Healthcare & Pharma Careers

Reporting to the Executive Director of Scientific Affairs, this individual will be responsible for internal and external scientific and clinical research initiatives under the Medical Affairs umbrella.. Collaborates across all appropriate functional groups to support ongoing clinical trials, medical and scientific affairs research initiatives, and other scientific affairs activities for the adult hepatology program.. Leverages analytical skills in discovering data insights from clinical research data, including literary research of relevant clinical data.. Experience with scientific and medical writing for regulatory documents, scientific publications, congresses, research forums and other core scientific communications deliverables.. Rare disease, liver or gastroenterology disease experience is a plus.

The Billing Specialist is responsible for managing accounts receivable, billing, and collection of payments for Medicaid, Medicare, and commercial payers.. Preparing, reviewing, and transmitting Medicaid, Medicare, and commercial insurance claims by electronic and/or paper claim processing.. Preparing and submitting claims for Substance Use services.. Experience with medical billing software application systems and electronic health records software.. QUALIFICATIONS Associate’s degree in business, accounting, medical billing, or related field; or High school diploma plus 5 years of experience as a Medical Biller, with direct medical billing experience with Medicaid, Medicare, and commercial insurance.

MedStar Health is seeking a dedicated and collaborative Clinical Specialist to join our Quality and Nursing Practice team at MedStar Washington Hospital Center.. The Critical Care Clinical Specialist serves as a clinical expert and healthcare provider, educator, collaborator, consultant, leader, and researcher for a specific patient population or specialty area while providing consultation to address complex patient care issues, offering guidance on the prevention and management of patient care practices.. · Provides expertise and support for health care surveys and regulatory and compliance reviews from local, regional, and national entities Including, but not limited to, the D.C. Department of Health, The Joint Commission, and the Center for Medicare and Medicaid Services (CMS).. · Leads and manages a wide array of high visibility, multidisciplinary projects aimed at improving hospital performance in areas including, but not limited to, infection prevention, safety, compliance, regulatory and nursing practice.. If you are ready to make a significant impact on patient care and work in a cutting-edge environment, we invite you to apply for the Clinical Specialist Critical Care position at MedStar Washington Hospital Center.

As a Clinic Research Assistant you will perform day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.. Operations Responsiblies Responsible for assisting pharmacist in the delivery of patient care including patient registration, prescription data entry, preparation of medications for patients, counting, and verifying (where allowed by law).. At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company and various government agencies.. Manages core pharmacy workflow and drives excellence in pharmacy operations.. Manages Community Outreach Portal and coordinates and, at the direction of the Pharmacy Manager, assigns pharmacists to off-site immunization clinics and community events.

The Senior Director, Quality has the responsibility for the strategic design, implementation, and management of the quality and regulatory systems for Smithfield BioScience including the following areas:Maintain strict compliance to pharmaceutical and medical devices standards to ensure regulatory, FDA, customer, and internal cGMP requirements by leading the Quality Control, Quality Assurance and Regulatory Affairs teams.. The Senior Director, Quality works with Senior Leadership in the identification of strategic goals and plans, advises company management in FDA regulatory policy and program matters, and recommends appropriate courses of action, along with overseeing relationships with Customers to ensure accurate technical information, specifications and resolve customer complaints.. Prepares and maintains the company Drug Master Files (DMF) filings with the FDA.Participates as part of new project design team and reviews new products, product design and product packaging, and makes recommendations for product, pharmaceutical product safety and environmental compliance.. Bachelors Degree in Analytical Chemistry or related field from a regionally accredited college or university and 12+ years’ experience in the pharmaceutical industry; or equivalent combination of education and experience, required.. Skilled at quality principles, pharmaceutical manufacture, Quality Management Systems (QMS), Statistical Process Control (SPC) and experimental statistics.

This position works in close collaboration with the counterpart BI Manager (IT) supporting many of the same or similar projects and deliverables.. Supports Harris Health System's quality, outcomes and financial initiatives.. Master's degree in aligned disciplines preferred (MBA, MS, MHA, MPA)2.. Systems:Allscripts Enterprise Analyst and Decision Support Suite, PeopleSoft, Trendstar (McKesson), EMR/Epic, Clarity, SAP Business Objects (Business Intelligence), Oracle SQLSpecial Requirements: (Check Applicable Areas)1.. Advanced Education:Bachelor's DegreeMajor:Bachelor's Degree in Accounting, Finance, IT or Healthcare AdministrationMaster's DegreeMajor:Master's degree in aligned disciplines preferred (MBA, MS, MHA, MPA) 4.

Reports To: Billing Manager / Revenue Cycle Manager. We are seeking a detail-oriented and experienced Medical Biller to join our client's team.. The Medical Biller will be responsible for processing and submitting insurance claims, following up on outstanding balances, and ensuring accurate reimbursement for medical services.. Minimum 2 years of experience in medical billing, insurance claims processing, or a related role.. Proficiency in medical billing software (e.g., Epic, NexGen, Medisoft, or similar).

Interim HealthCare is a local leader in Health Care and we are seeking a dynamic, experienced Registered Nurse (RN) to work as the Director of Nursing (DON) in the specialty area of Home Health (Home Care).. We have been an active business partner in the Pueblo community for over 40 years and we are looking for a Registered Nurse (RN) that is a proven leader to work as the Director of Nursing (DON) for our thriving home care agency.. Founded in 1966, Interim HealthCare is the nation’s first home care company and a leading employer of Director of Nursing (DON) - Registered Nurse (RN) professionals.. Join a nationwide network of Director of Nursing (DON) - Registered Nurse (RN) professionals who are making a genuine difference in the lives of others through the meaningful work they do.. By applying, you consent to your information being transmitted by HourlyJobsNearMe to the Employer, as data controller, through the Employer’s data processor SonicJobs.

The UNC Lineberger Comprehensive Cancer Center (LCCC) oversees and coordinates oncology clinical trial research for the UNC School of Medicine and UNC Cancer Care. The UNC Lineberger Sponsored Clinical Research team is primarily responsible for the clinical development, regulatory strategic management and FDA interactions for these LCCC sponsored trials.. This position will collaborate in writing, editing, producing and reviewing clinical and/or translational oncology clinical trials protocols.. Required Qualifications, Competencies, and Experience Advanced clinical health science degree MSN, NP, MD) or PhD. Possess excellent written and oral communication skills, interpersonal skills, and be comfortable interacting with individuals at all levels internal and external to UNC Lineberger.. Have a strong record of experience in medical writing or protocol writing and working knowledge of the following: federal and local regulations of clinical trials; drug development; and bio statistics.. Preferred Qualifications, Competencies, and Experience Experience and expertise in oncology research is highly desirable.

We apply our expertise to trials at all stages-from early development through approval-with embedded experience in oncology and rare disease.. Spending time to identify leads, qualifying targeted sponsors in the fields of oncology, rare disease, neurology and central nervous system, conducting introductory and follow up meetings with prospective clients, securing RFPs and working with the Business Operations/Proposal Team and other staff as applicable to create proposals for new business. Strategically coordinating members of the Leadership Team to leverage their respective areas of expertise to successfully bring in new business for the company and finding innovative ways to work across business units to effectively sell PMG services.. Ability to drive and availability for domestic and international travel including overnight stays. Experience in oncology, rare disease, neurology, central nervous system

Boyd Memorial Hospital is seeking a Pharmacy Technician to support pharmacy operations and ensure compliance with all facility policies, procedures, and regulatory standards.. Order Entry & Patient Records: Accurately perform electronic health record (EHR) order entry and maintain patient medication records.. Automated Dispensing & Equipment Management: Restock and manage automated dispensing machines (e.g., Pyxis) and barcode scanners.. 340B Program Maintenance: Perform tasks related to 340B split-billing/mixed-use program management and compliance.. Strong understanding of EHR systems, medication reconciliation, and automated dispensing technology.

Candidate Profile: JD from a top-tier law school with a strong academic record.. 10+ years of experience advising clients or engaging in policymaking related to healthcare billing and reimbursement, including Medicare, Medicaid, and VA/Tricare.. Deep knowledge of federal fraud and abuse laws, including the Anti-Kickback Statute, Stark Law, and False Claims Act. Experience guiding healthcare entities such as hospitals, physician groups, academic medical centers (AMCs), skilled nursing facilities (SNFs), and home health agencies on regulatory compliance.. Key Responsibilities: Counsel clients on Medicare, Medicaid, and VA/Tricare reimbursement requirements.. Advise on fraud and abuse compliance, including structuring transactions to align with Stark, Anti-Kickback, and False Claims Act regulations.

Position SummaryThe Patient Safety Specialist is responsible for investigating, reviewing and analyzing risk management events, assisting with proactive risk assessment and other patient safety initiatives and education.. The Patient Safety Specialist assists the Director of Risk Management with operational functions of the risk management program.. Support Patient Experience department with Complaint and Grievance responses specific to harm (and potential for liability).. Flexibility with schedule Required Licensure/Certification SkillsCertified Professional in Healthcare Risk Management (CPHRM), Associate in Risk Management (ARM), or Certified Professional Patient Safety (CPPS).. Supervision ReceivedPosition reports to the MFA Director of Clinical Risk Management.

The Patient Account Biller is responsible for the timely and accurate billing of patient accounts.. Education:High school diploma or GED required, Associate's degree in healthcare administration, business, or a related field preferred.. Experience in appeals, denials, underpayments, UB92 and 1500 forms.. Skills and Abilities:Strong understanding of medical billing codes (CPT, ICD-10) and insurance reimbursement processes.. Other Requirements:Knowledge of federal and state healthcare billing regulations, including HIPAA.Understanding of Chronic Care Management (CCM) and Provider Psychiatric billing.

Under the general direction of the Executive Director, Medicare Programs, the Medicare Product Manager is responsible for working within the product strategy, stars, sales, & marketing areas to identify and implement projects, programs, and initiatives that support the achievement of health plan goals as it relates to the Alliance's Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) product.. In addition, the position will collaborate with the Sr. Director, Medicare Sales and Marketing and the Manager, Medicare Sales and Retention to identify and develop other opportunities to increase brand awareness, lead generation, and member retention.. Working closely with senior and departmental leadership, the Manager will ensure effective performance and compliance with State and Federal regulatory requirements for all Medicare Advantage D-SNP benefit management, bid filling, and product launch.. Supporting Medicare Advantage bid development to determine product and benefit changes in response to CMS requirements and market positioning.. Managing the Medicare Advantage D-SNP bid design process with key stakeholders, consultants, vendors, and Alliance leadership to meet deliverables and CMS deadlines.

Upon hire attend a mandatory company-paid 15-hour online certification training with the NY State Department of Health; complete course requirements and pass all certification tests to become a registered and certified CAC (Consumer Assistance Counselor) with the NY State of Health Marketplace.. Attend training provided by Nassau-Suffolk Hospital Council to remain knowledgeable and current with all state and local rules and requirements of the following programs: Medicaid, Medicaid Buy-In for Working People with Disabilities (MBI-WPD), Medicaid Spend-down, Medicare Savings (MSP), and Medicaid for Institutional Care in a Nursing Home. Additional trainings regarding the Medicare Telephone Assistant program will also be provided, including an overview of the Medicare program.. Provide application assistance to special populations for enrollment into government sponsored health insurance programs throughout Nassau and Suffolk counties for the following programs: Medicaid, Medicaid Buy-In for Working People with Disabilities (MBI-WPD), Medicaid Spend-down, Medicare Savings (MSP), and Medicaid for Institutional Care in a Nursing Home.. HANYS is the only statewide hospital and continuing care association in New York. We are located near Albany and represent 500 not-for-profit and public hospitals, nursing homes, and other healthcare organizations.. HANYS advocates before Congress, the Governor's office, the State Legislature, and state and federal agencies.

Job Overview: The Clinical Patient Safety Manager plays a vital role in fostering a culture of safety within a healthcare facility.. Reporting to the Director of Risk Management, this position involves creating and maintaining systems to improve patient safety.. Key Responsibilities: - Monitor and evaluate patient safety data to identify trends and opportunities for improvement.. - Investigate patient safety incidents and recommend corrective actions.. - Active California Fire and Life Safety Card (within 30 days of hire).

Presbyterian employees have access to a fun, engaging, and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges, and more.. We are a locally owned, not-for-profit healthcare system comprised of nine 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.. Near the Texas border in Clovis, this not-for-profit regional medical center has 106 licensed beds and proudly serves the eastern New Mexico and west Texas communities.. With a population of more than 45,000, Clovis is a family-friendly city that neighbors the Cannon Air Force Base and is known for having one of the busiest community calendars in the state.

Social Worker, MSW, Population Health. As a key member of the Population Health Team, the Social Worker, MSW, will contribute to results as defined by the principles of value-based care.. The position will collaborate with, and serve as an expert consultant to the Population Health RNs, providers, and practice staff to engage in management approaches, which optimize desired health outcomes.. Responsibilities will include acting as an advocate for the patient (beneficiary, member), family and/or significant others, acting as a liaison between providers, patients, care team members, skilled nursing facilities, home health, hospital staff and community partners/resources.. With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.

With its proprietary FORCE™ platform, Dyne is developing modern oligonucleotide therapeutics that are designed to overcome limitations in delivery to muscle tissue.. Dyne has a broad pipeline for serious muscle diseases, including clinical programs for myotonic dystrophy type 1 (DM1) and Duchenne muscular dystrophy (DMD), and a preclinical program for facioscapulohumeral muscular dystrophy (FSHD).. Role Summary:The Executive Director, Clinical Development serves as a key member of the Company’s Clinical Development and Program Team and will have primary responsibility for the design and oversight of an integrated development strategy, including both in-house development and potential strategic partnerships to augment the internally developed pipeline.. The Executive Director, Clinical Development will be responsible and accountable for the development of the medical aspects of the FSHD clinical program.. This role will be responsible for delivering quality and timely medical input and interpretation on specific program data in fulfilment of the program objectives, working in partnership with regulatory affairs and pharmacovigilance in providing medical support for pharmacovigilance activities, responses to regulatory agency queries, and development.