- Magellan Health Services (Honolulu, HI)
- …Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer - Remote Grade 25 Work Experience - ... and external reporting. Interacts with multiple stakeholders internally and externally. Provides clinical reviews of Quality of Care (QOC) and Critical/Adverse… more
- Merck (Honolulu, HI)
- Job Description Our Clinical Research and Pharmacovigilance team pushes the boundaries of global healthcare through research and innovation. Through clinical ... trial and site administration. Under the oversight of the Clinical Trial Coordinator Manager, the person prepares, collates, distributes,...with the preparation of submission packages to the Internal Review Board / Ethics Review Committee and… more
- Takeda Pharmaceuticals (Honolulu, HI)
- …the clinical team. + Demonstrated ability to independently lead the development, review , and approval of all clinical document types (ie, those typically ... therapeutic area depending on the scope and stage of clinical development and may or may not have direct...to other writers to ensure the timely delivery of high- quality documents that are scientifically rigorous, logically organized, and… more
- Magellan Health Services (Honolulu, HI)
- …for NCQA and URAC certifications. Develops and provides leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the ... clinical lead senior medical director, and quality improvement staff. May participate in various committees or...Information Title Medical Director (Behavioral Health) - Hawaii Licensed, Remote Grade 36 Work Experience - Required Clinical… more
- Takeda Pharmaceuticals (Honolulu, HI)
- …and executes a labeling implementation plan to incorporate new scientific, safety and clinical data, as well as Health Authority responses / feedback into CCDS, USPI ... support to Local Affiliates for responses to health authorities requests, review of local labeling exceptions and alignment deferrals, etc. Escalation Process… more
- Centene Corporation (Honolulu, HI)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and ... the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review and/or assess treatment plans… more
- Humana (Honolulu, HI)
- …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
- Veterans Affairs, Veterans Health Administration (Kapolei, HI)
- …Manages administrative and programmatic resources, and outcomes monitoring using data-driven quality assurance processes. Participates fully in peer review , ... Psychologist: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Psychology-Career-Flyer.pdf As the Psychologist, you will: Provides direct clinical and administrative supervision to BHIP Psychologists, Social Workers,… more
- Takeda Pharmaceuticals (Honolulu, HI)
- …regarding information related to signal management KPIs.This role will conduct review of signal management processes to identify areas for continuous improvement ... with develop and implement process excellence strategies to enhance the efficiency and quality of signal management activities. As part of the Signal Management and… more
- Veterans Affairs, Veterans Health Administration (Kapolei, HI)
- …Mental Health (MH) Service to provide a full range of services emphasizing quality , timeliness, and the advancement of the Veterans Affairs (VA) mission. The PMHNP ... provides advanced clinical practice, consultation, and management. Major duties and responsibilities...the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible… more
- Humana (Honolulu, HI)
- …require interpretation and independent determination of the appropriate courses of action. The SIU clinical review team is seeking a Nurse Auditor 2. The Nurse ... us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation...**Use your skills to make an impact** **WORK STYLE:** Remote /Work at home with the possibility of minimal travel… more
- Cardinal Health (Honolulu, HI)
- …and alignment between third-party vendors and internal requirements/objectives + Conduct quality assurance and effective peer review for team member ... solutions for hospitals, health systems, pharmacies, ambulatory surgery centers, clinical laboratories and physician offices worldwide. The company provides… more
- Veterans Affairs, Veterans Health Administration (Kapolei, HI)
- …includes clinical supervision, consultation, negotiation with other departments and quality improvement. Ability to ensure provision of clinical social work ... with and serves as MH liaison to Telehealth, BDMS, Clinical Informatics, IT and other services as needed in...VHA Education Loan Repayment Services program office after complete review of the EDRP application. Pay: Competitive salary and… more
- Centene Corporation (Honolulu, HI)
- …provider and health plan strategy related to performance improvement on cost, quality , coding and member outreach and engagement. Responsible for ongoing review ... provider performance in all levels of value-based agreements, including quality & utilization pay for performance and risk contracts.... & utilization pay for performance and risk contracts. ** Remote but must reside in Hawaii.** + Develop provider… more
- Cardinal Health (Honolulu, HI)
- **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support and expertise in the ... SCHEDULE:** This position is full-time (40 hours/week) in a remote setting. Expectation of availability Monday-Friday, 8:00am- 5:00pm CST. **_Responsibilities_**… more
- Merck (Honolulu, HI)
- …The Senior Vaccine Customer Representative (VCR) supports customers by providing clinical information on our Company's vaccines, as well as education and ... health care providers such as physicians, nurses, pharmacists as well as quality directors, immunization managers, and office managers. Within their geography there… more
- Merck (Honolulu, HI)
- …their patients. Our Vaccine Customer Representatives (VCR) support customers by providing clinical information on our Company's vaccines, as well as education and ... health care providers such as physicians, nurses, pharmacists as well as quality directors, immunization managers, and office managers. Within their geography there… more
- CAI (Honolulu, HI)
- **Job ID Number** R4224 **Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As the Senior Data Analyst, you will gather both technical and ... are looking for a **Senior Data Analyst** for a full time, **fully remote ** **6-month contract** opportunity. The selected resource will gather both technical and… more
- Humana (Honolulu, HI)
- …of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative ... + Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
- Cardinal Health (Honolulu, HI)
- …the continuum of care. The team's mission is to provide exceptional clinical , supply chain, analytics, and operational expertise to improve patient access, increase ... quality of care and reduce overall costs. From supply...contributor role that reports to the Sr. Director of Clinical Operations. Candidates can live anywhere in the United… more