• Clinical Data Audit

    Centene Corporation (Sacramento, CA)
    …and have a CA State clinical license.** **Position Purpose:** The Clinical Data and Audit Consultant -CA Only is responsible for the clinical ... of all data collection, account implementations, and audit activities for Clinical Operations to ensure...high-quality tracking and performance of the service teams. The Consultant gathers and analyzes data , creates workflows,… more
    Centene Corporation (10/24/24)
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  • QA Consultant - GCP Compliance for FDA…

    System One (Durham, NC)
    …mock audits and prepare teams for potential audit scenarios. + Review clinical trial data , monitoring processes, and vendor qualifications for adherence to ... Job Title: QA Consultant (GCP Compliance) Location: Remote with potential travel...assist a biotech company in preparing for an FDA audit with a strong focus on Good Clinical more
    System One (10/12/24)
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  • Director Revenue Cycle Inpatient Clinical

    Henry Ford Health System (Detroit, MI)
    *The Director Revenue Cycle Inpatient Clinical Documentation Improvement & Payer Audit is a Remote OR Hybrid role with Henry Ford Health (HFH). Our HFH office ... Improvement (CDI) Program Director to provide concentrated daily oversight of Inpatient Clinical Documentation Improvement and Payer Audit teams. The Program… more
    Henry Ford Health System (11/05/24)
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  • Quality Management Consultant - Behavioral…

    CVS Health (Tallahassee, FL)
    …**Job Profile Summary:** The QM BH Consultant reviews documentation and interprets data obtained from clinical records or systems to document root cause of ... high utilization of care. The QM BH Consultant develops and implements data -driven strategies/interventions that...of high utilizer of behavioral health services. + Report audit or clinical findings to state regulators,… more
    CVS Health (11/24/24)
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  • Quality Management Nurse Consultant

    CVS Health (Tallahassee, FL)
    clinical information and documentation. The PQOC team reviews documentation and interprets data obtained from clinical records or systems to apply appropriate ... processed within guidelines. + Condenses complex information into a clear and precise clinical picture while working independently. + Reports audit or … more
    CVS Health (11/26/24)
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  • Quality Management Nurse Consultant

    CVS Health (Trenton, NJ)
    …of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate ... processed within guidelines. Condenses complex information into a clear and precise clinical picture while working independently. Reports audit or clinical more
    CVS Health (11/21/24)
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  • EHR Security Consultant - Onsite

    MSys Inc. (Raleigh, NC)
    …as HIPAA and HITECH. The Epic/EHR Security Coordinator will work closely with IT, clinical , and compliance teams to secure patient data and protect the integrity ... Job summary: Title: EHR Security Consultant - Onsite Location: Raleigh, NC, United States Length...system for all employees and contractors. + Manage and audit role based access controls (RBAC) for the Epic… more
    MSys Inc. (11/27/24)
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  • Information Protection Consultant

    HCA Healthcare (Nashville, TN)
    …working relationships across all lines of business and project partners (eg, the Clinical Services Group, Internal Audit , Legal, Ethics and Compliance, Parallon, ... where diversity and inclusion thrive? Submit your application for our Information Protection Consultant opening with HCA Healthcare today and find out what it truly… more
    HCA Healthcare (10/29/24)
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  • Quality Management Nurse Consultant

    CVS Health (Phoenix, AZ)
    …and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. The working schedule is Monday- Friday 7:00am ... miles) about 25-50% of the time. The QM Nurse Consultant is a work at home role. Experienced HEDIS...nurse will be responsible for obtaining, reviewing, abstracting, and data entering medical records utilized for HEDIS (R) supplemental… more
    CVS Health (10/26/24)
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  • Medicare Healthcare Internal Consultant

    Vanderbilt University Medical Center (Nashville, TN)
    …compliance with federal and state regulations and organizational policies. Prepares data for inclusion in presentations on strategic requirements to senior ... implementations of systematic and procedural changes to ensure compliant and efficient clinical billing activities. Assists with both internal and external audits of… more
    Vanderbilt University Medical Center (11/07/24)
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  • Sr. Provider Relations Consultant - (MA…

    WellSense (Boston, MA)
    Sr. Provider Relations Consultant - (MA residents)-$5,000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... between provider and internal Plan departments such as Provider Enrollment, Claims, Audit , Marketing, Customer Care and Care Management. Our Investment in You: +… more
    WellSense (09/12/24)
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  • Consultant - Pension Plans - System Wide

    Bon Secours Mercy Health (Cincinnati, OH)
    …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **This is a** **remote/work from home** **position. ... + **Interface maintenance** : all activities needed to ensure effective transmission of data between BSMH data source and retirement recordkeeper sources +… more
    Bon Secours Mercy Health (11/12/24)
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  • Senior Manager, Clinical Quality Assurance

    United Therapeutics (Silver Spring, MD)
    …curriculums to ensure training compliance for the management and conduct of clinical studies + Serve as in-house consultant for understanding project-specific ... approval for five medicines, we are always conducting new clinical trials, and we are working to create an...+ Ensure continuous improvement and management of the organization's audit program, to ensure vendors utilized for the execution… more
    United Therapeutics (10/12/24)
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  • Staff/Senior/Lead Psychologist

    Ventura County (Ventura, CA)
    …Department; designs, recommends and/or develops instruments and methods, and selects criteria for data collection; to be used in audit and evaluate contract ... collateral contacts to obtain psychologically relevant history and background data ; + Provides psychological services including clinical ...and methods for monitoring quality; and selects criteria for data collection to be used to audit more
    Ventura County (11/14/24)
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  • Associate - IT Systems Business Quality Assurance…

    Lilly (Indianapolis, IN)
    …Quality Assurance (BQA) - Biometrics is responsible for quality oversight of IT systems in the clinical data flow within the scope of the Data Management and ... automation initiatives and leverage Lilly's expectation of high quality clinical data to enable innovation with a... integrity. **Role Purpose:** The purpose of the Associate Consultant , IT Systems Business Quality Assurance (BQA) - Biometrics… more
    Lilly (10/08/24)
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  • Associate Specialist, STAR

    MTF (Richmond, VA)
    …+ Develops strong knowledge of MTF tissue forms and uses Prof Education and clinical data appropriately to develop solid MTF champions + Attending surgical ... utilizing customer champions and by educating customers with provided sales collateral and clinical papers. + Assist STAR Consultant in achieving annual sales… more
    MTF (11/26/24)
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  • RN Specialist Rapid Response Full Time Days

    Tenet Healthcare (Detroit, MI)
    …advanced skills in physical exam, nursing diagnosis and nursing interventions. The clinical nurse specialist also functions as a consultant , educator, ... cardiac care for hospitals and physicians throughout the nation. Job Summary The Clinical Nurse Specialist (CNS) is an advanced practice nurse who utilizes advanced… more
    Tenet Healthcare (09/05/24)
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  • Finance and Accounting Senior Professional

    University of Colorado (Aurora, CO)
    …Responsibilities: + Manages the monthly additional pay process and contract pay for clinical faculty. + Additional clinical shifts + Pay differentials + ... for faculty. Reconciles the balances for faculty. + Update, track and audit funding distributions for faculty. Identifies inconsistencies and determines solutions. +… more
    University of Colorado (09/08/24)
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  • Advanced Practice Nurse (Nurse Anesthetist)

    Defense Health Agency (Fort Sam Houston, TX)
    …emergence; conscious sedation; pain management; post anesthesia care; peri-anesthetic and clinical support functions. c. Systematically collects data through ... fluid therapy, medical procedures, and obstetric services, within the clinical areas of the main operating room (OR), labor...outpatient settings, as well as from available risk management data , and research on the development of new drugs… more
    Defense Health Agency (11/02/24)
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  • Behavioral Health Liaison

    CVS Health (Tallahassee, FL)
    …monitor outreach effectiveness. The Behavioral Health Liaison reviews documentation and interprets data obtained from clinical records or internal systems to ... with clinical expertise for the issue at hand. + Data gathering requires navigation through multiple system applications. + Evaluates documentation/information… more
    CVS Health (11/24/24)
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