Clinical Program Specialist: Medical Review & Operations
Guidehouse
Guidehouse is seeking experienced clinicians to support federal health programs by providing expertise in healthcare delivery, documentation, utilization management, medical necessity review, and patient care pathways. You will evaluate how services are delivered, documented, reviewed, and operationalized across complex environments. In this role, collaborate with coding, reimbursement, analytics, and operations teams to translate clinical insights into practical recommendations and scalable #J-18808-Ljbffr Guidehouse
- ...to support federal health programs by providing expertise in healthcare delivery, clinical documentation, utilization management, medical necessity review, clinical operations, and patient care pathways.... ...Certified Clinical Documentation Specialist (CCDS) Certified Risk...OperationsMedicalTemporary workFlexible hours
- ...: This position is responsible for maintaining proper clinical review and interpretation of medical records and claim documentation to assist with the appeals... ...data systems, procedures and processes for improving program effectiveness and efficiency. Knowledge of data...Medical
- ...Division Clinical Simulations Specialist Are you passionate about the... ...role in facilitating medical simulation. This... ...integrating, maintaining and operating the computer and... ...available plans and programs include:... ...opening. We promptly review all applications. Highly...OperationsMedicalTemporary workImmediate startFlexible hours
- ...for incumbent job performance and evaluation. Essential Functions Oversees the operations of group homes and personnel Reviews and monitors program data collection Monitors all client medical charts Escalated Staff supervision Conduct annual trainings to ensure...OperationsMedicalDay shiftAfternoon shift
$130k - $165k
...Piper Solutions is seeking a Program Manager to support a high-visibility... ...communication, & program operations. The Program Manager will... ...schedules, & process guides Draft & Review Correspondence: Prepare, edit... ...on experience) Benefits: Medical, Dental, Vision, 401k Plan,...OperationsMedicalContract workWork at office- ...performance of business unit program initiatives. Develop, implement... ..., and Engagement internal operating system and require cross-functional... ...can contact Navy Federal's Medical Accommodations team at... ...regarding compensation and benefits, review the Benefits page of the Navy...OperationsMedicalTemporary workInternshipMonday to Friday
$115.6k - $160k
...lands, not just launches.You'll operate within a closed-loop change... ...in the lifeYou start the day reviewing adoption data from a process... ...qualifications- 5+ years of program or project management experience... ...including health insurance (medical, dental, vision, prescription...OperationsMedicalFlexible hoursShift workDay shift$66.8k - $116.8k
...requirements affecting the company’s operations and work with relevant teams... ...to continuously improve the program driving down risk and... ...with key stakeholders. You'll review and interpret regulatory requirements... ...including health insurance (medical, dental, vision, prescription...OperationsMedicalLocal areaFlexible hours- ...& Climate Advisory (Project/Program Development & Finance) to join... ...developing procurement documents, and reviewing bid documentationAssist with... ...includes a variety of medical and dental plans, vision... ...trustworthiness, and safeguard business operations and company reputation....OperationsMedicalH1bLocal area
- ...Guard Bureau (NGB) DOMESTIC OPERATIONS (DOMOPS) Analytical Service J... ...deliverables.Manage and report on the program's financial and... ...articulates key findings.· Ability to review analytic products for cogent... ..., childbirth, or related medical conditions; age; disability or...OperationsMedicalWork at officeLocal area1 day per week
$127.2k - $185k
...Consult with key partners to determine program prioritization, while sourcing and... ...and maintain the organizational operating rhythm (business reviews, planning cycles, leadership forums)... ...benefits including health insurance (medical, dental, vision, prescription, Basic...OperationsMedicalApprenticeshipLive inFlexible hours$168.1k - $227.4k
...designs, builds, ships, and operates testing platforms and AI-driven... ...outcomes. About the teamIn Programming Foundations, the Testing org... ...including coding standards, code reviews, source control management,... ...including health insurance (medical, dental, vision, prescription...OperationsMedicalInternshipFlexible hours- ...Amyx is seeking to hire a Program Manager (1102 SME) to... ...execution and operation of the Department of Defense (DoD) medical mission, which is to provide... ...lead a team of contracts specialists providing pre- and post... ...periods of time reading, reviewing/analyzing information,...OperationsMedicalFull timeContract workFor contractorsLocal areaRemote workFlexible hours
$127.1k - $172k
...team is seeking a Technical Program Manager with privacy, data protection... ...and assurance, campaign operations, and metrics to inform... ...the lifeYou'll start your day reviewing open campaigns and triaging newly... ...including health insurance (medical, dental, vision, prescription...OperationsMedicalFlexible hoursShift work$270k
...NCR)ActioNet is seeking for a Program Manager to lead the execution... ...integration, and cutover operations, ensuring that all work complies... ...production and change implementation reviews, and delivers oral briefings... ....What’s in It for You?Medical, Dental, and Vision Insurance...OperationsMedicalContract workFor subcontractorWork at office$175k - $215k
...every domain. Umbra’s ecosystem operates through three business units:... ...at Umbra. About the JobAs a Program Manager at Umbra, you will... ...facilitate Program Management Reviews.Processes: Participate in the... ...BenefitsFlexible Time Off, Sick, Family & Medical LeaveMedical, Dental, Vision,...OperationsMedicalOngoing contractPermanent employmentFull timeWork at officeLocal areaRemote workWorldwide$190.2k - $293.9k
...initiating a search for a Federal Programs Army Project Director in the... ...The position will work with operations and delivery leaders across... ...all mandated project tools.Reviews and approves proposal/project... ...include coverage related to medical, dental, vision, disability,...OperationsMedicalContract workWork at officeLocal areaRelocation packageFlexible hours$200k - $220k
As Sr. Program Manager III, you’ll lead the delivery of a complex,... ...together people, technology, operations, financial management, and customer... ...Develop and deliver program reviews, executive briefings,... ...physical or mental disability, medical condition, genetic information...OperationsMedicalFull timeContract workFor subcontractorLocal area$104.1k - $155.4k
...Workplace Health and Safety (WHS) Operational Excellence (OpEx) is seeking a Senior Program Manager to lead execution of... ...enrolled sites, including quarterly reviews, site improvement plan tracking,... ...full-time employees include: 1. Medical, Dental, and Vision Coverage 2....OperationsMedicalFull timeTemporary workSeasonal workFlexible hours$120k - $140k
...motivated and detail-oriented Program Scheduler & Analyst is sought... ...stakeholders Support program reviews and other stakeholder... ...in Business Administration or Operations Management with 10+ years of... ...childbirth, breastfeeding, or medical conditions related to pregnancy...OperationsMedicalHourly payContract workLocal area$7.5k
...Standard - our foundation for operation. Through our six Winning... ...friends. Responsibilities Program Overview PSA is one of the... ...Instructor Check-in and Logbook review Cadet Instructor... ...Ability to obtain a First-Class Medical Ability to obtain a Valid...OperationsMedicalInternshipWork at officeFlexible hours$165k - $215k
...every domain. Umbra’s ecosystem operates through three business units:... ...the JobWe are looking for a Program Manager to join Umbra's... ...track. Lead regular program reviews, status meetings, and customer... ...BenefitsFlexible Time Off, Sick, Family & Medical LeaveMedical, Dental, Vision,...OperationsMedicalPermanent employmentFull timeContract workFor subcontractorWork at officeLocal areaRemote workWorldwideAfternoon shiftEarly shift$135k - $216k
...our nation and allies. Peraton operates at the critical nexus between... ...Role Peraton is seeking a Program Operations Manager to provide... ...requirements; Championing operational reviews, root cause analysis, and... ...of benefits including medical, dental, vision, life, health...OperationsMedicalContract workTemporary workFor subcontractorLocal areaShift work- ...The Program Manager (PM) will provide comprehensive program management... ...of acquisition and business operations functions, including foreign... ...the Joint Program Management Review (PMR) War on Cost (WOC),... ...benefit premiums, including Medical (PPO or HDHP Option), Vision,...OperationsMedicalTemporary workFor contractorsWork experience placementWork at office2 days per week
$140k - $215k
...the Role:We're investing in program managers who are energetic,... ...infrastructure and platform engineering operations#LI-DR1Benefits of Working at... ...or pregnancy-related medical conditions), sexual... ...need assistance accessing or reviewing the information on this website...OperationsMedicalFull timeWork experience placementWork at officeLocal areaWorldwideFlexible hours2 days per week$74.2k - $129.8k
...challenge of standardizing ambiguous programs and processes appeal to you?... ...organizational alignment and operational excellence, and 3) support... ...and presentations that are reviewed by leadership and senior... ...including health insurance (medical, dental, vision, prescription...OperationsMedicalWork at officeLocal areaRelocationRelocation packageFlexible hours$155 - $178 per hour
...immediate opportunity for a Deputy Program Manager - AI, Data Science &... ..., infrastructure operations, and digital transformation programs... ...and executive-level program reviews.Coordinate with internal business... ...ActioNet’s Benefits Program:Medical InsuranceVision...OperationsMedicalFull timeContract workFor subcontractorImmediate start$160k - $180k
...Position Summary: The Program Manager leads the planning, execution... ...Guard Bureau's (NGB) J3/4/7 Operations Directorate. About Us:... ...include: ~ Comprehensive medical, dental and vision ~ Long... ...This job description will be reviewed periodically as duties and...OperationsMedicalTemporary workWork experience placementWork at officeLocal area- Medical Review Manager - CMS Medicare (RVC) at BROADWAY VENTURES, LLC... ...into opportunities with expert program management, cutting‑edge... ...tailored solutions that drive operational success, sustainability, and... ...policies and procedures. Provide clinical expertise and guidance for...OperationsMedicalContract workFor contractorsMonday to Friday
$148.7k - $201.2k
...will:- Work across the product, program, engineering, hardware,... ...construction, deployment, logistics, operations, decommissioning and Mission... ...decisions, design reviews, and represent our service to... ...including health insurance (medical, dental, vision, prescription...OperationsMedicalRemote workWorldwideFlexible hours
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