Opportunity Overview: We are looking for physicians who have expertise in Internal Medicine including medical and surgical clinical areas to deliver on Cohere’s program by determining the medical appropriateness of services by reviewing clinical information and
Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people
Job DetailsJob Location: Southfield, MI 48076Position Type: Full TimeSalary Range: $26.50 - $31.00 HourlyTravel Percentage: NoneThis role is designed for licensed nursing professionals. To be considered, you must hold an active RN, LPN, or LVN license.
Job Summary: The Clinical Care Manager-Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position focuses on
Description ALL4 is seeking an experienced Air Quality Managing Consultant with experience in air quality and other environmental media to support projects. An ALL4 Managing Consultant is an air quality technical expert who shares our vision
Site: The Brigham and Womens Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we
Location: This role is open to applicants located anywhere in the United States (remote-friendly) Who we are? Optimapharm is a mid-sized, global Contract Research Organisation (CRO) turning science into hope through agile, patient-focused clinical development. We
Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient
Join Martins Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of people caring for people, Martins Point employees are
Opportunity Overview: We are looking for an orthopedic spine Physician Assistant to help deliver on Cohere’s musculoskeletal and orthopedic programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. The
Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health
GLAUKOS – REIMBURSEMENT LIAISON (CORNEA) Well Go First (https://youtu.be/wGONQxyEpvs) How will you make an impact? The Reimbursement Liaison will serve as an expert in reimbursement policies, as well as patient and provider support, to ensure patients
The IT Budget & Operations Manager is a strategic and operational leader responsible for overseeing the financial management, administrative operations, and performance optimization of the Information Technology division. This role ensures effective stewardship of IT resources,
OptumInsightis improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, andultimately consumers. Our deepexpertisein the industry and innovative technology empower
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status:Non-Exempt Hiring Range:$20.94 - $29.27 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications,
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status:Non-Exempt Hiring Range:$20.94 - $29.27 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications,
Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and care coordination for members, as
Lead Patient Access Scheduling Agent At UMass Memorial Health, everyone is a caregiver regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central
Patient Service Representative Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting
Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe