- Evolent Health (Cheyenne, WY)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Oncology , Physician Clinical Reviewer you will be a key member ... Will Be Doing:** + Serve as the specialty match reviewer in Oncology cases, that do not...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Evolent Health (Cheyenne, WY)
- …matter expert in meetings, as assigned with practices and/or payers. + Perform all peer clinical review activities while located in a state or territory of the ... licenses in Required States- **Required** + Active Board Certification in Radiation Oncology - **Required** + Strong clinical , management, communication, and… more
- Prime Therapeutics (Cheyenne, WY)
- …that meet clinical review criteria. Refers all cases not meeting clinical criteria to pharmacist clinical reviewer . + Practices and maintains the ... cardholders, and pharmacies. + Escalates medical exception requests to nurse, pharmacist or physician on the utilization review clinical team when further… more
- Cardinal Health (Cheyenne, WY)
- …group is expanding focused on generating data and insights through real-world clinical research. Research Operations and Clinical Specialty is responsible for ... providing quality, timely, granular and actionable data for selected operational and clinical metrics, as well as tracking and identifying trends for healthcare data… more
- Cardinal Health (Cheyenne, WY)
- …top-line growth initiatives and goals in partnership with practice administrative and clinical leaders, Navista functional support teams and physician boards. ... preferred + Previous working experience in leadership roles for10+ years in physician offices or related organizations. Oncology experience preferred. + Previous… more
- Cardinal Health (Cheyenne, WY)
- …staff. + Periodically assess local and global market reimbursement rates for clinical procedures. Develop and communicate with physician and executive leadership ... experience in a contracting related field within a community physician office environment preferably oncology or a...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Cheyenne, WY)
- …and/or relational databases (SQL Server knowledge) preferred + Knowledge of community oncology physician practice systems and operations a plus + Bachelor's ... community oncology practice partners (working with both administrative and clinical practice team members) to monitor and report key operational, clinical… more
- Cardinal Health (Cheyenne, WY)
- **Position Summary** At Navista, our mission is to empower community oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, ... is an oncology practice alliance co-created with oncologists and practice leaders...all practice due diligence, integration and onboarding needs including clinical , administrative, compliance and technology. This role may directly… more
- Humana (Cheyenne, WY)
- …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Intermountain Health (Cheyenne, WY)
- **Job Description:** The Oncology Financial Coordinator is responsible for obtaining accurate financial approvals for patients at Intermountain Health. The ... Oncology Financial Coordinator is responsible for analyzing and validating...risk to Intermountain Health by performing an accurate financial review along with a comprehensive analysis of patient payer… more
- Cardinal Health (Cheyenne, WY)
- …and theranostics provider facilities. This role will manage and expand on our physician peer-to-peer program for Lymphoseek(R) and develop new HCP programs in key ... plans. **_Qualifications_** + Minimum of 7-10 years of experience in a clinical setting or pharmaceutical sales. Nuclear medicine, diagnostic imaging, or oncology… more
- Intermountain Health (Cheyenne, WY)
- …lines. The Registrar obtains and inputs all necessary demographic, financial, and clinical information from the patient or representative. **This is a 100% remote ... New York, Rhode Island, Vermont, Connecticut and Washington.** + Identifies eligible oncology cases. Abstracts and reports according to the coding, regulatory and… more