The Clinical Pharmacy Coordinator manages the day-to-day processing of pharmacy review requests, including screening materials and entering case data into tracking systems. They also serve as a liaison between clients, reviewers, and medical providers to ensure timely and accurate clinical review outcomes.
The pharmacist will evaluate prior authorizations for drug appropriateness and provide clinical drug information to physicians and reviewers. They will also conduct peer-to-peer reviews and monitor prescription turnaround times to ensure performance standards are met.
The Clinical Pharmacy Technician processes prior authorization requests by analyzing clinical protocols and client guidelines to determine approval or denial. They also interact with internal and external stakeholders to obtain necessary information and ensure timely claims adjudication.
The Manager of Expense Forecasting and Business Support leads expense planning, forecasting, and analysis while serving as a key finance partner to business leaders. This role involves managing a team of analysts, improving forecast accuracy, and providing actionable insights to support strategic and operational priorities.
The VP of Sales is responsible for driving annual revenue growth exceeding 20% by managing the end-to-end sales process and building long-term relationships with healthcare payer organizations. This role involves collaborating with clinical and operations teams to execute sales strategies, manage pipelines, and deliver effective product demonstrations.
Conduct independent utilization reviews for interventional radiology cases. Engage in peer-to-peer conversations as required during daytime hours.
The Business Intelligence Analyst will deliver strategic reporting and insights to executive leadership while partnering with functional heads to develop and monitor key performance indicators. This role involves data stewardship, creating dashboards, and supporting strategic initiatives through advanced data analysis and financial modeling.
The Quality Assurance Engineer will design and execute validation strategies for software applications, including AI/ML and RAG-enabled features. They are responsible for maintaining automated test suites, performing code reviews, and ensuring release readiness through rigorous testing and defect management.
Conduct independent utilization reviews for ophthalmology cases. Perform peer-to-peer conversations during daytime hours to evaluate medical necessity.
Conduct independent utilization reviews for vascular surgery cases. Perform peer-to-peer conversations during daytime hours to evaluate medical necessity.
Serve as the senior technical authority for Azure cloud architecture, designing and governing secure infrastructure and platforms. Lead complex cloud initiatives from design to delivery while mentoring systems administration and security teams.
Conduct independent utilization reviews for child and adolescent psychiatry cases. Perform peer-to-peer conversations during daytime hours to evaluate medical necessity.
The specialist is responsible for managing and overseeing quality standards within the organization. They ensure that processes and outputs meet established quality benchmarks.
Conduct independent utilization reviews for oncology cases as a board-certified physician. Participate in peer-to-peer conversations during daytime hours.
The role involves conducting independent Utilization Reviews for oncology patients. Physicians will be required to engage in peer-to-peer conversations during daytime hours.
The physician will conduct independent Utilization Reviews in Dermatology. This role requires only 1-2 hours of work per week.
The physician will conduct independent Utilization Reviews in Oncology. This role requires only 1-2 hours of work per week.
The Medical Director will perform clinical coverage reviews and interpret benefit language to support accurate determinations. They will also document review outcomes and engage in peer-to-peer discussions with treating providers.
Conduct independent Utilization Reviews for Gastroenterology. The role requires 1-2 hours of work per week with no minimum commitment.
The role involves conducting independent Utilization Reviews for oncology cases. It requires adherence to HIPAA regulations and company policies regarding sensitive health information.
Conduct independent Utilization Reviews in Dermatology. Adhere to HIPAA regulations and company policies regarding sensitive health information.
