• Clinical Appeals Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …providers who appeal on behalf of members for Commercial lines of business. Ensures quality management of the clinical appeal process to reduce the risk of State ... support NCQA accreditation and the Divisional Goals for Care Management . We are looking for an experienced clinical...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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  • Data Science Analyst III - Enterprise…

    Mount Sinai Health System (New York, NY)
    …Analyzes data requests using information technology, enrollment, claims, pharmacy, clinical , contract , medical management , financial, administrative and ... data modeling using sophisticated report writing and data management tools. + Ability to exercise...our clinical or contracting staff to improve contract outcomes. 2. Care Management - Helps… more
    Mount Sinai Health System (11/14/25)
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  • Clinical Account Director

    RxBenefits (Des Moines, IA)
    …as assigned. _Required Skills / Experience:_ + 8+ years of combined Account Management and Clinical Pharmacist experience. + Current Pharmacist license in good ... The Clinical Account Director will be responsible for nurturing...and is passionate about enhancing client relationships through strategic, data -driven decision-making. This position may work remotely or in… more
    RxBenefits (11/08/25)
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  • Clinical Credentialing Specialist

    STG International (Arlington, VA)
    STGi is currently seeking a qualified Clinical Credentialing Specialist to provide corporate contract support on assigned contracts/projects. Candidate must be ... credentialing and re- credentialing, ( as required by the contract ) of healthcare providers . Provides instruction in a...and all documents have the integrity of the company's data which follows HIPAA regulations of privacy. * Performs… more
    STG International (01/07/26)
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  • ICU-ED Clinical Pharmacist - Pharmacy…

    Penn State Health (Hershey, PA)
    … skills and ability to manage multiple priorities required. + Ability to analyze clinical data and perform calculations. + Computer and Microsoft Office skills ... Milton S. Hershey Medical Center!** Are you a highly motivated and adaptable clinical pharmacist seeking a challenging yet rewarding role? Penn State Health Milton… more
    Penn State Health (12/19/25)
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  • Clinical Research Coordinator

    Actalent (Winston Salem, NC)
    …Coordinator will assist with implementing research study tasks. This involves recruitment, data collection, data management , and reporting of results, ... Qualifications + Tech savvy. + Interest in growing in clinical research. + Proficiency in data entry.... entry. Job Type & Location This is a Contract position based out of Winston-Salem, NC. Pay and… more
    Actalent (01/13/26)
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  • Clinical Program Manager REMOTE

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

    Regeneron Pharmaceuticals (Warren, NJ)
    …and supporting the implementation of our Companion Diagnostics and Clinical Lab strategies. Your responsibilities will include commercial supplier relationships, ... members across Precision Medicine and align category priorities with Procurement management and other G&A functions. * Manages negotiations and complex… more
    Regeneron Pharmaceuticals (11/18/25)
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  • Clinical Team Manager - BHCP

    Riverside Community Care (Dedham, MA)
    …(https://www.youtube.com/watch?v=yh5\_qJ-SZ7o) Required Skills + Experience with Medicaid and contract management desired. + Excellent communication, ... Riverside Community Care Love what you do! Clinical Team Manager - BHCP Riverside is seeking...experience with software applications and integrated IT systems and data management / reporting skills required. + Valid… more
    Riverside Community Care (10/31/25)
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  • RN Clinical - 7 N Tele - Full Time 12 Hour…

    University of Southern California (Los Angeles, CA)
    …abbreviations Universal Protocol (Procedural Time Out) Hand-Off Medication Reconciliation Clinical Alarms Other Hazardous waste management Biohazard Medication ... Patient/family interactions MDP Rounds Hand-Off reports Facility E-mail Student/New employee/ Contract employee + ORGANIZATION Manages time effectively. Able to… more
    University of Southern California (01/18/26)
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