Healthcare & Pharma Careers

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).

The Regional Medical Director is responsible for the professional, organizational, and administrative aspects of providing quality medical care to our Treatment Center patients throughout NYC area.. Key Responsibilities: Clinical Duties: Provide high-quality patient care 1-2 days a week (as needs arise) Team Development: Spend 3-4 days a week visiting sites to mentor and develop clinical staff.. Manage Care : Understand and Implement utilization management tactics Requirements: MD or DO degree from an accredited medical school.. Board certification in Family Medicine, Internal Medicine, or a related field.. Valid New York medical license, DEA, Medicare Provider ID, and Medicaid Provider ID. Proven experience in a leadership role within a healthcare setting.

The Regional Patient Safety Risk Manager (RPSRM) provides management, expertise and oversight of a comprehensive quality, health, safety, and risk management program for the medical services contract at assigned regional medical units of the U.S. Customs and Border Protection (CBP), U.S. Border Patrol Station Medical Units, and Office of Field Operations Ports of Entry Medical Units.. Contracted medical staff will be working alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States.. CBPs Office of the Chief Medical Officer (OCMO) employs a trauma informed care model to provide frontline medical care for persons in CBP custody in accordance with Enhanced Medical Support Efforts CBP Directive (2210-004).. Serves as direct supervisor for the Electronic Health Records Specialist, providing administrative oversight, mid-term review, and annual performance evaluation, under the guidance and oversight of the NPSQMD.. Supervisory Controls Works under the administrative direction of the National Patient Safety Risk Manager and in his/her absence the National Deputy Program Director.

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.

Oversee the reimbursement of multi-site skilled nursing facilities.. Minimum Job Qualifications:Experience: 10+ years medical billing management experience within a multi-site facility skilled nursingEarly experience as a Business Office Manager with growth into managing multi-siteKnowledgeable of Medicare, Medicaid and Medicare AdvantageKnowledge of records management, coding, managed care, and A/R policies and processes.. Maintenance of billing systemKnowledge of Matrixcare software preferred Education: Bachelors Degree or equivalent experience.. ESSENTIAL FUNCTIONS and QUALITIES: Ensure that billing and collections procedures are efficient, effective, and timely to maximize reimbursement.. Onboarding and training of new employees and ongoing education of current staff.

Oversee the reimbursement of multi-site skilled nursing facilities.. Minimum Job Qualifications:Experience: 10+ years medical billing management experience within a multi-site facility skilled nursingEarly experience as a Business Office Manager with growth into managing multi-siteKnowledgeable of Medicare, Medicaid and Medicare AdvantageKnowledge of records management, coding, managed care, and A/R policies and processes.. Maintenance of billing systemKnowledge of Matrixcare software preferred Education: Bachelors Degree or equivalent experience.. ESSENTIAL FUNCTIONS and QUALITIES: Ensure that billing and collections procedures are efficient, effective, and timely to maximize reimbursement.. Onboarding and training of new employees and ongoing education of current staff.

The ideal candidate will have strong SQL skills , hands-on experience with cloud platforms such as Azure and AWS , and a deep understanding of Power BI and Tableau.. Perform SQL-based data validation across data warehouses (Azure Synapse, AWS Redshift, ADLS).. Proven experience in writing and executing SQL queries for data validation, working with data warehouses (e.g., Azure Synapse, AWS Redshift, etc.). Knowledge of ETL testing tools and processes, specifically in Azure Data Factory or AWS Glue.. The company's revenue cycle management, clinical workflow enablement, laboratory information system, and patient engagement solutions enable organizations to achieve stronger finances, streamline operations, and develop industry-leading business strategies.

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.

We are located in Boston's vibrant Seaport district near South Station.. Collaborate with clinical operations, biostatistics, translational medicine, and regulatory teams to design robust, scientifically sound clinical trials that address unmet needs in neurological disease.. Develop and implement high quality clinical studies to support the clinical development plans including biomarker and translational studies, natural history studies, and clinical trials.. Actively contribute to the development of presentations, abstracts, manuscripts, and other scientific communications for medical conferences and peer-reviewed journals.. A minimum of 3 years of experience in clinical development within the biotechnology or pharmaceutical industry, preferably with experience in CNS, rare disease, or related therapeutic area

Job Description Join a world-class academic healthcare system, Ingalls Memorial Hospital, as a Patient Financial Services Representative in the PFS Medicare and Commercial department.. Job SummaryThe Patient Financial Services Representative (“PFS Representative”) will be responsible for the account receivables management for Ingalls Memorial Hospital.. This position promotes revenue integrity and accurate reimbursement for the organization by enduring timely and accurate billing and collection of accounts.. The PFS Representative maintains an understanding of federal and state regulations, as well as requirements specific to Medicare, Medicaid, and fiscal intermediaries to promote compliant claims for governmental claims.. All PFS representatives will participate in process improvement and cross-training activities on an ongoing basis.

ImmunityBio is developing cutting-edge technology with the goal to transform the lives of patients with cancer and develop next-generation therapies and vaccines that complement, harness and amplify the immune system to defeat cancers and infectious diseases.. Clinical Research Associate II will participate in clinical research teams to ensure the most effective and efficient conduct of clinical research studies by providing training, protocol interpretation, document collection and review and overall clinical trial support.. Oversee and support collection of essential documents during study start-up. Minimum of 2 years’ experience as a Clinical Research Associate I required. Voluntary Legal Services, Identity Theft Protection, Pet Insurance and Employee Discounts, Rewards and Perks

Job Description Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.. Manages core pharmacy workflow and drives excellence in pharmacy operations.. Supports Pharmacy Manager with diversion monitoring and reports any concerns that would compromise the security of the pharmacy to the Pharmacy Manager.. Manages Community Outreach Portal and coordinates and, at the direction of the Pharmacy Manager, assigns pharmacists to off-site immunization clinics and community events.. Seeks professional development by monitoring one’s own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach.

Job Details: The Managed Care Coordinator supports the behavioral health inpatient programs by implementation or investigation of the procedures in the Utilization Review and Discharge Planning program at Westchester Medical Center.. Three years of experience where the primary function of the position was nursing in a hospital or health care agency, one of which must have been at a leadership level, and one year of which must have been in either a hospital, health care agency or managed care company in the area of utilization review, quality assurance, risk management or discharge planning.. Education and Training: Graduation from an accredited school of nursing with a Baccalaureate Degree preferred.. or Master's Degree. Nursing program may be substituted for one year of the general nursing experience above.

The hospital offers open heart surgery, an Advanced Primary Stroke Center accredited by the Joint Commission and an Accredited Chest Pain Center.. The Medical Center also provides advanced care for critically ill patients, including cardiovascular and trauma injury care, and emergency services, including a main ER and Pediatric ER. Provide comprehensive assessment, planning, monitoring, and evaluation for compliance with accreditation and regulatory agencies including any state licensing standards.. Directing and coordinating regulatory and accreditation functions, ensuring appropriate preparation, and active participation of appropriate staff and managers for agencies such as The Joint Commission (TJC), Florida’s Agency for Healthcare Administration (AHCA), and/or the Centers for Medicare and Medicaid Services (CMS) and to formulate responses to accreditation findings and inquiries.. CPHQ (Certified Professional in Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians)

One of our healthcare clients located in Cherry Hill, NJ is seeking a Medicare Billing Representative to join their team.. Monday-Friday 8:00 AM - 4:30 PM (No Holidays, Evenings, Weekends). - Analyzing/Understanding Explanation of Benefits (EOB) or Remittance Advice (ERA) received from an insurance carrier and take appropriate action according to company guidelines/processes per the client. - NThrive experience or EPIC Experience. - Understanding of Medical Terminology including CPT and ICD-10 Codes

Based in New York City and Waltham, Mass., Dianthus is comprised of an experienced team of biotech and pharma executives who are leading the development of next-generation antibody complement therapeutics, aiming to deliver transformative medicines for people living with severe autoimmune and inflammatory diseases.. 10-15 years of experience in the pharmaceutical or medical device industry as a clinical research professional, including successful project leadership role and hands-on managerial experience running high quality clinical trials from inception to completion.. Experience in direct line management preferred and hands-on experience in monitoring and managing high-functioning clinical trial project teams.. Experience and understanding of the drug development process, clinical development planning and clinical trial execution.. Prior experience using computer applications including spreadsheets, email, word-processing software & web-based systems (EDC, IVR/IWRS, CTMS).

Job Description – VA and Medicaid Credentialing Specialist Reports To RCM Management Summary The VA and Medicaid Credentialing Specialist is responsible for managing the credentialing and enrollment processes for VA and Medicaid agencies.. Experience Requirements 2+ years of experience in agency credentialing, healthcare administration, or a related field.. Flexible work arrangements, including remote work options.. About AxisCare According to Pew Research, roughly 10,000 baby boomers turn 65 every day, and the American Society on Aging calculated that an American has a 70% chance of needing help with activities of daily living such as dressing, bathing, hygiene, etc.. This has led to an unprecedented increase in Home Care agencies in the U.S. and abroad who strive to help those who have difficulty helping themselves, specifically offering non-medical (also referred to as non-skilled) services to seniors in their homes.

QuVa Pharma is excited to support the growth and development of a Quality Assurance – Lot Disposition Intern.. Assists in the reviews of Variances associated with batch records for impact to the product disposition. QuVa is a national, industry-leading provider of pharmacy services, including ready-to-administer sterile outsourcing and advanced AI-generated insights providing clarity for revenue capture and inventory management.. LogicStream, a QuVa company, partners with health systems to aggregate, normalize, and analyze large amounts of complex data through AI and machine learning tools that generate actionable insights supporting revenue optimization, inventory management, and inventory-related workflows.. QuVa's Equal Opportunity Policy prohibits harassment or discrimination due to age, ancestry, color, disability, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, race, religious creed, sex (including pregnancy, childbirth, breastfeeding, and any related medical conditions), sexual orientation, and any other characteristic or classification protected by applicable laws.

The ideal candidate will demonstrate mission, vision and values alignment with UNR Med, Medicaid, and Renown Health.. Preferred experience in this role includes demonstrated aptitude using the Health Information Exchange, navigating and leveraging electronic medical records such as EPIC, working with large data sets, and comfort in structuring queries and creating automated reports.. Experience working in a large health system, navigating governmental and public policy, and working on population health improvement initiatives and/or quality and value assessments is desirable.. Teaching Responsibilities Provide clinical informatics training and education for current medical students, residents and other health professions students at UNR Med, and continuing medical educational for physicians and other health learners.. For more information, please visit: UNR Benefits Faculty Dual Career Assistance Program The University of Nevada, Reno recognizes the importance of addressing dual-career couples’ professional needs.

This process also includes internal system and documentation audits as well as external audits of clinical sites, CROs, bioanalytical laboratories, etc.. Manage regulatory agency and other audits/inspections of Unither Bioengineering and prepare investigator sites for FDA or other regulatory agency inspections. Serve as in-house consultant for understanding project-specific requirements regarding federal and international regulations (e.g., privacy, data protection, ethics) to facilitate GCP compliance throughout the lifecycle of a trial. Travel up to 25% to conduct site and vendor compliance audits and attend meetings. Certified Quality Manager (CQM)-ASQ RQAP-GCP and/or ASQ-CQA