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.
- ...Appeals Clinical Specialist The Appeals team oversees all operational and clinical aspects of the appeals... ...for independently conducting clinical reviews as part of the appeals process. This... ..., quality, and cost-effectiveness of drug and medical therapy for members and...SuggestedFull timeWork at officeLocal areaRemote workMonday to FridayNight shiftWeekend work
- ...sponsorship. Job Description The Appeals team oversees all operational and clinical aspects of the appeals... .... The Appeal Clinical Specialist independently conducts clinical reviews, evaluates medical records,... ...and cost‑effectiveness of drug and medical therapy for members...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
$140k - $190k
...day, Monday-Friday #140975 Clinical Effectiveness Specialist Filing Deadline: Thu 9/3/20... ...standards, clinical chart review and abstraction, and regulatory... ...maintains a marijuana and drug free environment. Employees... ...; or have filed an appeal of a finding of substantiated...SuggestedHourly payContract workLocal areaMonday to Friday$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...Hourly payFull timeTrial periodShift workWeekend workDay shift
$5,000 per month
...compassionate and detail-oriented Hospice Clinical Specialist to support the delivery of high-quality... ...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 visit...Full timeWork at officeFlexible hours- ...Biomedical Engineer (Clinical Specialist) Brainlab revolutionized digital medical technology with... ...Together we're dedicated to making an impact. Sound like you? Join and grow with... ...more information. Click here to also review the EEO Law Poster. If you need assistance...Contract workCasual workWork at officeWorldwide
$110k
...while building a career grounded in purpose, growth, and impact.A Day in the LifeWe are seeking a committed professional... ...A valid driver's license is essential for this roleAs a Clinical Market Development Specialist (CMDS), you will enhance the selling process by serving...Full timeH1bLocal areaImmediate startRemote workFlexible hoursNight shift$85k - $100k
...healthier lives. Join us and be part of our inspiring journey. The Clinical Specialist at IHFM plays a vital support role, reporting to and working... ...will be based in Southern California. How you will make an impact: Attend and support implant procedures inside and outside of...Local area$45 - $60 per hour
...Clinical Lab Specialist San Diego, CA About Us Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing... ...personally and professionally while making a meaningful impact in the lives of others. Position Summary The Clinical...Hourly payNight shift$72k - $90k
...the assigned area and travel regularly to customer accounts. Clinical Specialists must be available to support urgent customer needs and... ...gives clinicians and patients greater confidence. Clinical impact and innovation come together to improve lives through meaningful...Work experience placementH1bWork at officeLocal areaRemote workWorldwideMonday to FridayFlexible hoursWeekend 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 area
- ...Clinical Market Development Specialist We anticipate the application window for this opening will close on - 31 Aug 2026 Careers that change lives... ...while building a career grounded in purpose, growth, and impact. We are seeking a committed professional to join our...Remote workNight shift
$78k - $156k
...You’ll Work OnUnder general direction, the CRM Product Support Specialist provides comprehensive engineering, sales, educational, and... ...CRM (Cardiac Rhythm Management) products.Key Responsibilities:Clinical Interface: Acts as a senior clinical interface between the medical...Work at officeWorldwideShift work- ...than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation... ...and formats (i.e., group discussion, lectures, role-play, etc.). Reviews and assists in determining the linguistic and cultural...Work at office3 days per week
- ...Clinical Educator We believe that great healthcare is an essential safeguard of human... ...success. If you're ready to make a positive impact on the lives of patients across the... ...every day is to operate as a world-class specialist medical company making and advancing technologies...Flexible hours
$78k - $156k
...monitors performance and reports status to manager. Technical proficiencies and performance are at the experienced level of all Clinical Specialists in the region. Acts as a senior clinical interface between the medical community and the business. Demonstrates...Remote workWorldwideShift work$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- 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
- Cook Medical’s Aortic Intervention division seeks a Clinical Specialist to support extensive medical device product lines through direct physician interaction and procedural consultation. The role involves education through in-servicing, collaboration with Sales, Product...Work at office
$105k - $110k
Apreva Hospice is seeking a compassionate Hospice Clinical Specialist in San Diego, CA. This role emphasizes clinical oversight in hospice care, ensuring personalized and quality treatment for patients. Candidates should possess an Associate's degree in Nursing, current...- Discovery Mood & Anxiety is seeking a Clinical Outreach Representative to lead regional marketing efforts and build referral partnerships. You will drive admissions growth by engaging healthcare professionals and managing CRM data, field activities, and reporting. This...Remote jobFull timeLocal area
$150k
...Clinical Specialist Medical device manufacturer is looking to fill a "clinical specialist" position. This is not a sales position. This company is highly patient focused. You will be working with advanced burn treatments. You will provide clinical, teaching, educational...Work at office- BrightSpring Health Services is seeking a Hospice Clinical Specialist in San Diego, CA. This full-time role focuses on clinical oversight, documentation management, and ensuring quality hospice care. You will work collaboratively with interdisciplinary teams and play a...Full time
$78k - $156k
...Cardiac Rhythm Management Division Product Support Specialist Abbott is a global healthcare leader that helps people live more fully... ...Cardiac Rhythm Management) products. Key Responsibilities: Clinical Interface: Acts as a senior clinical interface between the...Work at officeWorldwide- ...Clinical Education Specialist I At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare...
- Part time Clinical Intake Specialist position available for qualified applicant that will assist Intake Specialist with referrals, calling Case Managers, Discharge Planners and Physician's offices to obtain orders, H&P's and demographics for new and recertified patients...Full timePart timeWork from home
- ...team of healthcare professionals to optimize patient outcomes in clinical effectiveness, quality of care, and cost efficiency. - **... ...**Quality Improvement Participation:** Actively engage in peer review and performance improvement initiatives. - **Infection Control...Full time
- Edwards Lifesciences’ IHFM team is seeking a Clinical Specialist in Southern California to support Cardiologists, nurses, and cath lab staff in the effective use of the Cordella PA Sensor System. You will train, troubleshoot, analyze data, and perform field service under...
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