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They are seeking a Clinical Research Coordinator (CRC) responsible for coordinating and managing clinical trials and research studies in accordance with regulatory requirements, study protocols, and institutional policies.. The CRC will work closely with investigators, sponsors, and study participants to ensure the ethical and accurate collection of data and the integrity of the research process.. Coordinate day-to-day clinical trial activities and ensure compliance with the study protocol, Good Clinical Practice (GCP), and regulatory guidelines.. Knowledge of clinical research regulations and GCP.. Experience with IRB submissions and sponsor communications.
The Administrative Nursing Supervisor facilitates timely and safe patient flow and provides management and operational oversight of the acute care hospital setting, and ensures the provision of safe, quality patient care.. We are a locally owned, not-for-profit healthcare system comprised of nin hospitals, a statewide health plan and a growing multi-specialty medical group.. Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial Health Plans.. Nestled between tall pines and mountain vistas at an elevation of 6,900 feet, Ruidoso is a mountain oasis in southern New Mexico.. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Design and deploy AI/GenAI solutions in areas such as member engagement, care management, utilization management, risk adjustment, and fraud detection.. Bachelor's degree in Computer Science, Engineering, Data Science, Healthcare Administration, or related field (Master's or MBA preferred).. Strong understanding of the U.S. healthcare payer ecosystem-commercial, Medicare, Medicaid-and associated data systems (claims, EMR, HEDIS, etc. Experience with GenAI tools and platforms (OpenAI, Anthropic, Vertex AI, Bedrock, etc. Analyst, Clinical Consulting (RN/BSN/PA) New York, NY $62,500.00-$75,000.00 2 weeks ago
As the preeminent institution in western Pennsylvania for the delivery of cancer care, the performance of basic, translational, and clinical research, and the education of the next generation of cancer researchers and physicians, UPMC Hillman Cancer Center is exceptionally well-positioned to contribute to the global effort to reduce the burden of cancer. UPMC Hillman Cancer Center is currently hiring a regular full-time Clinical Research Nurse Coordinator (RN) to help support the Community Oncology Clinical Research Services (CRS) teams at our UPMC Hamot Oncology network office located in Erie, PA. This position offers a $6,000 sign-on bonus and will work a regular Monday through Friday daylight schedule with the Hamot Oncology network location. This unique role allows for the clinical research nursing professional to work in the community and screen/enroll patients in all cancer disease centers with UPMC Hillman Cancer Center working as a Trials Coordinator. The clinical research coordinator will work with physicians, nurses, other allied health professionals, and research staff to coordinate clinical research efforts provided at UPMC. Using a disease-specific centers model for conducting clinical trials, CRS provides study development and implementation assistance, submissions to the FDA, IRB processing, patient recruitment, study coordination, study-specific training, data collection, and specimen collection and processing.
(Hiring) Registered Nurse - Quality Assurance.. You will be responsible for the assessment, diagnosis, and treatment of assigned patients. Communicate with collaborating physicians or specialists regarding patient care.. Educate patients about health maintenance and disease prevention.. Facilitate referrals to other healthcare professionals and medical facilities
Required Qualifications:Bachelors degree in Nursing, Social Work, Healthcare Administration, or a related field.. Familiarity with electronic health records (EHR) systems and case management software.. Preferred Qualifications:Certification in Case Management (CCM, ACM, or equivalent).. Familiarity with chronic disease management and transitional care planning.. Benefits & Perks:Fully remote work environment with flexible hours.
While candidates from anywhere in California are welcome to apply, there is a strong preference for those who reside on the Central Coast (Ventura, Santa Barbara, San Luis Obispo, Monterey, and Santa Cruz Counties).. Contribute in the new implementation and review of documented audit processes to ensure compliance against requirements including contractual, Federal, State, the Centers for Medicare and Medicaid Services (CMS), and the National Committee for Quality Assurance (NCQA) standards.. Develops audit scope and audit tools based on regulatory compliance against state and federal regulatory requirements and standards, including those issued by the California Department of Health Care Services (DHCS), the California Department of Managed Health Care (DMHC), NCQA, and CMS requirements.. Audits to ensure compliance with Federal and State regulatory requirements, the DHCS Medi-Cal Managed Care Contract, Medicare Advantage and Medicare Part D regulations and guidance, the DHCS State Medicaid Agency Contract (SMAC), Delegation Agreement, Health Plan Management System (HPMS memos, All Plan Letters (APLs), Policy Letters (PLs), CenCal Health policies and procedures, and National Committee for Quality Assurance (NCQA) standards, as applicable.. Extensive audit experience with DHCS, CMS, DMHC, and/or NCQA and understanding of audit standards and requirements;
Join to apply for the Senior Claims Specialist (Substance Abuse Billing) role at CodeMax Behavioral Health Billing. The Senior Claims Specialist at CodeMax is responsible for ensuring timely and accurate claim submissions, reducing denials, and optimizing reimbursement processes.. The ideal candidate will possess strong communication skills, a deep understanding of medical billing and coding, and the determination to resolve outstanding claims.. Compliance & Quality Assurance: Ensure claims processing aligns with HIPAA, payer guidelines, and regulatory compliance requirements; work closely with coding and clinical documentation teams to prevent claim denials due to documentation errors.. 3-5 years of experience in medical claims processing, billing, or revenue cycle management
The Clinical Research Division at The IMA Group is a dynamic hub of expertise and innovation, dedicated to advancing healthcare through clinical trials and studies.. IMA Clinical Research is seeking a Licensed Practical Nurse (LPN) to join their team as a Clinical Research Coordinator/LPN based in Manhattan, NY!. Coordinate clinical trials following FDA requirements and GCP guidelines as per sponsor protocols.. Clinical Research Coordinator certification (CCRC) is preferred.. Our Clinical Research Division performs all types of Phase II-IV clinical trials in multiple therapeutic areas through a flexible nationwide network of site locations and virtual capabilities.
As the preeminent institution in western Pennsylvania for the delivery of cancer care, the performance of basic, translational, and clinical research, and the education of the next generation of cancer researchers and physicians, UPMC Hillman Cancer Center is exceptionally well-positioned to contribute to the global effort to reduce the burden of cancer.. UPMC Hillman Cancer Center is currently hiring a regular full-time Clinical Research Nurse Coordinator (RN) to help support the Community Oncology Clinical Research Services (CRS) teams at our UPMC Hamot Oncology network office located in Erie, PA. This position offers a $6,000 sign-on bonus and will work a regular Monday through Friday daylight schedule with the Hamot Oncology network location.. This unique role allows for the clinical research nursing professional to work in the community and screen/enroll patients in all cancer disease centers with UPMC Hillman Cancer Center working as a Trials Coordinator.. The clinical research coordinator will work with physicians, nurses, other allied health professionals, and research staff to coordinate clinical research efforts provided at UPMC. Using a disease-specific centers model for conducting clinical trials, CRS provides study development and implementation assistance, submissions to the FDA, IRB processing, patient recruitment, study coordination, study-specific training, data collection, and specimen collection and processing.
No experience required and on the job training provided. Ensures patient safety, including those in restraints, while meeting standards outlined by The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), ABM Healthcare Support Services and the Hospital.. Follows all established ABM Healthcare Support Services and Hospital policies, procedures, objectives, quality assurance, safety and environmental and infection control standards.. Complies with all regulatory agency standards including but not limited to TJC, Occupational Safety and Health Administration (OSHA), CMS, Center for Disease Control (CDC), etc.. Military Occupational Specialty Code: 92S, 92Y, LS, DC
Through the application of scientific and clinical training and expertise, the Clinical Research Scientist (CRS) is an integral member of the medical affairs, development or a business unit brand team for future planning in the support of launch and commercialization activities to meet patients needs and ultimately enhance the customers experience in interacting with the company.. The CRS may also work closely with global Development teams, Therapeutic Area Program Phase, Early Phase I Clinical Pharmacology, and Translational Medicine teams in new product development activities over the entire spectrum of drug development and clinical trial phases.. Play a part in the development of medical strategies to support brand commercialization activities by working closely with the global Medical Affairs and brand teams, Global Patient Outcomes/Real World Evidence and global PRA, clinical management or personnel and other cross-functional management during the development of the local business plan.. Provide medical insight and training to patient support programs (for example, Diabetes Nurse Educators Service).. Communicate local/regional research needs and collaborate with other regions and the global Development and Medical Affairs teams, Global Patient Outcomes/Real World Evidence, and PRA teams to ensure Phase 3, 3b, and 4 (and Phase I and II where applicable) clinical programs meet the needs of local/regional customers (for example, through global medical planning processes).
Responsible for the direction and coordination of care management activities to manage the care of the member over the continuum of care, including both physical and behavioral health services, for assigned lines of business.. A minimum of seven (7) years progressively responsible management experience in the areas of case management, population health and/or disease management required, including a minimum of five (5) years progressive experience working with medical and behavioral case management required. Administers and ensures care management programs meet compliance and regulatory standards as required by Centers for Medicare & Medicaid Services (CMS), DSNP Model of Care (MOC), Washington Health Care Authority (HCA), and/or National Committee on Quality Assurance (NCQA) for continued accreditation of the health plan, as well as state and federal regulations, quality metrics and evolving models of care.. Knowledge of the various components of managed care (quality improvement, disease management, population management, utilization management, and case management) and how they link.. Knowledge of regulatory and certification requirements and their impact on the organization (for example, HEDIS, CAHPS, and NCQA).
MedCadre is seeking a travel nurse RN Quality Assurance Senior for a travel nursing job in bronx, New York. We are seeking a dedicated and skilled Registered Nurse (RN)-Risk Management / Quality Assurance with 3 years of experience, ensures patient safety, regulatory compliance, and high standards of care by identifying risks, investigating incidents, monitoring quality metrics, and supporting continuous improvement initiatives. Monitor quality metrics, conduct audits, and ensure regulatory compliance. Active Registered Nurse (RN) license in NYS. At MedCadre, headquartered in Irvine, California and serving healthcare organizations nationwide, we connect exceptional clinicians with world-class career opportunities while upholding the highest standards of ethics, fairness, and integrity.
1 to 2 years of previous insurance verification, pre-certification/pre-authorization, medical billing, or other related experience in healthcare environment.. Patients and their families receive expert, compassionate care through the system’s 305-bed Stamford Hospital; Stamford Health Medical Group, with more than 40 offices in lower Fairfield County offering primary and specialty care; a growing number of ambulatory locations across the region; and support through the Stamford Hospital Foundation.. The Centers for Medicare and Medicaid Services (CMS) rated Stamford Hospital as a five-star hospital for Overall Quality and The Leapfrog Group awarded Stamford Hospital an “A” for patient safety.. Additionally, in 2020 Stamford Health’s Carl & Dorothy Bennett Cancer Center entered into an expanded collaboration with Dana-Farber Brigham Cancer Center.. Our collaborative with Hospital for Special Surgery, and the Dana Farber Brigham and Women's Cancer Care Collaborative, connect us directly with world class expertise, research, resources and technology to put us at the forefront of patient care.
Senior Regulatory Affairs Specialist. The Senior Regulatory Affairs Specialist will support the International Regulatory team in preparing regulatory submissions for our Butterfly Ultrasound Systems and help coordinate, track, and communicate the execution of cross-functional tasks to ensure timely delivery of regulatory documents for submission to all international regulatory authorities on Butterfly's international roadmap.. Bachelor's degree in Scientific, Engineering, Regulatory, or core Life Science discipline.. Excellent understanding of international requirements (e.g. EU MDR) and experience expanding into multiple international regions such as MDSAP, APAC, MEA, LATAM, etc.. Experience in Artificial Intelligence/Machine Learning (AI/ML) or Software as a Medical Device (SaMD).
MCRA, an IQVIA business is seeking a strong Senior Associate to join our Regulatory Affairs team.. Draft usability engineering file, conduct use related risk analysis, conduct post-market surveillance data analysis, design usability studies and draft protocols, support usability study execution and report drafting.. Surgical and clinical shadowing experience or cadaver lab experience beneficial.. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide.
Purpose Responsible for the regulatory review and submission of advertising and promotional materials for multiple Chiesi Global Rare Disease products in the United States.. Main Responsibilities Promotional Material/External Communications Responsibilities: Work in the Global Rare Diseases, Regulatory Affairs Ad Promo function for the United States, with additional duties in Canada.. Maintain awareness of competitive activities by monitoring assigned rare disease therapeutic areas, modalities, competitor products promotional activities, and prepare complaint letters to OPDP as needed.. Ensure appropriate implementation of Chiesi Global Rare Disease procedures for the regulatory aspects of labeling preparation, launch prep, review, approval, and submission.. Experience with Veeva Vault PromoMats and MedComms, Trackwise, or similar document management systems a plus.
Overview Quality Specialist (Medicare Stars) is responsible for implementing strategies to improve Medicare Star Ratings, drive clinical quality indicators (HEDIS Star metrics), CAHPS, and HOS efforts.. Location and scheduling details: Fully remote option is available; candidates should be in WA state.. Participate in the development of materials for member and provider quality initiatives such as HEDIS, improvement projects, and studies.. Support various HEDIS activities as needed, including medical record retrieval.. Required Education: 2-4 years\' experience in Quality Improvement and in managed care or healthcare industry; experience with qualitative or quantitative projects/analysis; operational knowledge and experience with PowerPoint, Excel, Visio.
The Quality & Patient Safety Specialist plays a key role in supporting the development, implementation, management and sustainment of an organization-wide system of quality and safety.. Has a working knowledge of patient safety science, IHI model for improvement, lean or other improvement methodologies and tools.. Maintain awareness of legislative and regulatory activities related to quality and patient safety to ensure compliance with regulations concerning patient care, including those mandated by state, federal agencies and compliance with the Joint Commission risk management standards.. RN, allied health degree preferred, CPHQ and/or CPPS preferred.. Referred candidates and others may be notified about new Quality Specialist opportunities in Boston, MA.