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This role involves performing medical necessity reviews and processing appeals to ensure compliance with clinical guidelines and plan benefits. The analyst will also collaborate with claim policy teams and identify opportunities for medical policy development based on case outcomes.
The role leads global clinical process management activities to ensure processes are efficient, compliant, and aligned with regulatory standards. It serves as a key liaison between regional heads and cross-functional partners while mentoring staff to support capability development.
The Senior Director leads the global strategy, governance, and operational execution of clinical site contracting to ensure rapid study startup and compliance. They manage a global team while collaborating with cross-functional stakeholders to optimize processes and drive operational excellence.
The manager provides leadership to project controls personnel, ensuring the efficient execution and standardization of project deliverables. They are responsible for analyzing project data, managing schedules and budgets, and providing actionable recommendations to project management teams.
The manager provides leadership to project controls personnel, ensuring standardized processes and deliverables across all business units. They are responsible for overseeing scheduling, cost analysis, risk management, and providing actionable data-driven recommendations to project teams.
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The analyst will manage incident tickets, service requests, and troubleshooting to resolve technical issues for customers. They will also develop support documentation and collaborate with internal teams and vendors to improve service performance.
The Category Manager will own the commercial strategy and execution for IT spend categories, including software, SaaS, and cloud services. They will lead vendor negotiations, manage renewal pipelines, and partner with internal stakeholders to drive cost savings and reduce vendor risk.
The Senior Director oversees clinical care coordination, case management, and client placement across the network to ensure high-quality, person-centered care. They drive clinical strategy, manage specialized teams, and collaborate with executive leadership to align operations with organizational goals and regulatory standards.
The Sr Engineering Project Manager leads the end-to-end lifecycle of warehouse automation initiatives, from initial data analysis and solution design to physical implementation and commissioning. This role manages multi-million-dollar capital projects, vendor relationships, and cross-functional teams to ensure operational readiness and performance benchmarks.
The Director of Privacy will lead the enterprise privacy program, ensuring it is scalable, operationally effective, and aligned with regulatory requirements. This role involves partnering with cross-functional teams to embed privacy-by-design into business processes and technology solutions.
The Care Coordinator II supports care management activities by performing member outreach via phone or home visits to discuss care plans and ensure continuity of services. They coordinate care activities with healthcare providers and community partners while documenting member needs and maintaining records in compliance with regulatory standards.
The Care Coordinator II supports care management activities by performing member outreach via phone or home visits to engage members and discuss care plans. They coordinate services with healthcare providers and community partners to ensure continuity of care and member satisfaction.
The Care Coordinator supports care management activities by performing member outreach via phone or home visits to engage members and discuss care plans. They coordinate services with healthcare providers and community partners to ensure continuity of care and member satisfaction.
Oversees the care management of high-acuity, long-term care members to ensure high-quality, cost-effective healthcare outcomes. Manages and coordinates care management teams, including monitoring caseloads, ensuring regulatory compliance, and driving process improvements.
The Sales Representative will develop market penetration for Medicare products by conducting community outreach, home visits, and educational events. They are responsible for identifying prospective enrollees, facilitating the enrollment process, and maintaining compliance with regulatory marketing guidelines.
The Insurance Specialist is responsible for identifying and resolving hospital and professional insurance claim denials and processing errors. They will leverage proprietary software, phone calls, and web portals to ensure accurate claim resolution while maintaining compliance with HIPAA regulations.
The Sales Engineer will partner with Account Executives to drive pre-sales, adoption, and renewal within the SLED segment. They will act as a technical advisor, conducting demonstrations and articulating the value of the Falcon platform to diverse stakeholders.
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The Senior Manager will lead cross-functional initiatives across agency onboarding, compliance analysis, and partnership enhancements to drive scalable operational solutions. They will manage project portfolios, influence stakeholders without direct authority, and ensure compliance while supporting top agency partners.
The Commercial Enablement Lead acts as a bridge between commercial strategy and field execution to drive sales performance and customer engagement. They are responsible for supporting sales teams with CRM tools, territory planning, and the activation of marketing programs to ensure measurable business results.
The Senior BI Analyst designs and manages complex business intelligence solutions, including dashboards and automated reporting, to provide actionable insights. They also act as a Power BI subject matter expert, mentoring colleagues and partnering with stakeholders to solve ambiguous business problems using AI tools.
The Senior Technology Project Manager leads complex, cross-functional initiatives from initiation through implementation by coordinating resources, schedules, and technical delivery. They are responsible for maintaining project governance, managing risks, and ensuring alignment between business strategy and technical execution.
The Regulatory Assistant II is responsible for the creation, revision, and compilation of regulatory documents for global health authority submissions. They also coordinate cross-functional teams to manage product changes, labeling projects, and quality specifications.
Responsible for all aspects of study site monitoring, including routine monitoring, close-out visits, and maintenance of study files. Ensures patient protection, protocol adherence, and data integrity through careful source document verification and CRF review.
The CRA 2 is responsible for all aspects of study site monitoring, including routine monitoring, site management, and ensuring protocol adherence. They also manage registry tasks, process Serious Adverse Event reports, and maintain data integrity within electronic systems.
The role involves designing, engineering, and supporting mainframe security initiatives including authentication, encryption, and privileged access management. You will collaborate with cross-functional teams to implement security solutions, monitor performance, and provide subject matter expertise on RACF and z/OS security controls.
The Director of Hospital Operations will lead the development and execution of enterprise-wide hospital operations strategies to support the Spine business. This role involves optimizing field inventory, driving commercial growth, and partnering with cross-functional leaders to ensure operational excellence.
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The Clinical Assistant I acts as a liaison between internal and external groups, providing accurate technical and clinical information to patients and clients. They are responsible for monitoring case workflows, triaging clinical inquiries, and supporting internal teams with research and data projects.
The Staff Accountant III performs advanced accounting functions, including preparing financial reports, analyzing trends, and managing key accounting functions like cash and investments. They also drive process improvement initiatives, mentor less experienced staff, and ensure compliance with GAAP and Sarbanes-Oxley requirements.
The Clinical Program Associate provides administrative and operational support to research scientists and directors within the Sarah Cannon Research Institute. Key tasks include tracking study enrollment, managing protocol documentation, and coordinating communications across research sites.
The Executive Director leads the strategic direction and execution of global scientific exchange initiatives within the Value & Implementation organization. This role oversees high-performing teams, ensures compliance with global standards, and fosters strategic relationships with internal and external stakeholders.
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