Designing and implementing total care model to source medical and PD data. Leading and coordinating utilization and pricing analysis that ensures appropriate claims on contracts. Position Requirements Include:
Must be able to communicate effectively in the English language. Experience in a medical records or health care setting would be beneficial. Required to take and pass a 90-day ROI Certification course with a score of 85% or higher. Medical Terminology class is strongly encouraged.
A healthcare company is filling a position for a Remote Clinical Operations Medicaid Director. Candidates will be responsible for the following: Managing staff including hiring and terminating, coaching, and rewarding performance. Maintaining fiscal responsibility for departmental operations.
A medical devices company is filling a position for a Telecommute Lead Clinical Research Associate. Core Responsibilities Include: Participating in multiple internal cross functional teams. Participating in project team meetings. Electing qualified and experienced research sites.
A healthcare company has a current position open for a Telecommute Senior Medical Network Drug Pricing Director. Core Responsibilities Include: Reviewing and evaluating current contracts for unit cost and overall value.
A healthcare company has a current position open for a Remote Senior Medical Economics and Informatics Specialist. Must be able to: Provide analysis on proposed rates and utilization targets. Partner with vendors to work through reconciliations or other analysis projects.
A healthcare company is searching for a person to fill their position for a Virtual Clinical Coverage Review Medical Director. Must be able to: Conduct coverage review based on individual member plan documents. Use clinical knowledge in the application and interpretation of UHC medical policy.
Looking up medical record numbers and pulling medical records. Qualifications for this position include: Attends mandatory employee in-service meetings and/or training sessions. A High School Diploma or GED is required. Medical Terminology class is strongly encouraged.
High School Diploma or GED. Ability to communicate effectively in the English language. Experience in a medical records or health care setting would be beneficial. Must take and pass a 90-day ROI Certification course with a score of 85% or higher.