As the Manager of Clinical Research Pharmacy Services at Randstad US, you will support the execution of the strategic direction of CRPS to ensure safe, high quality, and compliant Clinical Trial execution. This role involves ensuring quality within studies, advising on IP Management practices, identifying and mitigating risks, and acting as the primary point of contact for study-related IP Management questions. The position requires a Bachelor's degree in Pharmacy or a related field, with 3-5 years of experience, and offers a competitive hourly rate.

mgr clinical research pharmacy services

Manager, Clinical Research Pharmacy Services

The Clinical Case Manager Behavioral Health at CVS Health is responsible for utilizing advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services. This role aims to promote effective utilization of available resources and optimal, cost-effective outcomes. The position is fully remote in the USA, with standard business hours Monday to Friday, no weekends or holidays.

Clinical Case Manager Behavioral Health DSNP-Spanish Speaking

Clinical Case Manager Behavioral Health

As an experienced M.D. or D.O. in adult acute care settings, the Medical Director for Inpatient Utilization Management at Wellmark will perform inpatient case reviews based on evidence-based decision making. This role involves concisely documenting medical necessity determinations, making recommendations for efficiencies and innovations, and partnering across the organization. The position is open to remote candidates but prefers those based in Iowa or South Dakota, with a rotating on-call schedule for weekends and holidays.

Medical Director - Inpatient Utilization Management

As a Manager on the Implementation team at HSA Bank, you will provide world-class customer service to Business Partners, Employers, Agents, Brokers, Insurance Carriers, TPAs, and employer relationships and channel partners. Using a consultative approach, you will onboard employers, develop optimal plan designs, create and maintain formal implementation plans, and ensure quality execution and employer satisfaction. This role involves mentoring new colleagues and requires a strong command of healthcare savings products and complex integration components.

Manager, Implementation

The Medical Director of Utilization Management at Dignity Health MSO is responsible for providing clinical expertise and business direction in support of medical management programs that promote the delivery of high quality, consistent, and responsive medical care. This role involves ensuring services are medically necessary, efficient, and in accordance with regulatory requirements, as well as leading oversight of medical physician reviewers and network medical directors supporting UM reviews.

Medical Director Utilization Management

The Manager of Implementation Management at UKG Payroll Services (UKGPS) will lead the UKG Ready Implementation Organization's Onboarding Team, focusing on configuring UKGPS functionality to enable the delivery of services. This role involves overseeing tasks and responsibilities critical to customer success and business operations, requiring strong leadership and team-building skills. The position emphasizes the importance of timely and accurate completion of tasks to ensure high-quality service delivery.

Mgr. Implementation Management

Manager, Implementation Management

The Manager Healthcare Contracting at Dignity Health MSO is responsible for overseeing the negotiation of physician and ancillary provider agreements, implementing all contracts including health plan agreements, and supporting the administration in evaluating contract terms. This role involves supervising the direct contracting team and ensuring timely information provision to all stakeholders.

Manager Healthcare Contracting

The Care Manager/Coordinator (RN/SW) at AmeriHealth Caritas is responsible for engaging members, their caregivers, and providers to assess, plan, and establish individual member goals for achieving optimal health through self-management. This role involves facilitating and coordinating care, ensuring quality and cost-effective resource use, and acting as a single point of contact and advocate for members in the care coordination program. The position also includes overseeing care management activities within assigned practices to ensure high-quality services in line with Plan, NCQA, Federal/State standards.

Care Manager II - Remote Philadelphia area only

Care Manager II

The Clinical Project Manager at Molina Healthcare plays a crucial role in managing various multi-functional projects, including the implementation of new programmatic changes, initiatives, or vended solutions. This position is responsible for developing and tracking project metrics, ensuring the impact on customers, operations, program integrity, pricing, quality, and satisfaction. The role involves close collaboration with business process owners, clinical teams, and IT to ensure the successful implementation and monitoring of programmatic changes.

Clinical Project Manager

As an experienced M.D. or D.O. in a managed care or healthcare administration setting, you will partner closely with the internal Case Management and Health Services Quality teams to coordinate care through evidence-based decision making. You will also lead the Quality Improvement Committee and chair the Credentialing Committee, perform outpatient case reviews, and support NCQA accreditation and quality case reviews. This role requires decisiveness, strong analytical and critical thinking skills, and the ability to influence internally and externally.

Medical Director Case Management & Quality

The Nurse Case Manager I at Elevance Health is responsible for performing care management within the scope of licensure for members with complex and chronic care needs. This includes assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The role is virtual and requires a minimum of 3 years of clinical experience, a BA/BS in a health-related field, and current, unrestricted RN license in applicable states.

Nurse Case Mgr I

Nurse Case Manager I

The Manager, Provider Relations at Molina Healthcare is responsible for network development, network adequacy, provider training and education, in alignment with the company's mission, core values, and strategic plan. This role serves as the primary point of contact between Molina Healthcare and contracted provider network, managing and coordinating Provider Services activities for the state health plan. The position involves a mix of strategic planning, contracting, education, outreach, and issue resolution to ensure a sufficient network of providers and compliance with regulations.

Manager, Provider Relations

The Manager, Clinical Data and Reporting Standards (CDARS) at AbbVie is responsible for participating in the development of data and reporting standards to support the company's clinical trials, ensuring conformance to CDISC standards and industry best practices. This role involves implementing standards and frameworks, engaging in next-generation process and technology deployment, and mentoring junior team members.

Manager, Clinical Data and Reporting Standards (Remote)

Manager, Clinical Data and Reporting Standards

The Project Manager I - Clinical Education at The Mount Sinai Health System is responsible for developing online educational tools and technical assistance to support clinicians nationwide in providing palliative care. This role involves coordinating faculty communication, managing clinical education projects, and ensuring the quality and responsiveness of educational materials to member needs. The position requires collaboration with various teams and external experts to translate best practices into practical resources for clinicians.

Project Manager I-Clinical Education-CAPC-12791-019

Project Manager I - Clinical Education

The Clinical Case Manager BH at CVS Health is a full-time telework role based in Maricopa County, Arizona, requiring up to 50% travel within an assigned region. This role involves utilizing clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program. The position focuses on applying critical thinking, knowledge in clinically appropriate treatment, and evidence-based care to provide care coordination, support, and education for members through the use of care management tools and resources.

Clinical Case Manager BH

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