Clinical Expert for Health Equity
1 week ago
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.
The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Our mission is to help people live healthier lives and make the health system work better for everyone.
We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Job SummaryYou'll have the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. The salary range for this role is $286,104 to $397,743 annually.
This position requires a Medical Director who provides physician support to Enterprise Clinical Services operations. The ideal candidate will have experience in utilization and clinical coverage review, excellent oral, written, and interpersonal communication skills, facilitation skills, proven data analysis and interpretation aptitude, innovative problem-solving skills and excellent skills for both clinical and non-clinical audiences.
The primary responsibilities of this role include conducting coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, rendering coverage determinations, documenting clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements, engaging with requesting providers as needed in peer-to-peer discussions, being knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews, participating in daily clinical rounds as requested, communicating and collaborating with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy, communicating and collaborating with other internal partners, and call coverage rotation.
In exchange for your expertise, you'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. You'll enjoy a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution.
-
Clinical Wellness Expert
1 week ago
Sens, Bourgogne-Franche-Comté, United States Kalologie Las Vegas Full timeClinical Wellness Expert OpportunityKalologie Medspa in Las Vegas is seeking a Clinical Wellness Expert to join our team of highly trained experts in IV Infusion Therapy and Vitamin Injections.The ideal candidate will have a strong background in nursing, exceptional interpersonal and communication skills, and the ability to work independently while being a...
-
Clinical Language Expert
1 week ago
Sens, Bourgogne-Franche-Comté, United States UNLV Health Full timeRole OverviewWe are seeking an experienced Speech-Language Pathologist to join our team at UNLV Health, where you will have the opportunity to make a meaningful difference in the lives of our patients and their families.About the Position:Conduct thorough assessments and develop individualized treatment plans for patients with speech, language, and...
-
Employee Health Expert
3 days ago
Sens, Bourgogne-Franche-Comté, United States Advenio Medical Staffing Full timeJob Summary:We are seeking a dedicated Registered Nurse to join our team in an Employee Health position at an Acute Care Hospital. As an RN, you will be responsible for conducting post-offer health screenings, reviewing employment physical exams, coordinating TB testing and exposure follow-ups, and ensuring hospital-wide vaccination compliance.About the...
-
Mental Health Specialist
4 weeks ago
Sens, Bourgogne-Franche-Comté, United States Defense Health Agency Full timeCompany OverviewThe Defense Health Agency offers a rewarding career opportunity for a Mental Health Specialist – Clinical Psychologist to join our team. As a leading healthcare provider, we strive to deliver high-quality care to our patients while promoting a culture of excellence and compassion.Estimated Salary: $143,157 per annumJob SummaryWe are seeking...
-
Women's Health Clinical Lead
2 weeks ago
Sens, Bourgogne-Franche-Comté, United States Vision Achievement Full timeKey Responsibilities:- Provide direct patient care, including administering medications, performing treatments, and monitoring patient progress.- Collaborate with physicians and other healthcare professionals to develop and implement individualized care plans.- Educate patients and their families about their conditions and the necessary...
-
Clinical Expert III
2 weeks ago
Sens, Bourgogne-Franche-Comté, United States Abbott Laboratories company Full timeCompany OverviewCareer development opportunities are available with Abbott, an international company where you can grow in various roles such as Clinical Specialist, Territory Manager, Support, Product Development, Sales Representative, and Healthcare.
-
Medical Billing Expert
3 days ago
Sens, Bourgogne-Franche-Comté, United States Universal Health Services Full timeAs a Medical Billing Expert at Universal Health Services, you will play a critical role in the Western Region Consolidated Business Office. Our team provides business office services, including billing, collections, cash posting, pre-access management, variance analysis, and customer service to our affiliated facilities. We are seeking an experienced...
-
Genius Expert
3 days ago
Sens, Bourgogne-Franche-Comté, United States Apple Full timeAt Apple Ltd, we're looking for a highly skilled Genius Expert to join our team. As a Genius Expert, you will be responsible for providing top-notch technical support to our customers. Your main goal is to quickly diagnose product issues and provide solutions that meet their needs.About the JobThis role is ideal for someone who is passionate about technology...
-
Primary Care Physician for Dignity Health
4 weeks ago
Sens, Bourgogne-Franche-Comté, United States Dignity Health Full timeWhy Choose Dignity Health:Dignity Health is a leading healthcare provider in Las Vegas, offering a range of services to women and infants. As an OBGYN Physician on our team, you will have access to state-of-the-art facilities, cutting-edge technology, and a talented team of healthcare professionals.We value diversity, equity, and inclusion, and strive to...
-
Residential Coatings Expert
2 weeks ago
Sens, Bourgogne-Franche-Comté, United States Tradesmen International Full timeJob Title:Residential Coatings ExpertTradesmen International is hiring a skilled Residential Coatings Expert to join our team in Las Vegas, NV. As a Residential Coatings Expert, you will be responsible for applying coatings to interior and exterior surfaces of residential properties.About the Role:Apply coatings to interior and exterior surfaces using...
-
Clinical Director of Autism Services
4 weeks ago
Sens, Bourgogne-Franche-Comté, United States GOALS for Autism Full timeAt GOALS for Autism, we're committed to delivering high-quality care and creating a supportive environment for our clients and staff. We're seeking an experienced Clinical Director of Autism Services to lead our Las Vegas team.About the RoleWe offer a competitive salary of $90,000 per year, with opportunities for quarterly bonuses and a performance-based...
-
Medical Director
4 days ago
Sens, Bourgogne-Franche-Comté, United States Wake Research Full timeExperience the M3 DifferenceWe are a leading provider of clinical research services, driven by our mission to utilize the internet for a healthier world and more efficient healthcare systems. Our team of experts is dedicated to delivering high-quality results, and we are seeking a skilled Clinical Research Physician to join our team in Las Vegas, NV.About...
-
Product Expert
3 days ago
Sens, Bourgogne-Franche-Comté, United States Apple Full timeAbout the PositionThis Product Expert role at Apple involves providing technical support to our customers and ensuring that they have a positive experience with our products.Key Responsibilities:Providing technical advice and guidanceResolving product issues in a timely mannerCollaborating with colleagues to achieve business objectivesBenefits and SalaryWe...
-
Occupational Rehabilitation Expert
1 week ago
Sens, Bourgogne-Franche-Comté, United States Consonus Healthcare Services Full timeAbout the JobWe are seeking a highly skilled Occupational Therapist to join our team at Consonus Healthcare Services. As an Occupational Rehabilitation Expert, you will work closely with patients to develop personalized care plans that help them achieve their therapy goals and improve their quality of life.Key Responsibilities:Assess patients' physical,...
-
Clinical Care Manager
4 weeks ago
Sens, Bourgogne-Franche-Comté, United States Elevance Health Full timeJob DescriptionThis role involves working as a Clinical Care Manager for Elevance Health, a Fortune 25 company dedicated to improving lives and communities.About the JobWe are seeking a skilled RN Nurse Case Manager I to join our team. As a Clinical Care Manager, you will be responsible for performing care management within the scope of licensure for members...
-
Aircraft Structural Repair Expert
7 days ago
Sens, Bourgogne-Franche-Comté, United States M1 Support Services Full timeAircraft Structural Repair ExpertM1 Support Services is seeking an experienced Aircraft Structural Repair Expert to join their team in Las Vegas, NV. This role requires a minimum of 10 years of experience in aircraft structural repair and modification, with a strong understanding of airframe and power plant systems.Key Responsibilities:Maintain and repair...
-
Pediatric Healthcare Expert
1 week ago
Sens, Bourgogne-Franche-Comté, United States UNLV Health Full timeRequirements and QualificationsEducation and Experience: Master's degree in Speech-Language Pathology from an accredited school, minimum 5 years of acute and ambulatory care practice experience, and completion of a Clinical Fellowship Year.Certifications and Licenses: Certificate of Clinical Competence (CCC) from American Language Speech & Hearing Assoc.,...
-
Clinical Specialist
3 days ago
Sens, Bourgogne-Franche-Comté, United States Relient Health Full timeAbout the PositionWe are seeking a skilled Speech Language Pathologist (SLP) to join our team at Relient Health. This full-time, permanent position is an opportunity to make a meaningful difference in the lives of our patients.Key ResponsibilitiesScreen and evaluate patients to develop individualized treatment plansConduct patient education and therapy...
-
Clinical Pharmacy Consultant
3 days ago
Sens, Bourgogne-Franche-Comté, United States OnePoint Patient Care Full timeWe are seeking a highly skilled Clinical Pharmacy Consultant to join our team at OnePoint Patient Care. As a Clinical Pharmacy Consultant, you will provide expert guidance to our patients and healthcare professionals on medication therapy and disease management.About the RoleThis is an excellent opportunity to work with a leading national hospice pharmacy...
-
Aesthetic Expert Nurse Practitioner
4 weeks ago
Sens, Bourgogne-Franche-Comté, United States Kalologie Las Vegas Full timeOverviewKalologie Las Vegas is a premier provider of medical aesthetic treatments in the heart of the city.Salary & BenefitsWe offer a competitive guaranteed salary of $70-$120 per hour based on experience level, along with generous benefits and opportunities for growth.Job DescriptionWe are seeking an experienced Registered Nurse or Nurse Practitioner to...