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Enterprise Integration Solutions Architect - Central (H)
UM Corp (Enterprise)
Develop or guide custom integrations, web services, and interoperability solutions using Epic-supported technologies.
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Lead RN, Utilization Management
Clover Health
As the Lead RN, Utilization Management, you will coach and develop clinical staff, oversee daily review operations, and monitor quality and vendor performance. You will partner with Medical…
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Pharmacy Technician - Specialty
Rightway
The Specialty Pharmacy Technician / Specialty Pharmacy Guide (CPhT) is a member of the Rightway PBM Clinical Operations team. This role will be key in supporting our Specialty Clinical…
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Intake Coordinator
P32HS Point32Health Services Inc
…around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes,…
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Epic Senior Analyst, Cheers/Hello World
UM Corp (Enterprise)
…access. The incumbent supports junior staff members in day-to-day operations and resolving application…
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Senior Staff Dentist, Utilization Management (Remote) NY
Liberty Dental Plan Careers
In this influential clinical leadership role, you'll leverage your expertise to guide utilization management decisions, support quality improvement initiatives, mentor colleagues, and help…
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Physician/Medical Director (Pain, Neuro or PMR), Prior Authorizations (FT/REMOTE/M-F Days/PST)
Virtix Health LLC
…Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our…
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Manager, Clinical Program Pharmacy (UM leadership exp required)
Quantum Health, Inc.
The Manager, Clinical Program - Pharmacy supports the Vice President, Pharmacy Services by providing leadership, strategic direction, and operational oversight for the Pharmacy program.…
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Market Medical Officer, Texas + West
Oscar Health
The Market Medical Officer is the clinical executive for Texas + West region, partnering with P&L leadership to drive market performance, expand care access, and enhance affordability. This…
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Market Medical Officer, Central
Oscar Health
The Market Medical Officer is the clinical executive for Central region, partnering with P&L leadership to drive market performance, expand care access, and enhance affordability. You will…
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Market Medical Officer, Atlantic
Oscar Health
The Market Medical Officer is the clinical executive for the Atlantic region, partnering with P&L leadership to lead market performance, expand care access, and enhance affordability. You…
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Sr. Denials Prevention Analyst (Remote)
Stanford Health Care
…Partnering closely with revenue cycle and, as appropriate, clinical operations and IT/Epic teams, the role translates insights into actionable prevention plans, monitors and helps implement…
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VP, Commercial Partnerships
RightMove Health
…data infrastructure - trained on tens of thousands of real clinical decisions and grounded in HSS protocols - to guide patients to the right care, at the right time, with the right…
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Clinical Reviewer, Precertification RN
P32HS Point32Health Services Inc
…around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes,…
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