Responsible for performing care management for members with complex and chronic needs by assessing and implementing optimized care plans. Duties include coordinating internal and external resources and interfacing with Medical Directors to ensure appropriate member access to services.
Remote Healthcare Jobs (12,285)
Job category = Healthcare
Oncology Health-Outcomes Liaison
Eli Lilly and Company
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Full Time
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5 Days Ago
Eli Lilly and Company
Serve as the medical and HEOR interface between Lilly and U.S. population-based decision makers to support formulary access and clinical guidelines. Cultivate relationships with payers and health systems to communicate value evidence and identify research collaboration opportunities.
Provides engineering, sales, and technical support for Electrophysiology products to healthcare professionals and patients. Acts as a clinical interface between the medical community and the business to drive product utilization and provide market feedback.
Provide high-quality technical and clinical support for neuromodulation therapies to optimize patient outcomes and drive therapy adoption. Mentor and train junior Clinical Specialists while collaborating with Territory Managers to support healthcare providers.
Provide clinical mapping support and technical guidance during Electrophysiology procedures to help physicians and staff achieve independence. Develop account growth strategies by monitoring competitor activity and providing comprehensive product training and education.
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The CV MSL interacts with cardiometabolic opinion leaders and healthcare decision makers to communicate scientific data and advance the scientific platform. Responsibilities include executing scientific engagement plans, responding to unsolicited inquiries, and providing field insights to internal stakeholders.
Perform prospective medical necessity reviews for outpatient services and procedures to ensure cost-effective care. Collaborate with Medical Directors and internal departments to ensure compliance with clinical criteria, medical policies, and regulatory standards.
Associate Director, Medical Affairs (Rare Disease Division, Southeast)
BIOCODEX
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Full Time
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5 Days Ago
BIOCODEX
Serve as a medical liaison to establish and maintain relationships with experts in pediatric neurology and epilepsy within the Southeast region. Responsible for disseminating scientific information, implementing educational strategies, and managing medical communication activities for marketed and pipeline compounds.
The role involves assessing movement dysfunction and developing evidence-based plans of care tailored to patient goals. Responsibilities include delivering skilled interventions such as manual therapy and therapeutic exercise to improve patient function.
Conduct comprehensive psycho-educational evaluations to identify student needs and inform intervention planning. Provide direct psychological services and collaborate with multidisciplinary teams to develop and monitor IEP goals.
Provide direct and indirect social work services to children with learning differences and their families in a remote setting. Collaborate with IEP teams to develop tailored treatment plans and implement positive behavioral intervention strategies.
Telephonic Nurse Practitioner - New England License
UnitedHealth Group
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Full Time
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5 Days Ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients, caregivers, and facility staff across multiple markets. Coordinate care transitions and manage acute and chronic medical and behavioral conditions in collaboration with physicians.
Medical School Admissions Consultant
Blueprint Test Prep
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Full Time
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5 Days Ago
Blueprint Test Prep
Advise students on all aspects of the medical school admissions process, including school selection, personal statements, and interviews. Coordinate with management to manage student engagements and report progress via email, video, and phone.
Nurse Practitioner / Physician Assistant - Virtual - Remote (CA license)
Tia
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Full Time
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5 Days Ago
Tia
Provide comprehensive virtual primary care and women's health services to a diverse patient population. Collaborate with a multidisciplinary team to innovate and evolve clinical care models and protocols.
Provide high-level clinical education, product demonstrations, and ongoing support to healthcare professionals to drive the adoption of neurorehabilitation technology. Collaborate with sales and product teams to refine training materials and represent the company at regional conferences.
The Clinical Appeals RN represents MassHealth at appeal hearings to defend prior authorization decisions using medical necessity guidelines. They are also responsible for performing clinical coverage reviews for inpatient and outpatient services.
The Patient Advocate Triage I is responsible for processing and analyzing patient cases efficiently to secure coverage. They must maintain strict confidentiality according to CLIA and HIPAA guidelines while supporting advocate teams.
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Evaluate healthcare program performance, financial risk, and clinical outcomes using advanced statistical and data science methodologies. Translate complex data into actionable insights and recommendations to support population health and value-based care initiatives.
The role involves managing pharmacy network price schedules and ensuring accurate claim adjudication. It also includes leading projects for contract compliance and assisting internal departments with reimbursement inquiries.
Medical Translators - Icelandic - Remote
LILT (Production)
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Full Time
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5 Days Ago
LILT (Production)
Provide freelance translation and localization services from English into Icelandic. Focus on specialized domains including Life Sciences, Medical, and Clinical trials to support AI and language technology.
The Senior Case Manager will identify members needing assistance by reviewing claims and admission data to build individualized care plans. They will coordinate with providers and members to ensure high-quality care and help develop the company's case management protocols.
Oversee and lead data management services across multiple complex global clinical projects from startup to closeout. Ensure accurate trial documentation, effective UAT, and timely database locks while managing resources and budgets.
Gastroenterology, Health & Science Specialist (SHSS) - Savannah, GA
Pfizer
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Full Time
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5 Days Ago
Pfizer
Drive the launch and growth of GI products by building strategic, compliant relationships with healthcare providers and key opinion leaders. Collaborate with cross-functional teams to improve patient access and deliver evidence-based value narratives within assigned accounts.
Associate Director, Medical Affairs (Rare Disease Division, Mountain West)
BIOCODEX
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Full Time
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5 Days Ago
BIOCODEX
The Associate Director serves as a scientific liaison to experts in pediatric neurology and epilepsy to disseminate clinical information and manage professional networks. They are responsible for implementing educational strategies, reporting pharmacovigilance data, and reviewing promotional and medical materials.
Patient Care Pharmacist - Short term assignment- Remote
Fuze Health
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Full Time
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5 Days Ago
Fuze Health
Perform clinical assessments, monitor patient adherence, and provide therapeutic recommendations to improve patient outcomes. Collaborate with Specialty Operations to manage pharmacy billing and develop SOPs to enhance service delivery.
Discharge Care Management Nurse RN - Remote in Tennessee
UnitedHealth Group
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Full Time
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5 Days Ago
UnitedHealth Group
Implement telephonic case management interventions for high-risk members to prevent readmissions and improve health outcomes. Coordinate and document discharge plans in collaboration with clinical care teams and facility planners.
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VistA Pharmacy Applications Release Verifier (Remote/Part-Time)
Govcio LLC
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Full Time
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5 Days Ago
Govcio LLC
Coordinate end-to-end VistA patch testing and release activities using the National Patch Module (NPM). Ensure all requirements, validations, and release steps are executed according to VistA Patch Release standards.
Proactively identify and recruit qualified physicians for locum tenens assignments while building strong professional relationships. The role focuses on educating candidates on career benefits and meeting specific recruiting goals in a fast-paced environment.
PRN Nurse Practitioner - Telehealth (Must live in Indiana)
HarmonyCares
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Full Time
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5 Days Ago
HarmonyCares
The Nurse Practitioner conducts comprehensive health risk assessments for patients in residential or telehealth settings. They are responsible for diagnosing conditions, documenting visits per NCQA standards, and coordinating care with primary care physicians.
The physician will operate within a value-based care model to drive population health initiatives. They will transition from training into practice through mentorship and a customized virtual program.
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