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Clinical Reviewer - Irvine','26573-142198','United States-California-Santa Ana-Santa ... States-California-Santa Ana-Santa Ana (SAN) - RCPS','Full-time','Executive','!*!CLINICAL REVIEW SPECIALIST JOB DESCRIPTION MAJOR ... format and deadlinesPerforms Medi Cal clinical medical file review of hospital..
... /u003eUnder direct supervision of the Clinical Director/Administrator, this entry-level licensed management ... two (2) years of direct clinical serviceu003cbr /u003eu0026bull; Experience providing intensive ... the team; ensures coordination of..
... and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires ... specialty to develop and/or implement clinical strategies to mitigate cost while ... strategies. Responsibilities The Director, Pharmacy..
Provides leadership for staff and accountability for assigned operations. In conjunction with the unit leadership, works to improve the quality of patient care, strengthens the financial performance of the department, and ..
... innovation and strategies which optimize clinical outcomes, member experience and total ... will lead development of our clinical infusion strategy focused on our ... collaborate closely with the current..
The Manager of Physician Services coordinates administrative delivery of physician workforce activities for medical group physicians. Also, the manager communicates directly with Hoag Physician Partner (IPA) practices for onboarding, training, education, ..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Torrance ... California Description The Staff RX Clinical Programs Oncology Pharmacist will be ... for building relationships with oncology clinical..
... pmu0026nbsp;u003c/spanu003eu003c/pu003enu003cpu003eu003cstrongu003eDays:u003cspanu003eu0026nbsp;u003c/spanu003eu003c/strongu003eu003cspanu003eu0026nbsp;Monday - Fridayu003c/spanu003eu003c/pu003enu003cpu003eu003cstrongu003ePOSITION SUMMARYu003c/strongu003eu003cbr /u003eThe Clinical Secretary provides support services to ... provides support services to the Clinical Services Department. A focus of ... Records, types, distributes and maintains..
... Director of Product Management for Clinical Pharmacy Products develops and evaluates ... Director of Product Management for Clinical Pharmacy Products, you will be ... development of strategic, high-performing transformational..
... Our expanding portfolio delivers measurable clinical and economic value and opens ... the Life:** At Medtronic, the Clinical Manager, Surgical Synergy partners with ... by effectively managing the regions..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to ... healthcare challenges of today. The Clinical Analytics and Trend team uses ... techniques, data analysis,..
Job Information Humana Associate VP, Clinical Pharmacy (Remote) in Torrance California ... California Description The Associate VP, Clinical Pharmacy monitors drug development pipeline, ... and medical literature, while providing clinical..
The Case Manager (RN) utilizes clinical expertise, discretion, and independent judgment ... management, determination of post acute clinical care needs (discharge planning) and ... with interdisciplinary team to facilitate clinical..
The Revenue Integrity Manager is responsible for the leadership of the Revenue Integrity department for Hoag Clinic. The Revenue Integrity Manager works in partnership with the revenue cycle department, and coding/auditing ..
... Information This is a full-time Clinical Manager role at our Carson, ... patient care while maintaining cost-effective clinical operations in accordance with all ... and administrative policies as the..
Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..
Job Information Humana Clinical Analytics and Trend Program Manager ... in Torrance California Description The Clinical Strategy and Practice Lead builds ... strategies for development, engagement, best clinical practices and..
Manager, Clinical Quality Review','21003CI',' At Blue Shield ... our delegated partners. The Manager, Clinical Quality will report to the ... will report to the Director, Clinical Quality. In this role..
PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care ..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... Torrance California Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..