Healthcare & Pharma Careers

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.

You will supervise nursing care provided by registered nurses, licensed vocational/practical nurses and STNA/CNAs.. Participate in the budget process of the facility and maintains the nursing supply, equipment and nurse staffing budgets.. Director of Nursing, management or supervisor experience in long-term care, restorative or geriatric nursing.. Laurel Health Care Company is a national provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care.. We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.

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.

Assist BMS attorneys and the Attorney General’s office in compiling evidence for litigation preparation.. Draft Document Desk Review decisions on behalf of the Commissioner to affirm or reverse denials.. Oversee claims payments, prior authorization processes, reconsideration requests, and denials.. Process Freedom of Information Act (FOIA) requests, gather responsive documents from BMS staff, prepare materials for legal review, and compile final correspondence.. Access and navigate multiple systems—including KEPRO C3, KEPRO C3 Nursing Homes, QNXT, ISIGHT, AD HOC Reports Manager, Health PAS, Health PAS-Rx, and Review Manager (INTERQUAL Criteria)—to analyze and audit claims, prior authorization requests, member hearing requests, and provider denials.

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

Comprising a network of 11 skilled nursing and post-acute care centers across California and Washington, we take pride in bringing smiles to our residents and offering their families peace of mind.. Notifies the Director of Nursing/Residence Care Manager/patient changes in condition.. Receives and transcribes physician’s orders to resident’s/patient’s charts, Kardex/Care Plan A, Medication Administration Record (“MAR”), treatment/care plans, as required.. Counts all controlled drugs with other nurse at shift change and notifies the Director of Nursing / Resident Care Manager of all drug and narcotic discrepancies noted on your shift.. Must have training in rehabilitative and restorative nursing practices.

The opportunityResponsible for the design and implementation of PMX strategy on the program level; the construction, validation, and implementation of disease, placebo, exposure-response, and mechanistic PKPD models to evaluate risk/benefit and facilitate drug development decisions, in close collaboration with TS colleagues and other R&D partners.. Essential Duties & Responsibilities: Lead design and implementation of the PMX strategy and other advanced Model Informed Drug Discovery and Development approaches (within and/or across programs) to enable quantitative decision making thorough the drug development cycles Manage and perform pharmacometric analyses done internally and/or by external vendors using a variety of tools and approaches.. Ensure constructive collaboration within drug development teams and with other internal partners (e.g. DMPK, Regulatory Affairs, Clinical Development, and Biostatistics).. Act as technical subject matter expert in key clinical pharmacology / DMPK / pharmacometric related area.. Retirement Savings: 401(k) with employer match, up to 6% and an annual 3.75% Defined Contribution to the 401k plan.

The incumbent is accountable for employee safety and will attend safety and loss-control training, engage in injury prevention, perform accident and injury investigations including conducting root cause analysis, and assist in returning employees to regular duty.. Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.. Demonstrates Emotional Intelligence: Exhibits a high level of self-awareness, self-management, other awareness and relationship management.. Conducts themselves in an empathic, appropriate way, with a sense of humor and stimulates a collaborative work environment.. BLS required Education:*Master's Degree or ability to obtain a masters degree within thirty months of placement; *Psychiatric Nursing Certification preferred *A minimum of five years of progressively responsible leadership position(s) required, with at least two years in the Nursing leadership space.

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.

Atlantic Region CBO (uhs.com) The Atlantic Region CBO is seeking a dynamic and talented Medicaid Billing Specialist.. The Medicaid Billing Specialist is responsible for the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures.. Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records.. Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans (K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Career development opportunities within UHS and its + Subsidiaries!. Strong Microsoft Office skills (Excel, Word, Outlook) Customer focused both internally and externally Strong attention to detail The ability to multi-task, strong 10 key data entry, and excellent written and oral communication skills are required.

Provide training regarding service documentation to direct care staff.. QUALIFICATIONS: Education, Experience, and CompetenciesEducation: Master’s degree in counseling, psychology, social work or related field.. Experience and Competencies: Position requires knowledge and experience with electronic health records.. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects tools, or controls; reach with hands and arms, climb stairs or steep and/or rough terrain; balance; stoop, kneel, or crouch; talk or hear; taste or smell.. Masters Degree in Human Services i.e. Counseling, Psychology, Social Work or related field.

Job Overview: We are seeking an experienced Director of Nursing (DON) to lead our nursing department and ensure the highest standards of patient care.. This leadership role is responsible for overseeing nursing operations, staff management, regulatory compliance, and quality improvement initiatives.. Requirements: Active Registered Nurse (RN) license in the state of employment.. Bachelors degree in Nursing (BSN) required; Masters degree in Nursing (MSN) or Healthcare Administration (MHA) preferred.. Experience with electronic health records (EHR) and hospital management systems.

Prepare Medicare and/or Medicaid cost reports utilizing specialized software to assist clients in obtaining appropriate reimbursement under federal and state regulations by required deadlines.. Effectively communicate with clients and Medicare and/or Medicaid contractors via telephone and email.. You have 2+ years of experience preparing Medicare and Medicaid cost reports.. You are proficient with Microsoft Office and have knowledge of pivot tables and Excel formulas.. Final compensation decisions are dependent upon factors such as geography, experience, education, skills, and internal equity.

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.

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.

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.

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.

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.

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.

You must have District of Columbia Medicaid Billing Experience. If no DC Medicaid Billing Experience we will not interview you. We are seeking an experienced Home Health Biller, who is extremely proficient in billing District of Columbia Medicaid and can also actively participate in the day-to-day billing operations.. The ideal candidate will have strong expertise in home health care billing, a solid understanding of healthcare regulations, and proven billing skills to support the team while ensuring accuracy and timely billing.. Proficiency in billing District of Columbia Medicaid/Medicare software and electronic medical records (EMR) systems.