Healthcare & Pharma Careers

Reporting to the Senior Manager, Quality/Medicare Stars, this individual will play a critical role in executing HealthTeam Advantages’ Quality programs with the implementation of the National Committee for Quality Assurance (NCQA) and Centers for Medicare & Medicaid Services (CMS) compliant Stars functions, projects, roadmap development, reporting, audit, and submissions.. Proactively manage and work with Stars program management team, health plan, and provider leadership to develop and execute Stars strategy; think strategically and translate business strategy into initiatives.. Four (4) or more years’ experience in health insurance, Medicare Advantage, Accountable Care Organization, or other similar healthcare settings. Two (2) or more years of demonstrated experience with Medicare Advantage CMS Stars program experience.. Strong knowledge of the CMS Star Rating System, including Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), Health Outcomes Survey (HOS), Part D Events (PDE), and Administrative Measures

Document Management: Ensure proper uploading, indexing, and organizing of clinical trial documents within the eTMF system.. Collaboration & Process Improvement: Work with cross-functional teams (Clinical Operations, Regulatory Affairs, etc.). Strong technical proficiency in eTMF systems such as Veeva Vault, Phlexglobal, and Wingspan.. Solid understanding of regulatory compliance standards, including ICH GCP, FDA, and EMA.. With over 20 years of experience, KlinEra excels in various therapeutic areas, including gastroenterology, oncology, and neurology.

If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approach to physical therapy, you are a great fit for our Medical Billing Specialist position in Lanham, MD!. In this Medical Billing Specialist role, you will be able to enhance your career under the guidance of a helpful, supportive practice leader in an exciting, fast-paced environment.. If you are ready to be part of an energetic atmosphere where you can achieve success and career satisfaction, apply for FYZICAL's Medical Billing Specialist job opening today!. This and more is your future when you accept this choice Medical Billing Specialist position in Lanham, MD, with the leading PT company in the U.S.!. in this Medical Billing Specialist role, you will join a top-rated team of professionals in an atmosphere that inspires confidence and success.

Participate in the budget process of the facility and maintains the nursing supply, equipment and nurse staffing budgets.. Maintain current knowledge of applicable managed care, Medicare and state Medicaid regulations, reimbursement systems and methodology.. Education and/or Experience:RN license in the stateDirector of Nursing, management or supervisor experience in long-term care, restorative or geriatric nursing.. Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services.. If you have a passion for improving the lives of those around you and working with others who feel the same way, Ciena is the place for you!

The Clinical Research Associate position at Medpace offers the unique opportunity to have an exciting career in the research of drug and medical device development while making a difference in the lives of those around them.. Home office furniture allowance, laptop, mobile phone with hotspot for internet access anywhere;. Opportunity for leadership positions Lead CRA, CRA Manager, Clinical Trial Manager, Training and Development Manager, and many more;. Must have a minimum of a Bachelors degree in a health or science related field; Advanced degrees or prior clinical research experience is a plus; In-House CRA position available for those with no or minimal clinical research experience with rapid advancement;. Ability to travel 60-70% to locations nationwide is required, or less if remote/virtual visits required;

Collaborate with cross-functional teams, including R&D, production, and regulatory affairs, to support product development and production transfer activities.. Ensure that design controls are effectively applied throughout the product lifecycle, from concept to commercialization.. Prepare and maintain detailed documentation, including quality plans, inspection reports, and validation protocols.. Our total rewards are designed to unlock your ambition by giving you the boost and flexibility you need to turn your ideas into world-changing realities.. Relocation Assistance Provided: Yes

WuXi Clinical , a wholly owned subsidiary of WuXi AppTec, is a global Contract Research Organization (CRO) providing a comprehensive range of services in clinical development.. Founded in 2000, the WuXi AppTec is the leading global pharmaceutical, medical device open-access capability and technology platform company with more than 25,000 employees across 25 locations globally.. The WuXi platform is enabling more than 3,000 innovative collaborators from more than 30 countries to bring innovative healthcare products to patients, and to fulfill WuXi AppTecs dream that every drug can be made and every disease can be treated.. Minimum of 4 years experience as a Clinical Research Associate in the pharmaceutical/biotech or CRO industry. Job Summary: The Senior Clinical Research Associate is a critical position within the Operations team and is assigned as a study lead to manage clinical trial studies.

It is our mission as a family-based organization to revolutionize the healthcare industry through a culture of resident centered healthcare services, personalized spirituality, and real quality of life initiatives.. Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine.. Degree and certification as a therapeutic recreation specialist; or. Certified Activity Director by the National Certification Council for Activity Professionals; or. Our culture is built on three distinct pillars: Learning, Spirituality and Intra-preneurship.

Service Support Analyst Mid/Medicaid Provider Relations Specialist. Support provider outreach and engagement initiatives to increase HIE adoption and utilization.. Qualifications: Bachelor's degree in Healthcare Administration, Health Informatics, IT, or a related field (or equivalent experience).. 1-3+ years of experience in a support, provider relations, or customer service role within healthcare, HIEs, or health IT.. Experience with helpdesk/CRM/ticketing systems (e.g., ServiceNow, Jira, Salesforce) is a plus

Cooley Dickinson’s VNA & Hospice is also a vital part of our network, providing home-based services throughout Hampshire and Franklin counties.. The PCA performs other patient care related duties and unit duties as needed, and may function as a patient care observer to monitor for patient safety in situations where 1:1 observations are required.. Nursing Assistant certification, Medical Assistant certification, or a nursing student who is actively enrolled into a nursing program with a minimum of 6 months student clinical experience required.. Qualifications, PCA, Non-Certified (Salary Grade C24). Cooley Dickinson Health Care embraces diverse skills, perspectives and ideas, and encourages people of color, veterans, people with disabilities, LGBTQ candidates, and people from other underrepresented groups to apply.

Ensure coding accuracy and compliance with CMS, Medicare, Medicaid, and state-specific requirements.. CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CCA (Certified Coding Associate), or CRC (Certified Risk Adjustment Coder).. Associate's or Bachelor's degree in Health Information Management, Medical Coding, or a related field preferred.. 3+ years of ICD-10 coding experience in long-term care (LTC), skilled nursing (SNFs), assisted living, or senior living settings.. Familiarity with Electronic Health Record (EHR) systems and coding software.

Boston Health Economics, Inc. (BHE) is a leading research and consulting firm specializing in the economic evaluation of pharmaceuticals, medical devices, disease management programs, and related healthcare interventions.. The ideal candidate for this position will have a strong interest in health economics and experience or an advanced degree in a field such as economics, epidemiology, biostatistics, or health services research.. An advanced degree in health economics, epidemiology, biostatistics, health services research or other related field, and/or 5-7 years of relevant job experience. Masters degree in Economics, Health Policy, Epidemiology, or Biostatistics with 3+ years of experience in research-oriented healthcare consulting. Proficiency with relevant software (e.g., SAS, Microsoft Excel, decision analysis software)

Hims & Hers offers nonprescription products and access to highly personalized prescription solutions for a variety of conditions related to mental health, sexual health, hair care, skincare, heart health, and more.. The candidate will have experience in government affairs and public policy working in disruptive industries, telehealth, pharmacy regulation, or healthcare compliance.. Identify and engage with relevant working groups, advisory panels, and federal task forces to position the company as a thought leader in digital health and telemedicine.. Bachelor's degree in Public Policy, Political Science, Government Administration, Health Policy or other relevant field. Competitive salary & equity compensation for full-time roles

Requires Scientific or engineering degree (BSc, MSc, PhD), Min Bachelor of Science Degree in Biology, Biomedical Engineering, Engineering, or equivalent with 12+ years relevant work experience within the GxP (GCP heavy) Biotechnology/Pharmaceutical industry.. Knowledge of Good Clinical Practice (GCP) FDA, MHRA and EMA regulatory requirements applicable to Biologics therapy products.. Proficiency in using Veeva and Microsoft Office applications required (MS Word, MS Excel, MS PowerPoint).. Corbus is an oncology and obesity company with a diversified portfolio and is committed to helping people defeat serious illness by bringing innovative scientific approaches to well-understood biological pathways.. Our pipeline is comprised of two experimental drugs targeting solid tumors: CRB-701, a next-generation antibody drug conjugate (“ADC”) that targets the expression of Nectin-4 on cancer cells to release a cytotoxic payload and CRB-601, an anti-integrin monoclonal antibody that blocks the activation of TGFß expressed on cancer cells.

Rockcastle Health & Rehabilitation Center is a 104-bed skilled nursing facility.. It is our mission as a family-based organization to revolutionize the healthcare industry through a culture of resident centered healthcare services, personalized spirituality, and real quality of life initiatives.. Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine.. At Signature HealthCARE, our team members are permitted no, encouraged to employ their talents and abilities to solve problems.. Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer Minority / Female / Disability / Veteran and other protected categories

Maintain accurate, complete complaint/grievance records in the electronic database.. Based on case analysis and historical resolution precedents, establishes and communicates recommended dispute resolution.. Special Exception Processing: Serve as a liaison between Provider Relations and clients claims department for handling all medically necessary claims (i.e. medically necessary contact lenses, low vision, medical).. Top 3-5 desirable attributes/qualifications: Desirable attributes: Direct Grievance and Appeals experience.. Experience with managed vision care and/or insurance.

SkillsCustomer serviceEducationHigh school diploma or GEDPreferredassociate degree Required Certified Biller Licensed coder Description:UR’ Billing Solution LLC Opportunity with BMWIT– Apply Today!. URBS provides full revenue cycle management for outsourced medical billing services.. Respond to the outside Collection agency regarding patient disputes of balances owed on accounts.. Exact job experience is considered any of the above tasks in a Medicare-certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.. In the subject line: Full RCM Flexible work from home options available.

Nurix Therapeutics is a clinical stage biopharmaceutical company focused on the discovery, development, and commercialization of targeted protein degradation medicines, the next frontier in innovative drug design aimed at improving treatment options for patients with cancer and inflammatory diseases.. This role will be responsible for developing and executing the global CMC regulatory strategy in collaboration with key internal stakeholders, as well as tactical implementation of that strategy, guiding and executing compliant, high quality, CMC submissions in support of clinical development, registration and life cycle management activities.. This position works cross-functionally with regulatory affairs and technical operations to facilitate the completion of CMC regulatory filing documentation according to company timelines.. Develop a comprehensive CMC regulatory strategy that takes into account worldwide regulatory requirements to drive product development, global registration, and effective regulatory agency interactions to support planned filings.. Experience applying project management techniques and tools (e.g., MS Project, Smartsheet, Excel trackers) to the planning and execution of regulatory submissions.

We are seeking a Manager, Quality Assurance - Bioanalytics to join IQVIA Laboratories in Ithaca, NY.. Organizing and delivering training to other IQVIA departments concerning the activities of Quality services, results of activities, quality initiatives, GXP, etc.. If you’re looking to unleash your potential, join IQVIA Laboratories to help make the extraordinary possible!. 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.

With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide.. We are seeking a qualified medical billing and coding specialist.. The qualified candidate will have 3* or more years of experience in medical billing and coding, be self-motivated, and excellent communicator, positive and detail oriented.. Address and resolve registration-related issues such as insurance verification, demographic updates, and eligibility discrepancies to ensure accurate billing and claims processing.. Proven experience in medical billing and coding, with a strong understanding of ICD-10 coding guidelines and procedures.