The Clinical Reviewer makes clinical decisions for behavioral health and medical requests based on plan policies and criteria. They are responsible for determining benefit coverage, responding to authorization requests, and documenting quality of care issues.
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Act as a technical advisor to enterprise customers to optimize product investment and ensure technical success. Manage critical issue escalations, deliver coaching sessions, and align technical insights with customer business objectives.
Lead North America accounting operations and enterprise-wide consolidation activities to ensure compliant and accurate financial reporting. Drive standardization, operational rigor, and continuous improvement across close processes and corporate consolidation activities.
Provide customer support by handling billing inquiries, scheduling services, and resolving technical issues. Focus on customer retention by matching client needs with appropriate products and services to drive sales goals.
Coordinate study start-up and conduct activities, including monitoring site visits and ensuring compliance with GCP and regulatory requirements. Mentor junior employees and collaborate with cross-functional teams to manage data entry and study metrics.
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Senior Clinical Research Associate
Johnson & Johnson Innovative Medicine
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Full Time
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5 Days Ago
Johnson & Johnson Innovative Medicine
Coordinate study start-up and conduct activities, including monitoring site visits and ensuring compliance with GCP and regulatory requirements. Mentor junior employees and collaborate with cross-functional teams to manage data entry and study metrics.
Lead the global electronics category strategy to ensure supply continuity, cost competitiveness, and operational excellence. Manage high-performing supplier relationships and collaborate cross-functionally to support product roadmaps and growth initiatives.
Responsible for processing new referrals, validating insurance eligibility, and enrolling patients into organizational programs. The role involves virtual outreach, scheduling with clinical teams, and maintaining accurate patient data in EHR systems.
PB Denials Coder 1-1
Medical University of South Carolina
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Full Time
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5 Days Ago
Medical University of South Carolina
The Coder 1 is responsible for accurately coding medical records and performing data entry tasks under supervision. The role focuses on learning coding conventions and ensuring compliance with HIPAA regulations and internal policies.
Provides strategic leadership and clinical oversight for complex DSNP/FIDE populations while leading a team of Medical Directors. Drives medical management programs to improve quality, cost, and outcomes across the continuum of care.
The Network Relations Consultant serves as the primary contact for high-profile providers to maintain positive relationships and resolve complex issues regarding policies, claims, and compensation. They are responsible for conducting provider orientations, educational outreach, and acting as a liaison between providers and the health plan to improve performance.
Provide psychosocial support, education, and evidence-based mental health care to individuals, couples, and families aged 13 and older. Manage a virtual practice including assessment and treatment planning to ensure continuity of care.
Lead the design of breakthrough user experiences across desktop and mobile platforms while collaborating with product and development managers. Manage and mentor junior designers to ensure high-quality delivery and alignment with overall UX strategy.
Coordinate care for Dual Eligible Special Needs Plan members by collaborating with interdisciplinary teams and healthcare providers. Conduct annual Health Risk Surveys and address social determinants of health to close gaps in preventive care.
Manager, Channel Marketing (Client facing) (Remote)
Transamerica
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Full Time
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5 Days Ago
Transamerica
Design and implement marketing campaign strategies to promote financial products and drive engagement with financial professionals. Lead staff in executing complex campaigns while tracking effectiveness through qualitative and quantitative methods.
Registered Nurse (RN) Remote Triage Opportunity - NYS License Required
Trinity Health
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Full Time
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5 Days Ago
Trinity Health
The RN is responsible for performing remote telephone triage, managing medication prior authorizations, and coordinating patient appointments. They also handle patient education, review clinical information, and maintain accurate electronic medical records.
Lead the strategic execution of global corporate events, including industry conferences, roadshows, and virtual experiences to drive brand awareness and pipeline generation. Manage end-to-end logistics, budgets, and partner funding while collaborating with sales and marketing leadership to align programs with business goals.
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Drive employee adoption and organizational readiness by managing knowledge assets, communications, and training enablement. Bridge people, processes, and technology to support business development professionals in adopting new tools and workflows.
Design and build scalable full-stack applications and API-first distributed systems for Agentic AI platforms. Collaborate with AI/ML teams to integrate LLM-driven workflows, RAG architectures, and multi-agent systems into production.
Executes the operating plan and manages supervisors and individual contributors to achieve business results within the Vendor Finance organization. Responsible for risk mitigation, process improvement, and resolving escalated customer or third-party issues.
Lead the strategy and execution of sales coverage design, headcount allocation, and book of business strategy for Zillow Preferred. Partner with Finance, Recruiting, and Sales leadership to translate business goals into scalable operational plans and productivity models.
Design and develop AI-powered tools to optimize Zillow's Product Development Lifecycle and accelerate learning and decision-making. Collaborate cross-functionally to build scalable technical architectures and turn operational signals into organizational insights.
The Client Manager is responsible for achieving annual sales targets by retaining and expanding the InterAction product portfolio. Key duties include managing the full sales cycle, creating solution-oriented proposals, and executing strategic account plans to drive revenue.
Telehealth Therapist - Pennsylvania
Rogers Behavioral Health
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Full Time
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5 Days Ago
Rogers Behavioral Health
The therapist provides virtual social services, therapeutic treatment, and crisis intervention to patients and their families in partial hospitalization and intensive outpatient settings. Responsibilities include developing individualized care plans, documenting patient progress, and collaborating with a multidisciplinary team to ensure clinical effectiveness.
The Client Manager is responsible for achieving annual sales targets by retaining and expanding the InterAction product portfolio. Key duties include managing the full sales cycle, executing strategic account plans, and driving customer satisfaction through issue resolution.
The Client Manager is responsible for achieving annual sales targets by retaining and expanding the InterAction product portfolio. Key duties include managing the full sales cycle, executing strategic account plans, and driving upsell and cross-sell initiatives.
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Information Technology Corporate Fellowship - Hiring Our Heroes - Remote
Ryder Supply Chain Solutions
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Full Time
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5 Days Ago
Ryder Supply Chain Solutions
Fellows will gain hands-on experience in day-to-day IT operations and develop corporate business sense. Responsibilities include participating in projects, attending business meetings, and applying lean/agile methodologies to solve problems.
Serve as a technical authority for Roche automation platforms, managing the implementation, configuration, and optimization of laboratory workflows. Collaborate with cross-functional stakeholders to resolve complex technical issues and mentor junior field staff.
Lead strategic partnerships with large and complex healthcare customers to drive revenue and co-create value. Develop and execute comprehensive account plans while managing cross-functional internal resources to meet vaccine targets.
Lead complex technical initiatives for Heroku by aligning cross-functional teams on vision, scope, and release planning. Drive the software development lifecycle using agile methodologies to ensure timely delivery of AI operations goals.
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