- The Cigna Group (St. Louis, MO)
- …but is not restricted to locations that are identified in this posting.** Clinical Program Advisor -Supply Chain/Formulary Consulting **JOB SUMMARY** The ... Clinical Program Advisor provides insight and guidance on...consulting team members + Review custom health plan Utilization Management policies for rebate eligibility or adherence to contract… more
- CVS Health (Lincoln, NE)
- …Operations Advisor is a client facing role that collaborates with Health Plan Clinical Advisor to understand the client's clinical strategy and roadmap ... to create a clinical operations plan. The Clinical Operations Advisor works with the Benefit...experience as a pharmacist in managed care (Pharmacy Benefit Management ) environment + Demonstrated understanding of CVSH clinical… more
- CVS Health (Montgomery, AL)
- …And we do it all with heart, each and every day. **Position Summary** The Clinical Advisor position is an exciting pharmacist opportunity to use your clinical ... an integral part of the account team. As a Clinical Advisor , you will utilize clinical...drug utilization patterns and trends for our Pharmacy Benefit Management (PBM) clients. - Leveraging your presentation skills by… more
- The Cigna Group (Atlanta, GA)
- …Cross-Functional collaboration as needed to create alignment with stakeholders. + Project management and prioritization - Advisor role will support multiple ... Forsyth Health, we focus on a collection of data management , business intelligence and advanced analytics capabilities to support...support programs. **How you'll make a difference:** The Sr. Advisor , Real World Data position is a key role… more
- Agiliti Health (VA)
- **POSITION SUMMARY** The Clinical Advisor is a key member of the Solutions team and ensures our internal and external customers are trained on SES products and ... Location:** Home Office (VA) **Additional Locations (if applicable):** **Job Title:** Clinical Advisor **Company:** Agiliti **Location City:** Not Applicable… more
- Trinity Health (Waterbury, CT)
- …and various interventions, supporting respiratory and hemodynamic stability. + The Senior Clinical Advisor (SCA), under the general supervision of the Nurse ... leadership to create an environment that promotes excellence in clinical practice. + The SCA contributes to the effective... practice. + The SCA contributes to the effective management of the Department and Hospital. **Minimum Qualifications** +… more
- Ochsner Health (New Orleans, LA)
- …a difference at Ochsner Health and discover your future today!** The Physician Advisor (PA-Utilization Management ) serves as the physician leader in matters ... and Post-Acute teams, Payors, Administration and Revenue Cycle) to improve utilization management , sustain quality goals, and act as a consultant to physicians,… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other ... feedback on program results to facility leadership (ie CMO, Care Management Directors, Quality Directors) + Provides feedback and education to the Care … more
- Sutter Health (Sacramento, CA)
- …care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM ... quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management ) ,and… more
- Catholic Health Services (Melville, NY)
- …and monitoring compliance with an educational program . Collaborates with management in recruiting new Catholic Health Physician Advisor hires. Trains ... department, and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. Supervises… more