ... with cancer and determine whether such information is reportable by law. Data is collected in several areas, including demographics, tumor characteristics, stage of… more
- Stanford University (Stanford, CA)
- …and maintain database management applications. Optimize and tune the system, perform software review and maintenance to ensure that data design elements are ... and scalability. * Collaboration & Continuous Improvement: ○ Collaborate closely with data scientists, clinical informaticians, and engineers to align data… more
- St. Luke's University Health Network (Bethlehem, PA)
- …The Oncology Data Specialist identifies reportable cases, analyzes, and abstracts clinical data , codes and enters information into electronic cancer registry ... radiation reports, and various hospital records + Determines class of case through review of source documents + Uses medical terminology and human anatomy &… more
- Pfizer (Cambridge, MA)
- …committee member in joint collaborations. + Collaborate with Clinical Scientists to review and interpret clinical data , identify key findings and ... Development Subteams + Conduct medical monitoring activities including eligibility assessment, data review and safety monitoring. + Lead peer-to-peer… more
- Pfizer (Collegeville, PA)
- …Clinical Insights & Interpretation + Collaborate with Clinical Scientist to review and interpret clinical data , identify key findings and ... company objectives. + Conduct medical monitoring activities including eligibility assessment, data review and safety monitoring. + Lead peer-to-peer interactions… more