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Case Manager responsibilities include: providing intensive care management for patients, developing individualized care plans and collaborating with an interdisciplinary team, including physicians, to provide a…
This position is responsible for the medical policy determination of claims/cases consistent with Plan Medical Policy to ensure appropriate and efficient utilization of benefits. Performs duties as assigned by…
Job Summary · Manager, Contracts will report to and take direction from the Sr. Director, Finance. Manager, Contracts will manage the end to end contracts process. This resource will receive all contract requests –…
Job Responsibilities: · Prepare and review controlled process documents to ensure submitted procedures are compliant and meet the requirements of R&D document control procedures. · Support Process Owners in the…
Job Summary: Partners with COLs and/or Study Management Team members to support the development of operationally feasible and clear protocol concepts and final protocols. Leverages phase and operational expertise to…
· Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. · ESSENTIAL FUNCTIONS:- · Determines appropriateness…
The Behavioural Health Concurrent Review Clinician utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and knowledge in…
Title : Compliance Analyst Duration : 3+ Months (possible extension) Location : Long Beach, CA Responsibilities : · Shift: M-F 9 am to 5:30 pm, no mandatory OT, but if needed Manager will inform contractor ahead of…
Job description: Perform the QA review/approval of analytical documentation: Analytical method validation protocols and reports for in-process and release/stability testing Analytical method procedures and associated…
Develops, maintains, and executes vendor oversight activities for assigned trials / indications to ensure quality in the execution of clinical trials, compliance with regulatory requirements and SOPs, and to ensure a…
Title : Customer Care Associate I Duration : 3 months (Possible extension) Location : Orlando, FL Responsibilities : This position is a frontline service position providing assistance to members and providers regarding…
Shift: Mix of 8 hour days and PMs. Days starts at 0500, 0630, 0700, or 0730. PMs start 1430, 1500, or 1530. Every other weekend. Primary Location: Waukesha Memorial Hospital Ability to float between Waukesha Memorial…
Job Title:Financial Analyst III Location: Memphis - TN Duration: 8+ Months(with Possible extension) Job Description: · Provides financial analytical support to the Financial Management team for the budgeting and…
Job Title : Utilization Management Nurse Consultant Duration : 6 months (Possible extension) Location : Downers Grove, IL Responsibilities : · Facilitate the delivery of appropriate benefits and/or healthcare…
Looking for agents that will be successful in a Call Center environment . Previous call center experience is helpful. High School Kind Regards, Daniel Jagota Technical Recruiter Integrated Resources, Inc. IT Life…
Job Description: Demonstrates knowledge of current Good Manufacturing Practice (FDA, EU and ICH) requirements and Quality Systems, with the ability to assess compliance risks. Demonstrates analytical problem solving…
Must have Pharma/Manufacturing Tech Writing experience. Demonstrates knowledge of current Good Manufacturing Practice (FDA, EU and ICH) requirements and Quality Systems, with the ability to assess compliance risks.…
Designation:- Sr. Java/Spring Developer MOI:-Telephonic followed by face to face Location: Walnut Creek-CA Duration: 6+ Months (Contract, with possible extension) on W2 Job Description 8 years of IT experience in…
Job Summary The primary purpose of the job is to: Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and nursing…
JOB SUMMARY GENERAL DESCRIPTION: Responsible for the management and maintenance of procurement technological solution. Provides detailed analysis to support critical sourcing activities and special projects; develops…
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