Appeals Clinical Specialist — Impactful Drug Reviews
MedImpact Healthcare Systems, Inc.
MedImpact Healthcare Systems, Inc. seeks an Appeals Clinical Specialist to lead clinical reviews, evaluate medical records, and determine benefit coverage for client plans. The role requires applying clinical criteria, ensuring timely, compliant decisions, and supporting the accessibility and cost‑effectiveness of drug therapies. This full-time, non-exempt position is based in San Diego with potential remote work per management approval. #J-18808-Ljbffr MedImpact Healthcare Systems, Inc.
- ...Job Title The Appeals team oversees all operational and clinical aspects of the appeals process... ...standards. The Appeal Clinical Specialist is responsible for... ...independently conducting clinical reviews as part of the appeals... ...cost-effectiveness of drug and medical therapy for...SuggestedFull timeWork at officeLocal areaRemote workMonday to FridayNight shiftWeekend work
- ...Responsibilities Oversee all operational and clinical aspects of the appeals process, including intake, case... .... Conduct independent clinical reviews as part of the appeals process; evaluate... ...medication request guidelines. Provide drug information support; research and...SuggestedFull timeWork at officeLocal areaMonday to FridayNight shift
$29 - $52 per hour
...Clinical Wellbeing Specialist Optum is a global organization that delivers care,... ...opportunities. Come make an impact on the communities we serve... ...management services through review and evaluation of inpatient... ...UnitedHealth Group is a drug - free workplace. Candidates...SuggestedRemote jobHourly payMinimum wagePermanent employmentFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeMonday to FridayShift work- ...provide the professional, clinical and technical knowledge... ...Pharmacotherapy Specialist (BCPS) - Board of Pharmacy... ...responds to and documents drug information requests... ...established guidelines. Reviews patient medication profiles... ...report the potential impact it will represent to...SuggestedHourly payFull timeTrial periodShift workWeekend workDay shift
- ...Clinical Specialist At Medtronic you can begin a life-long career of exploration... ...and a commitment to patient impact. By expressing interest... ...within Medtronic. We will review everyone's qualifications... ...the Superficial Venous and Drug Coated Balloon markets, caring...SuggestedFull timeWorldwide
$200k
...office after complete review of the EDRP application... ...Infusion Center to provide clinical leadership for Special... ...and hazardous drugs for non-chemotherapy competent... ...certification as a Clinical Nurse Specialist (CCNS) from American... ...that positively impact patient outcomes....Full timeTemporary workPart timeSeasonal workWork at officeRemote workMonday to FridayShift work$5,000 per month
...compassionate and detail-oriented Hospice Clinical Specialist to support the delivery of high-quality... ...How YOU will benefit Make a meaningful impact by ensuring timely and quality care for... ...Group (IDG) meetings to coordinate and review patient care plans Review and adjust...Full timeWork at officeFlexible hours$70k - $85k
...Biomedical Engineer (Clinical Specialist) Full-time Department: Support Compensation: USD 70000 -... ...Together we’re dedicated to making an impact. Join and grow with us. Responsibilities... ...for more information. Click here to also review the EEO Law Poster. #J-18808-Ljbffr...Full timeContract workCasual workWork at officeWorldwide$200k
...program office after complete review of the EDRP application.... ...Procedures/Infusion Center to provide clinical leadership for Special... ...specifically chemotherapy and hazardous drugs for non-chemotherapy... ...certification as a Clinical Nurse Specialist (CCNS) from American Nurses...Work at officeRemote workMonday to Friday$64.37 - $96.55 per hour
...nursing? Join Rady Children's Hospital as a Clinical Nurse Specialist (CNS) in our nationally recognized... ...those new to pediatrics. Make an Impact Be a catalyst for compassionate, high... ...by conducting regular market reviews to remain competitive with organizations...$45k - $125k
Responsibilities Provide in-depth clinical and technical support to physicians, nurses,... ...with medical professionals. Most Clinical Specialist positions are field‑based and require... ...communication skills, and a commitment to patient impact. Qualifications High School Diploma or...Local areaFlexible hours- ...Clinical Specialist HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated... ...interventions are effective, appropriate, and efficient. Review Comprehensive Assessments, additional assessments, and Care...Local area
- ...Clinical Specialist, Vessel Closure Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio... ...of vascular disease. Our extensive portfolio includes drug-eluting stents, guide wires, balloon dilatation catheters, imaging...Work experience placementWork at office
$144k - $204.9k
...Schedule Days, 8‑Hour Shifts, Monday‑Friday Description The Clinical Informatics Specialist functions as a nursing informatics specialist supporting... ...years determining that they committed misconduct or any appeals filed against findings of substantiated misconduct. #J-1...Contract workWork at officeMonday to FridayDay shift- ...paradise. In the stunning realm of San Diego, the role of a Diagnostic Medical Sonographer awaits you, ready to make a significant clinical impact while basking in vibrant coastal culture and stunning views. Each day offers you the chance to provide essential insights...Live inFlexible hoursWeekend work
$103k - $108k
...of performing some of the world's largest clinical trials to identify important findings... ...and leads training events Attends or reviews recording/AI Companion notes for all assigned... ...R: Remarkable - inspire & innovate with impact T: Teamwork - together we win Don't...Remote work- ...Bracco Group. The Company specializes in the clinical development, marketing and sales of... ...Communications BDI US peer Clinical Applications Specialists Other BDI divisional local Sales and... ...obligations, including a 10-panel drug screen, in order to have access to the...Local areaNight shift
- MillenniumSoft Inc is seeking a Specialist - Clinical Customer Advocacy in San Diego, CA. This role entails managing the event reporting process... ...in MS Office are essential. Join us to make a meaningful impact in the medical device industry. #J-18808-Ljbffr MillenniumSoft...
- ...Regional Clinical Sales Specialist We are searching for the best talent for Regional Clinical Sales Specialist to be in San Diego, CA. Fueled... ...of your time. Here's What You Can Expect Application review: We'll carefully review your CV to see how your skills and...Local areaWorldwideRelocationNight shiftWeekend work
$90k - $100k
...our team, you will have the opportunity to impact patients’ lives daily and grow your... ...throughout the US at least once a month The Clinical Educator is responsible for maintaining and... ...educational standards and deficits. Reviews clinical documentation and skills for ongoing...Full timeMonday to FridayFlexible hoursShift workDay shift$86.7k - $173.3k
...devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries. Principal Clinical Specialist About Abbott Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always...$64.37 - $96.55 per hour
...Clinical Nurse Specialist (CNS) - Pediatric Hematology/Oncology (San Diego, CA) Practice the art and science of evidence-based advanced nursing... ...demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in...$200k
...start date. Approval, award amount up to $200,000 and eligibility period one to five years are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Contact ****@*****.*** for assistance....Work at office$100k
...Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical... ...discussion, lectures, role-play, etc.). Reviews and assists in determining the... ...field required. ~ Lactation Educator or Specialist training certificate preferred. ~ Traveling...Part timeLocal area- A global healthcare leader is seeking a Principal Clinical Specialist to provide advanced support for electrophysiology products. This key role demands at least 6 years of clinical experience, with a strong emphasis on mentoring and relationship-building within the medical...
- ...with Abdominal Aortic Aneurysm's. This company is expanding rapidly throughout the US and therefore is looking to bring on a Clinical Specialist for the Southern California Territory. This Clinical Specialist is expected to bring strong clinical acumen in EVAR...
- Sharp is seeking a Sr. Specialist CLS for the Copley Lab in San Diego. This full-time role requires a Bachelor's degree and several specific... ...emphasizes teamwork, leadership, and communication within a clinical laboratory environment. A minimum of 5 years equivalent...Full time
- ...be at our Hillcrest Medical Center but will be required to travel to our La Jolla Locations as needed. DESCRIPTION The Clinical Informatics Specialist functions as a nursing informatics specialist supporting clinical operations through the design, implementation, and...Hourly payContract work
$25 - $30 per hour
...sleep apnea, utilizing advanced treatment therapies. We are seeking a highly organized, detail-oriented Medical or Dental Clinical Treatment Specialist to support patient treatment workflows, oral device coordination, procedure preparation, inventory management, and...Full timeWork at office- ...Critical Care Units (ICU & PCU) to provide: Clinical leadership for Critical Care nursing... ...competency folders with quarterly reviews # Facilitates, coordinates, and leads... ...Rapid Response Committee, Clinical Nurse Specialist group, and Nursing Clinical Practice Committee...Remote workMonday to Friday
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