Clinical Review Specialist
3 weeks ago
- Lead the end-to-end management of cross-functional implementations/projects, including project plan creation, stakeholder engagement, managing cross-functional relationships, edge case mitigation, and on-time completion.
- Evaluate overall departmental performance by creating, gathering, analyzing, and interpreting data and metrics, as well as assisting in developing departmental metrics and implementing mitigation strategies.
- Collaborate with internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives.
- Mentor team members and promote colleagues' growth and professional development.
This is an exciting opportunity to join Oscar Health's mission to change healthcare and contribute to the success of our Clinical Review team.
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Clinical Autism Specialist
3 hours ago
Tempe, Arizona, United States Life Skills Autism Academy Full timeWe are seeking a highly skilled and compassionate Clinical Autism Specialist to join our team at Life Skills Autism Academy. As a Clinical Autism Specialist, you will have the opportunity to work with children aged 6 and younger who require Applied Behavior Analysis (ABA) therapy. Our team is dedicated to providing individualized programs tailored to each...
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Clinical Genetic Specialist
3 hours ago
Tempe, Arizona, United States Caris Life Sciences Full timeJob OverviewThis is a unique opportunity to join Caris Life Sciences as a Genetic Counselor, where you will play a vital role in analyzing and understanding the clinical aspect of high complexity tests. The successful candidate will provide up-to-date clinically relevant review of molecular testing, identify and communicate clinically relevant secondary...
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Translational Medicine Specialist
7 days ago
Tempe, Arizona, United States Celerion Full timeTranslational Medicine Specialist PositionCelerion is seeking a highly skilled Translational Medicine Specialist to join our team.**Job Description:**As a Translational Medicine Specialist, you will be responsible for overseeing the screening process for clinical trials, including reviewing and understanding study protocols, completing screening worksheets,...
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Clinical Services Supervisor
6 days ago
Tempe, Arizona, United States Solari, Inc. Full timeJob DescriptionSolari, Inc. is a nonprofit organization that operates a 24/7 crisis line serving statewide in Arizona, Oklahoma, and Colorado. We are seeking a skilled Clinical Services Supervisor to join our team.Key Responsibilities:Initiate, communicate, and collaborate with contact center leadership on program service delivery, training, and clinical...
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Clinical Support Specialist
5 days ago
Tempe, Arizona, United States Terros Full timeAbout the RoleThis Clinical Support Specialist position offers a unique opportunity to make a meaningful difference in the lives of our patients.In this role, you will work collaboratively with our team to provide comprehensive support services, ensuring our patients receive the best possible care.You will be responsible for coordinating patient care,...
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Clinical Psychiatric Specialist
7 days ago
Tempe, Arizona, United States CRISIS PREPARATION AND RECOVERY, Inc. Full timeJob OpportunityAre you a licensed nurse practitioner looking for a challenging and rewarding opportunity? Do you have experience working with clients who have behavioral health disorders? If so, we encourage you to apply for our Clinical Psychiatric Specialist position. As a member of our team, you will have the opportunity to make a meaningful difference in...
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Healthcare Quality Specialist
7 days ago
Tempe, Arizona, United States Arizona Complete Health Full timeJob OverviewWe are seeking a Quality Improvement Specialist to join our team at Arizona Complete Health. The ideal candidate will have a Bachelor's degree in Nursing or a related field, and 3+ years of experience in clinical, quality improvement, or healthcare.Main ResponsibilitiesConduct on-site reviews of delegated entities to ensure compliance with...
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Substance Abuse Specialist
10 hours ago
Tempe, Arizona, United States Aurora Behavioral Health System Full timeJob DescriptionWe are seeking a skilled Substance Abuse Specialist to provide clinical services to adolescent and adult in-patient clients at our inpatient treatment facility in Tempe, Arizona. The ideal candidate will have experience providing mental health and substance abuse assessment, treatment planning, group therapy, discharge planning, and...
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Clinical Support Specialist
2 months ago
Tempe Junction, Arizona, United States beBee Professionals Full time $30,000 - $45,000At beBee Professionals, we are a leading healthcare provider seeking a skilled Clinical Support Specialist to join our team in Tempe Junction. This role offers an exciting opportunity to provide essential support in various healthcare settings by assisting with patient care and administrative tasks.Key Responsibilities:Taking patient histories and preparing...
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Healthcare Quality Assurance Specialist
3 weeks ago
Tempe, Arizona, United States Arizona Complete Health Full timeAre you passionate about transforming the health of communities? At Arizona Complete Health, we're on a mission to change lives. As a Healthcare Quality Assurance Specialist, you'll play a crucial role in ensuring our members receive high-quality care.Job SummaryWe're seeking an experienced professional to conduct reviews of delegated entities for compliance...
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Clinical Decision Maker
3 weeks ago
Tempe, Arizona, United States Oscar Health Full timeResponsibilitiesConduct comprehensive medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines.Obtain necessary information (via phone and fax) to assess a member's clinical condition and apply evidence-based guidelines.Meet required decision-making Service Level Agreements.Refer members...
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Medical Billing Specialist
2 days ago
Tempe, Arizona, United States Triton Medical Solutions Full timeJob OverviewTriton Medical Solutions is a Tempe, Arizona-based company that specializes in innovative medical billing solutions for dental and medical professionals.Job DescriptionWe are seeking an experienced Medical Billing Specialist to join our team as an Independent Contractor. As a Medical Billing Specialist, you will be responsible for reviewing and...
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Insurance Claims Specialist
4 weeks ago
Tempe, Arizona, United States RuralMetro Full timeJob Summary:Rural/Metro is hiring an Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for reviewing and processing insurance claims, communicating with patients and insurance companies, and ensuring compliance with regulatory requirements.We offer a competitive hourly rate of $15.50 and a comprehensive...
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Medical Billing Specialist
3 weeks ago
Tempe, Arizona, United States Triton Medical Solutions Full timeAbout the RoleWe are seeking an experienced medical billing specialist to join our team at Triton Medical Solutions. As a medical billing specialist, you will be responsible for reviewing and submitting clean claims with appropriate modifiers to insurance companies electronically or by 1500 form. You will also verify insurance payments for accuracy and...
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Medical Claims Specialist
3 weeks ago
Tempe, Arizona, United States Triton Medical Solutions Full timeJob Title: Medical Claims SpecialistAbout Triton Medical Solutions:Triton Medical Solutions is a leading provider of medical billing services, dedicated to delivering high-quality solutions to healthcare professionals.Job Description:We are seeking an experienced Medical Claims Specialist to join our team. As an Independent Contractor, you will work from the...
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Clinical Pharmacy Specialist
5 days ago
Tempe, Arizona, United States BrightSpring Health Services Full timeAbout the RoleThe successful candidate will have exceptional strong written and verbal communication skills, with special emphasis on effective telephone correspondence with a customer-first attitude. You will be responsible for conducting and evaluating medication profiles/histories, assessing compliance and suggesting modifications in order to optimize...
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Pharmacist Clinical Specialist
2 days ago
Tempe, Arizona, United States BrightSpring Health Services Full time**About OnePoint Patient Care**We are a leading independent provider of community-based hospice pharmacy and pharmacy benefits management (PBM) services.We offer flexible and adaptable solutions for our clients, filling prescriptions, creating custom compounds and formularies, providing home deliveries, and managing pharmacy benefits.Our team is dedicated to...
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Industrial Cybersecurity Specialist
4 weeks ago
Tempe, Arizona, United States Jacobs Full time**Job Title:** Industrial Cybersecurity Specialist**Estimated Salary:** $120,000 - $180,000 per yearAbout the Job: As an Industrial Cybersecurity Specialist at Jacobs, you will play a crucial role in securing high criticality operational technology systems. You will work with a team of cybersecurity professionals to provide support across the delivery...
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Clinical Communication Specialist
2 days ago
Tempe, Arizona, United States Field of Talent Full timeCompany OverviewAt Field of Talent, we are committed to providing exceptional clinical care for children through a range of therapeutic services. Our organization is driven by ethical practices, science and research, continual learning, and growth without limits.
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Senior Pricing Specialist
4 weeks ago
Tempe, Arizona, United States Select Source International Full timeJob Title: Senior Pricing SpecialistSelect Source International (SSI) is an IT, Health Care, and Engineering Services consulting firm with a long-standing reputation for delivering exceptional services to Fortune 500 companies, mid-size enterprises, and consulting firms.Compensation:The estimated annual salary for this position is $106,400.00, based on the...