Healthcare & Pharma Careers

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.

Telehealth Pediatrician - Scotia, CA. Overview: Nexus HR is looking for a Telehealth Pediatrician to provide clinical oversight and support to telemedicine providers managing well-child visits.. The Telehealth Pediatrician provides remote oversight and guidance to healthcare providers seeing well-child patients.. Current California Drug Enforcement Agency (DEA) certificate in good standing.. Expertise in well-child care, pediatric best practices, and telemedicine regulations.

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.

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.

Experience (years/area) : 5-7 years of experience in a related pharmacovigilance role within the pharmaceutical industry. Experience with EDC clinical trial systems (e.g. Medidata Rave, ClinTrak, Veeva Vault). Experience working with safety databases such as ArisG or Argus preferred. Sound knowledge of the Drug Development process, signal detection, and regulatory affairs. Must possess strong working knowledge of MedDRA and WHO Drug

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.

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.

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.

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.

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.

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

Through its enterprise platform, insurance carriers, brokers, and employers can supercharge their benefits offerings by giving their members access to a network of fitness studios, gyms, and digital fitness services that caters to all ages and fitness levels.. It’s time to #GetYourFitOn. Position Summary The New York Licensed Registered Dietitian is responsible for providing nutritional counseling and education to individuals and groups, developing and implementing nutrition programs, and promoting healthy eating habits to prevent and manage disease.. Accurately document client assessments, nutrition plans, and progress notes in the Electronic Health Record (EHR) system to ensure seamless care coordination and compliance.. Qualifications Active certification by the Commission on Dietetic Registration (CDR).. MUST have active Medicare participation be enrolled with Highmark, Medicare Advantage and/or Excellus Medicare Advantage Professional Liability Insurance coverage Current enrollment with other (2) major insurance payors or medicare advantage plans a plus Experience with various EHR systems Experience in virtual health or telehealth nutrition counseling is preferred but not required.

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).

Job duties primarily include billing and following up with all medical insurance payors for claims.. Experience working on NextGen is a plus, and working within Excel is required.. Qualified candidates should have previous experience in medical claim billing, insurance follow-up, and have knowledge of AHCCCS guidelines.. In addition, qualified candidates must have a stable work history and have the ability to pass a drug screen and background check.. TTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields.

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 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.

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.

Implement data governance processes to manage metadata, data lineage, and data access controls.. Expertise in implementing data governance frameworks, including metadata management, data lineage, and data stewardship.. Hands-on experience with data integration tools (e.g., Informatica, Talend, Apache NiFi) and cloud data services.. Familiarity with technologies like Snowflake, Redshift, Databricks, or Google BigQuery.. Experience with data visualization tools (e.g., Tableau, Power BI) and analytical frameworks (e.g., Spark, Hadoop).