Clinical Quality Review Lead for Regulatory Audits
$78.7k - $134.9kMedica
A nonprofit health plan is looking for a Supervisor of Quality Reviewers to oversee clinical reviews and regulatory audit operations. The ideal candidate will have a Bachelor's degree, significant clinical healthcare experience, and leadership skills. This role includes direct supervision of the quality review team and requires expertise in regulatory compliance. The position offers a full salary range of $78,700 – $134,900, subject to experience and qualifications, and includes a comprehensive benefits package. #J-18808-Ljbffr Medica
$78.7k - $134.9k
...connected care, where coordinated, quality service is the norm and every... .... The Supervisor, Quality Reviewers is responsible for leading day-to-day clinical review and medical record operations... ...complex, time-sensitive regulatory audits and quality initiatives. This role...QualityRegulatoryWork experience placementRemote work$15.85 - $25.5 per hour
...Lead Clinical Pharmacy Technician The Clinical Pharmacy Technician... ...Comprehensive Medication Reviews (CMRs) and Targeted Medication... ...maintaining compliance with regulatory requirements. Conduct patient... ...team. Actively contribute to quality improvement initiatives and...QualityRegulatoryHourly payImmediate startRemote workWeekend workAfternoon shift$125k - $255k
Summary: The Credit Review Team Leader Sr. will report directly... ...Manager. This role involves leading a team in various credit risk... ...and compliance with legal and regulatory requirements, and evaluate results... ..., ability to deliver high quality results while meeting...QualityRegulatoryWork at officeRemote workWork from homeFlexible hours- ...Remote Clinical Review Pharmacist – Work From Home Leverage your clinical knowledge in a fully remote Clinical Review... ...and decisions according to health-plan and regulatory requirements. Participate in quality initiatives and peer-to-peer discussions as needed...QualityRegulatoryRemote workWork from homeFlexible hours
- ...Clinical Risk Evaluation (CRE) Senior Scientist... ...healthcare, with leading businesses and... ...healthier hearts, improve quality of life for... ...Quality Engineering, regulatory affairs, product... ...Writers and Physician Reviewers). Review, edit,... ...and external audits and responses to audit...QualityRegulatoryWork experience placement
- ...aspects across assigned sites, including off-site clinics. The role emphasizes leadership, staffing, budgeting, and regulatory compliance within a collaborative team. You... ...and performance evaluations, and ensure quality across laboratory services in alignment with organizational...QualityRegulatory
- ...Position Summary: The Clinical Lead Lab Technician reports to Supervisor... ...& time verification, quality control, inventory, equipment... ...patient data are accurately reviewed, entered, and processed in the... ..., safety guidelines, and regulatory requirements. Provides excellent...QualityRegulatoryFull timeWork experience placementMonday to FridayDay shift
$113.4k - $194.4k
...care, where coordinated, quality service is the norm and... ...Provider Enablement Lead is accountable for translating... ..., Product, Pharmacy, Clinical, Affordability, Account... ...with healthcare regulatory compliance, particularly... ...further information, please review the Know Your Rights...QualityRegulatoryWork experience placementWork at office3 days per week- Vivie in Minnesota seeks a Regional Clinical Support Nurse to lead clinical operations across multiple communities, overseeing resident assessments and care plans to ensure high-quality care and regulatory compliance. You will guide clinical teams to deliver person-centered...QualityRegulatory
$70.2k - $120.4k
...care, where coordinated, quality service is the norm... ...partner between Quality, Clinical Provider Partnerships,... ...and compliance with regulatory and organizational... ...to internal requests, audits, and regulatory reporting... ...further information, please review the Know Your Rights...QualityRegulatoryWork experience placementWork at office3 days per week$78k - $156k
...spectrum of healthcare, with leading businesses and... ...Plymouth has an opening for Clinical Group Lead. This role... ...team regarding global regulatory reporting decisions.... ...a program that reviews the complaint process... ...process of continuous quality improvement and risk managementIdentify...QualityRegulatoryLocal areaWorldwideShift work- ...role:Wells Fargo is seeking a Lead Underwriter within the Cards... ...ability of affluent clients by reviewing credit bureau information,... ...the ability to balance credit quality with a high-touch customer experience... ...Crimes, Operational, Regulatory Compliance), which includes effectively...QualityRegulatoryFull timeWork experience placementWork at officeRelocation package
- ...seeking an SIU Investigator IV to lead advanced fraud, waste, and... ...will manage complex cases, review evidence from multiple sources... ...that support legal or regulatory outcomes. You will collaborate... ...and training—enabling a high‑quality investigative program within...QualityRegulatory
$150k - $175k
...give them better quality of life. We develop... ...is responsible for leading a growing team to... ...and execution of clinical trials in collaboration... ...with legal and regulatory standards and... ...of Institutional Review Board (IRB) approvals... ...procedures.Support audit readiness and provide...QualityRegulatoryMinimum wageOngoing contractFull timeContract workTemporary workWork at officeLocal areaRemote workWorldwideNight shift3 days per week$41.3k - $70.8k
...of connected care, where coordinated, quality service is the norm and every member feels... ...Record Retrieval Specialist collects, reviews, and manages medical records to support clinical reviews, quality programs, and regulatory audits. This role ensures records are obtained...QualityRegulatoryWork experience placementWork at officeRemote work$78.7k - $134.9k
...connected care, where coordinated, quality service is the norm and every... ...This role supports Medica's Clinical Optimization team by... ...operationalizing business and regulatory requirements across clinical... ...further information, please review the Know Your Rights notice from...QualityRegulatoryWork experience placementWork at office3 days per week$109k - $174.8k
...merit. Job Function Regulatory Affairs Group Job... ...a Sr Program Lead, Regulatory Affairs... ...rapport with FDA reviewers, project team members... ..., marketing, and clinical groups. Performs Copy... ...regulatory agency audits. Coaches junior... ...regulations / standards and Quality principles. Must...QualityRegulatoryTemporary workLocal areaWorldwide$90k - $110k
...Regional Clinical Support Nurse Schedule: Full-time | 80... ...communities to ensure high-quality resident care and regulatory compliance. This role requires... ...of residents. Lead and Develop Teams ~... ...further information, please review the Know Your Rights notice...QualityRegulatoryFull timeInterim roleWork at officeMonday to Friday- ...As a key member of the Clinical team, the Clinical Project... ...by meeting company and regulatory requirements according to time, quality/scope, and budget constraints... ...and risk mitigation. Lead sponsor study startup... ...across the clinical team. Review and approve vendor...QualityRegulatoryWork at officeFlexible hours
- ...Required ***Will Consider Clinical Laboratory Scientist... ..., Supervisor or Lead (or assigned Charge).... ...procedures, policies and regulatory guidelines. These require... ...equipment; monitors quality control standards.... ...specimens. Where assigned reviews lab requisitions and...QualityRegulatoryFull timeWork experience placementInternshipWeekend work
$88.8k - $152.3k
...care, where coordinated, quality service is the norm and... ...valued. The Category Lead is accountable for category... ...Quarterly Business Reviews (QBRs) and ongoing strategic... ...obligations, regulatory requirements, and risk... ...pre and post contracting audit Monitor compliance, manage...QualityRegulatoryContract workWork experience placementWork at office3 days per week- ...the Maternal & Child Health Clinical Affairs team, the Senior Clinical... ...evidence generation to meet regulatory and commercialization needs.... ...by contributing to design reviews, risk management, and clinical... ...well-being and to ensure high quality data. About the Role: Responsible...QualityRegulatoryLocal area
$113.4k - $194.4k
...Clinical Pharmacy Manager, Formulary Strategy... ...where coordinated, quality service is the... ...is responsible for leading the development, maintenance... ..., and regulatory requirements. Other... ...Therapeutic class reviews Comparative effectiveness... ...are defensible, auditable, and aligned with...QualityRegulatoryWork experience placementWork at office3 days per week- ...Details & Qualifications: Leads nursing operations within the... ...ensuring the delivery of high-quality patient care. Provides direct... ...compliance with policies, regulatory standards, and evidence-based best practices. Serves as a clinical role model in all interactions...QualityRegulatoryFull timeShift workDay shift
- ...a dedicated Unit Manager (RN) to provide clinical and operational leadership within our skilled... ...the assigned nursing unit, ensuring high-quality care and regulatory compliance. Responsibilities include supervising staff, reviewing referrals, updating care plans, mentoring...QualityRegulatory
$171k - $273k
...Job Title Director of Clinical Operations Job Description... ...against goals while leading complex negotiations with regulatory bodies, sites, and vendors... ...Medical, Regulatory, Legal, Quality, Procurement, and Finance... ...meetings, enrollment reviews, budget reviews, milestone...QualityRegulatoryFull timeContract workWork at officeLocal areaImmediate startWork visaRelocation package3 days per week- UnitedHealth Group seeks a Clinical Review Clinician to analyze itemized hospital bills and document adjustments for forensic reviews. Telecommute... ...a team with comprehensive benefits, ongoing development, and a commitment to health equity and quality care. #J-18808-Ljbffr ISHEQualityRemote job
$120k - $145k
...Job Title: Quality ManagerJob Description This role leads day-to-day quality operations... ...state of audit readiness, and support... ...devices through pivotal clinical trials and toward... ...environments meet regulatory expectations.... ...application may be reviewed using AI tools....QualityRegulatoryPermanent employmentLocal areaFlexible hours- Laborie is seeking a Clinical Project Manager to oversee all aspects of Clinical Trial Team activities for assigned projects. You will... ...with the Clinical Program Manager and CTO to meet regulatory requirements. The role requires extensive clinical operations...Regulatory
$88.8k - $152.3k
...where coordinated, quality service is the norm... ...The Finance Manager, Clinical is responsible for leading financial planning,... ...financial performance, regulatory compliance, cost... ...internal and external audits and provide required... ...information, please review the Know Your Rights...QualityRegulatoryWork experience placementWork at office3 days per week
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