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AUDITOR, CLINICAL SERVICES - UM (REMOTE IN TX) - NOW HIRING

Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM). Monitors key cl...

CompanyMolina Healthcare
AddressHouston, TX
CategoryAccounting/Finance
Salary$23.76 - $51.49 per hour
Job typeFull-time, Part-time
Date Posted just now See detail

Auditor, Clinical Services - UM (Remote in TX) - Now Hiring New

Molina Healthcare

Houston, TX

$23.76 - $51.49 per hour

Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM). Monitors key cl...

Senior Clinical Trial Manager (Remote) - 24-108 New

Elevar Therapeutics, Inc

United States

$165,000 - $185,000 a year

Collaborate with the operational project team members and Finance stakeholders to oversee clinical study vendor(s) to ensure compliance with the contracted study specifications (i.e., timelines, deliverables) Lead the Clinical Ope...

Senior Commission System Admin Analyst- REMOTE New

Ryder System

Montpelier, VT

$85,000 - $105,000 a year

In-depth understanding of the Lease commission plans/calculations and related data. Collaborate with team members and other business partners to determine the best Varicent ICM solutions to fulfill commission plan requirements. Im...

LMS (Learning Management System) Administrator- SuccessFactors Required - 100% REMOTE New

Gp Strategies Corporation

Raleigh, NC

Responsible for ensuring that all Learning Management System (LMS) content is created and maintained in line with our Clients requirements; as well as providing day to day operational support and guidance to ensure the Learner exp...

Senior Business Systems Analyst - Remote

Healthesystems

Remote

$87,700 - $120,560 a year

As an Agile team member, ensures that sprint objectives are completed in a timely manner, consistently achieving team commitments regardless of role or title. Provides support to business users and to the delivery team by assistin...

REMOTE Project Manager-Human Resource Management System

Bcforward

Remote - San Francisco, CA

Technical Program Management, Communication, Facilitation, Schedule Management, Risk & Issue Management. Workday ERP Experience, Finance Program Management, Finance Technology/Business understanding.. Demonstrate excellent communi...

Clinical Nurse Navigator-Days (Not Remote)

University Hospitals

Ohio, United States

DescriptionProvides virtual clinical care to patients within the recognized scope of practice for the profession and professional licensure requirementsProvides clinical triage and clinical support using established protocols duri...

InterQual Hospital and Health Systems Sales Executive (RN) - Remote

Optum

Boston, MA

Identifying opportunities to sell solutions into net new and existing customers. Managing complex, short-term and long-term deal cycles. Conducting sales presentations. Maintaining deep understanding of solution set. Meet and/or e...

Product Surveillance Clinical MDR Specialist II (Remote)

Arthrex

Naples, FL

Responsible for evaluation of complaints with respect to United States and International adverse event reporting regulations. Performs submission of adverse event reports to United States and International regulatory agencies Meet...

Remote Licensed Clinical Social Worker

Grow Therapy

Bridgeport, CT

$72 - $100 an hour

Free, hassle-free credentialing with major insurers: Under the Grow umbrella youll get paneled for free with the major payors in your state so you can also start seeing insurance clients. Referral stream + marketing partnerships...

Pediatric Speech-Language Pathologist (remote position for Hawaii clinic)

Sprouts Therapy

Hawaii, United States

$45 - $47 an hour

Pediatric Speech Therapist (Remote). Pediatric Feeding Occupational Therapist (Remote). Full-Time Schedule Coordinator (pre-builds caseload for new hires, fills cancellations when able, communicates directly with clients regarding...

Clinical Research Associate Manager - Central Region (Remote)

Merck

Rahway, NJ

Work allocation, staff development and performance appraisal.. Provides input for capacity planning, including reporting of current manpower and forecasting of CRA capacity and needs, to provide efficient use of resources.. Work w...

Business Systems Analyst - Life & Annuities (REMOTE)

Ntt Data, Inc.

Plano, TX

Req ID:281551NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. This position is eligible for company benefits including medical, dental, and vision insurance with an e...

Business Systems Analyst - Life and Annuities (REMOTE)

Ntt Data, Inc.

Chicago, IL

If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.We are currently seeking a Business Systems Analyst - Life and Annuities (REMOTE) to join our team in Chicago, Illinois (US-IL), Unite...

Systems Engineer (Remote)

Acs Technologies

Florence, SC

$75.3K - $95.4K a year

Independently resolves standard level customer issues, assists on projects, provides technical expertise, and contributes to the IT community. Maintains and improves quality of customer facing systems. Monitors and implements prev...

LMS (Learning Management System) Administrator- SuccessFactors Required - 100% REMOTE

Gp Strategies Corporation

Remote

$59K - $74.7K a year

Responsible for ensuring that all Learning Management System (LMS) content is created and maintained in line with our Clients requirements; as well as providing day to day operational support and guidance to ensure the Learner exp...

Outpatient Licensed Clinical Social Worker (fully remote)

Lifebulb

Hampton, VA

Up to $100,000 a year

Provide direct in-session care for your clients. Complete session documentation. Reschedule clients as you see fit & maintain your caseload. High client demand, Quick caseload growth. Guaranteed pay per session (no guess work or w...

Lead Analyst, Supply Chain Systems - Remote

Gxo Logistics

Portland, OR

$86.3K - $109K a year

Participate in the business development process to analyze client requirements, determine fit and customizations Create proposals, gather supporting data for cost estimates and present GXOs capabilities and solutions to prospecti...

Senior Transportation Systems Analyst- Remote

Te Connectivity

Middletown, PA

Constructively challenge the segment to refine its global processes in the transportation area to drive growth, improve profitability, and sustain advantage. Champion the use of strategic carrier management solutions and...

Nurse Practitioner (NP) Director of Clinical Quality (REMOTE)

Vesta Healthcare

Remote

$145,000 - $165,000 a year

Develop, design, revise, and execute our comprehensive Clinical Quality program and educate the team on continuous quality improvements. Collaborate extensively with Nurse Practitioners, collaborating physicians, nursing staff, ot...

Billing & Payment Config. System Specialist (Hybrid/Remote)

Health Plans Inc

Columbus, GA

$39.7K - $50.2K a year

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...

Digital Strategy Intern for Business Systems – US based remote

Tetra Tech

United States

The Intern will support digitalization of process changes, user adoption, training, and roll out of multiple digital transformation activities as they apply to a diverse portfolio of international development projects. Duration is...

per diem Clinical Care Manager RN -mostly remote

Vns Health

New York, United States

$49.55 - $61.96 per hour

Attractive sign-on bonus and referral bonus opportunities . Generous paid time off (PTO), starting at30 days of paid time offand 9 company holidays . Health insurance plan for you and your loved ones, Medical, Dental, Vision...

Clinical Research Medical Director, Endocrinology - US, Remote

Biospace

Washington, DC

Provide clinical/scientific knowledge into the development, design, delivery and communcation of the global evidence generation plan for the maridebart cafraglutide (AMG 133) phase 3 program. Support cross-functional and global co...

Senior Business Systems Analyst - Clinical Development Ops

Biospace

North Chicago, IL

Learning and understanding the business processes enabled by Clinical Development Operations technology solutions. Responding to questions and consultation with business users regarding current and potential system inputs, process...

Clinical Research Medical Director, Endocrinology - US, Remote

Amgen

Washington, DC

Provide clinical/scientific knowledge into the development, design, delivery and communcation of the global evidence generation plan for the maridebart cafraglutide (AMG 133) phase 3 program.. Support cross-functional and global c...

Clinical Business Operations Representative 3 - Hybrid/Remote

University Of Miami

Miami, FL

$34.6K - $43.8K a year

Assists the department in managing expectations surrounding pre and post patient care. Obtains or reviews all patient demographic information, insurance information and referral numbers. Reviews clinical records for completeness i...

Digital Model Based Engineer -Remote (Engineer Systems 4)

Hii

Hanscom AFB, MA

$106,967 - $150,000 a year

Develop and extend system models using existing requirements, interface documentation, and related design and systems engineering documents. Provide MBSE/Systems Modeling Language (SysML) expertise and related support to the entir...

Clinical Systems Engineer

Mass General Brigham

Somerville, MA

$76.9K - $97.3K a year

Works with a multidisciplinary team of internal and external customers and stakeholders to identify the needs, coordinates the purchase, manages the installation, helps organize the in service training, plans for the handoff to d...

Remote- Clinical Pharmacology, Modeling & Simulation- Senior Principal Scientist

Biospace

Thousand Oaks, CA

Plans all necessary non-compartmental analyses to support project team decisions, publications, and reporting. Designs Clinical Pharmacology components of drug development project clinical plans and provides Clinical Pharmacology...