• Community Health Systems (Franklin, TN)
    Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services ... collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital… more
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  • Community Health Systems (Franklin, TN)
    …to secure timely authorizations and reduce potential denials, utilizing input from the Utilization Review Clinical Specialist . Monitors and updates ... Job Summary The Utilization Review Coordinator ensures efficient and...activities. This role collaborates with payers, hospital staff, and clinical specialists to secure timely authorizations for hospital admissions… more
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  • UnitedHealth Group (Dallas, TX)
    …Cardiology, Endocrinology, radiation oncology (other specialties will be considered) Experience in utilization and clinical coverage review Reside in ... Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical more
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  • Houston Methodist (Sugar Land, TX)
    …the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial ... nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role Experience… more
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  • Novo Nordisk Inc. (Lubbock, TX)
    …Sales Representative also assists their target physicians with their local clinical and educational initiatives by coordinating company resources (eg, counterparts, ... timely and accurate transmission of call data Understand the scientific and clinical underpinnings of brand strategies and the implications and importance of… more
    HireLifeScience (12/10/25)
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  • Novo Nordisk Inc. (Irvine, CA)
    …Sales Representative also assists their target physicians with their local clinical and educational initiatives by coordinating company resources (eg, counterparts, ... timely and accurate transmission of call data Understand the scientific and clinical underpinnings of brand strategies and the implications and importance of… more
    HireLifeScience (11/14/25)
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  • Community Health Systems (Fort Wayne, IN)
    …physician education experience required Experience in ICU/Critical Care, case management, utilization review , quality, or inpatient coding preferred Knowledge, ... Job Summary The Clinical Documentation Improvement (CDI) Specialist Lead provides advanced support for CDI activities within the facility, ensuring the accuracy,… more
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  • Oracle (Hartford, CT)
    …inpatient stays. Knowledge of third-party payor rules and regulations. 2-3 years of Utilization Review experience in a healthcare setting preferred; 1-2 years of ... accredited college and AHIMA Certified RHIT credentials preferred Certification in Utilization Review , case management, and healthcare quality preferred… more
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  • J&J Family of Companies (Atlanta, GA)
    …Job Description: We are searching for the best talent for an Oncology Sales Specialist to be in Atlanta, GA. About Oncology Our expertise in Innovative Medicine is ... of the way. Learn more at https://www.jnj.com/innovative-medicine The Oncology Specialist (OS) in the CAR-T franchise is a Field...this role, the OS is responsible for driving appropriate utilization of J&J's CAR-T therapy within the account and… more
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  • UnitedHealth Group (Chicago, IL)
    …performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and participates in the Quality ... spinal chord stimulators, pain pumps, nerve ablations, facet injections, etc.) Document clinical review findings, actions and outcomes in accordance with… more
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  • Cardinal Health (Atlanta, GA)
    Job Description Senior Consultant, Product Sales Specialist - NPHS The territory will cover 7 pharmacies along the eastern seaboard, with cities that include ... should ideally sit in Philadelphia or Charlotte. The Product Sales Specialist is responsible for developing opportunities, selling, growing and maintaining product… more
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  • Pfizer (Sacramento, CA)
    …patients. What You Will Achieve The Rare Cardiac, Amyloidosis Multi-disciplinary Specialist (AMS), will target health care providers (HCPs), spanning primary care ... will report into the Area Business Manager (ABM). Amyloidosis Multi-disciplinary Specialist (AMS) will demonstrate strong business acumen, and an expert… more
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  • Penn Medicine (Cherry Hill, NJ)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... each day. Are you living your life's work? Job Title: Preregistration Specialist Department: Financial Clearance Location: Penn Medicine Cherry Hill- 1865 Route 70… more
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  • Houston Methodist (Houston, TX)
    …Outcomes Specialist position is responsible for assessing and facilitating clinical systems and/or processes to ensure that care delivered is safe, effective, ... goals. Other responsibilities include supporting and promoting the organization-wide clinical performance improvement/patient safety program and culture; and serving… more
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  • J&J Family of Companies (Lexington, KY)
    …Sales Specialist will: Drive demand generation of Spravato through clinical selling and product differentiation with approved clinical studies and ... Job Description: We are searching for the best talent for Neuroscience Sales Specialist to be in Lexington-Fayette South, KY. About Neuroscience Our expertise in… more
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  • J&J Family of Companies (Frederick, MD)
    …Sales Specialist will: Drive demand generation of Spravato through clinical selling and product differentiation with approved clinical studies and ... Job Description: We are searching for the best talent for Neuroscience Sales Specialist to be in Frederick, MD. About Neuroscience Our expertise in Innovative… more
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  • Highland Hospital (Rochester, NY)
    …benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical requests Salary Range: ... 16795BR Title: Health Insurance & Authorization Specialist I Department/Cost Center: 846 - Business Office/Cashiers Job Description: The Health Insurance and… more
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  • KBR (Colorado Springs, CO)
    Title Special Operations Strength and Conditioning Specialist (Colorado Springs, CO) Belong. Connect. Grow. with KBR! KBR is a company of innovators, thinkers, ... and services. We are seeking a stellar Strength and Conditioning Specialist that will establish and administer effective strength and conditioning protocols… more
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  • Community Health Systems (Birmingham, AL)
    …on scheduling performance, including appointment volume, cancellations, and resource utilization metrics. Collaborates with physicians, clinical staff, and ... while ensuring compliance with scheduling policies and optimizing resource utilization . The Central Scheduler Lead collaborates with internal departments,… more
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  • ThermoFisher Scientific (Suwanee, GA)
    …step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel ... frameworks for clinical research through our PPD clinical research...FSO, FSP, Government, etc.). Acts as a site processes specialist , ensuring that the trial is conducted in accordance… more
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