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- "Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. Roles...
1000 $
...intricacies within health care. We specialize in placing advanced practice, mid-level, and allied health clinicians, as well as non-clinical health care professionals in the positions that are the best fit for them. LinkJobs works with large health care systems, small...- ...multinational company who specializes in patient-centric drug development and commercialization services, aiming to provide reliable clinical research solutions to pharmaceutical and biotech firms. The Pharmacovigilance Associate is responsible for the intake, processing,...
- ...What Clinical Operations contributes to Cardinal Health Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers....
- ...This is a remote position. We are seeking a consultant with strong experience in TriZetto Clinical Care Advance (CCA) and Utilization Management (UM) processes. The ideal candidate should possess both business and technical expertise in implementing and configuring...
1200 - 1800 $
...Clinical Recruiter (Digital Behavioral Health) Working Hours: Monday to Friday, strictly standard business hours aligned with US Eastern Time (EST). The recruiter will coordinate calendars directly with the internal clinical team. Location: Global ( Latin America...- ...The Clinic Customer Care Specialist (CCS) serves as the primary point of contact for patients and customers through multiple communication channels, including phone, email, messaging, social media, and other platforms. The role focuses on providing excellent customer...
10 $
...continue to expand our services and develop new programs, we are seeking an experienced and results-driven Functional Psychiatry Clinical Liason to help bring our next phase of growth to life. This is a unique opportunity to lead the development and launch of an innovative...- ...DESCRIPTION Work Schedule Standard (Mon-Fri) Environmental Conditions Office Job Description Join Us as a Clinical Data Assoc II – Make an Impact at the Forefront of Innovation We have successfully supported the top 50 pharmaceutical companies...Remote job
775000 $ per day
...APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- POSITION TITLE: Health Clinical Services Sr Analyst WORK SETUP: Return to Office RESPONSIBILITIES: • Conduct UM pre-service, concurrent, retrospective, out of...- ...Job Description *For Pooling Purposes* Provide consultancy services to the insurance and healthcare vertical to set up the clinical/bill review/insurance practice. Establish and maintain communication with clients and/or team members; understand their needs,...
775000 $ per day
...APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- POSITION TITLE: Health Clinical Services Senior Manager WORK SETUP: RTO Responsibilities: • Work hand in hand with the Operation Managers & Leads in making...- ...Work Schedule Standard (Mon-Fri) Environmental Conditions Office Job Description Join Us as an Associate Manager, Clinical Operations – Make an Impact at the Forefront of Innovation We have successfully supported the top 50 pharmaceutical companies...Remote job
- ...The Medical Training & Clinical Standards Manager is responsible for ensuring consistent, high-quality, and safe clinical practices across Belo. This role oversees medical training, clinical standards, quality assurance, patient safety, and compliance to help ensure doctors...
775000 $ per day
...contracts. ~ Utilize client specific criteria sets (e.g., Milliman or InterQual), applicable client specific medical policy and client clinical guidelines for decision making to either approve or summarize and route to Client's nursing reviewer and/or Client's medical staff...- ...CLINICAL CODING ANALYST Key Responsibilities: Review and analyze claims that have been denied due to coding-related issues, including diagnosis codes (ICD-10-CM), procedure codes (CPT/HCPCS), and related modifiers. Identify coding discrepancies, documentation...
35000 - 38000 Php
...A, ESSENTIAL FUNCTIONS Provides clinical end-user application training after machine installation Provides clinical end-user application refresher training upon request Consults Regional/HQ Support for critical equipment and software issues, etc. Managing...- ...Clinical Client Success Manager The Clinical Client Success Manager (CSM) serves as the primary relationship manager between healthcare clients and internal teams. This role ensures that laboratory and clinical partners successfully implement, adopt, and maximize the...
- ...WE'RE HIRING | CLINICAL & HEALTHCARE SERVICE DESK ROLES | CEBU We are hiring experienced professionals for the following onsite positions with a target start date of August 14, 2026. ✅ 1.Clinical Service Desk Analyst ✅ Salary: ₱38,500 – ₱44,500 Qualifications ✔...
- ...Job Description: We are seeking a detail-oriented, knowledgeable, and proactive Clinical Quality Auditor to help ensure the integrity and quality of our clinical appeals. As an internal team member, you'll have the advantage of already being familiar with our processes...
- Looking for a highly skilled and motivated Clinic Aesthetician/Facialist Job Responsibilities: 1. Assist doctors during dermatologic and aesthetic procedures 2. Perform basic facial treatments and other procedures 3. Prepare treatment rooms and sterilize equipment...
Skin MD Clinic
Pasig4 days ago 60000 - 90000 Php
...dedicated team at HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This...- ...Philippines - Clinical Trial Manager ICON plc is a world-leading healthcare intelligence and clinical research organization. We’re proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the...Remote job
- ...Signing bonus for new employees! Senior Clinical Coding Analyst - Onsite Manila Health Business Solutions, LLC We are seeking an experienced and detail-oriented Senior Clinical Coding Analyst to join our team and take on a crucial role in ensuring coding quality...
- Remote Clinical Trial Support Specialist (Multiple Openings) Company: Angel City VA — Virtual Clinical Research Support. Location: Remote (Philippines, Latin America, Georgia, Ukraine, Moldova, Armenia, Azerbajan) .. Employment Type: Full-Time, Part-Time, and...Remote job
4 $ per hour
...Company: New U Therapy Center & Family Services New U Therapy Center & Family Services is a modern, and innovative mental health clinic that offers all needed services for a person to be well and happy within one place for convenience, quality, and time-saving care...- ...DESCRIPTION Work Schedule Second Shift (Afternoons) Environmental Conditions Office Job Description Join Us as a Clinical Review Specialist – Make an Impact at the Forefront of Innovation We have successfully supported the top 50 pharmaceutical...Remote job
- SALARY: 18,000- 20,000k COLLEGE GRADUATE Can start ASAP Organizational Skills: Ability to organize items in the warehouse efficiently, maintain accurate records, and ensure that goods are stored in the correct locations. Basic Computer Skills: Knowledge of basic computer...
Dempsey Resource Management,Inc
Quezon3 days ago - MAINTENANCE CLINIC STAFF ( veterinary clinic) QUEZON CITY Someone who is easy going and familiar with being all-around with maintenance work Basic repair lights, painting, carpentry, groundskeeping work location: QUEZON CITY, NEAR PHILCOA salary: MINIMUM...
Dempsey Resources Management Inc.
Quezon, Quezon6 days ago - COMPANY PROFILE: One of the leading trusted American Companies that provides pharmaceutical services, as they are known for providing the resources and solutions for Medicine and Medical Devices in the Global Market. Company Industry: America’s Leading Brand for Trusted...
J-K Network Services
Taguig4 days ago
