Remote Clinical Operations & Process Improvement Specialist
Mass General Brigham Health Plan
- Remote job
Mass General Brigham Health Plan is seeking a Clinical Operations Specialist to oversee daily operational workflows within the Physician Review Unit. This role manages case volumes, implements process improvements, and collaborates with cross-functional teams to enhance compliance and efficiency. The ideal candidate will have a Bachelor's Degree and 2-3 years of experience in health plans, particularly in Utilization Management, with strong analytical and communication skills. This position is remote and offers a dynamic work environment. #J-18808-Ljbffr Mass General Brigham Health Plan
$85.68k - $134.64k
...art technology, and improve lives with your... ...sciences for the clinical laboratory. ...to... ...Clinical Informatics Specialist. The Clinical Informatics... .... This includes remote instrument and... ...is done, focus on process improvement;... ...proficiency in implementing/operating Caresphere WS,...Remote workOperationsProcess improvementWork at officeWorldwide$108k - $153k
...patient’s unmet clinical needs. It’s our driving... .... As a Sr Specialist, Clinical Imaging... ...open to US based, remote candidates. Occasional... ...case planning process through multiple... ...team, sales operations, information technology... ...process improvements. Design and develop...Remote jobOperationsProcess improvementWork experience placementWork at office$106.2k - $167.2k
...the company mission of improving and saving lives... ...Research Laboratories QA Clinical Quality (CQ) provide independent... ...through sound processes, procedures, and strategies... ...(e.g. Clinical Operations), and interacts with various... ...Work Arrangements: Remote Shift: Not Indicated...Remote workOperationsProcess improvementFor contractorsRelocationVisa sponsorshipFlexible hoursShift work$91.7k - $163.7k
...opportunities with Kelsey-Seybold Clinic, part of the Optum family... ...opportunities for operational improvement, which can be enabled by, improved... ...the flexibility to work remotely from anywhere within the U.... ...guidelines. Understands concepts of process improvement and results to...Remote jobOperationsProcess improvementMinimum wageFull timeContract workWork experience placementWork at officeLocal areaFlexible hours- ...contact to the department/clinic, the applicant uses... ...payor coverage, processing orders/referrals, managing... ...professional skills to improve outcomes of persons served... ...pertinent to the operation of the department and... ...to occasionally work remotely outside of their designated...Remote workOperationsProcess improvementWork at officeImmediate startFlexible hoursShift work
$48 - $53 per hour
...Health Informatics Specialist III (Remote) Pride Health is hiring... ...as an experienced clinical informatics consultant... ...with clinical, operational, and technology teams... ...This role focuses on improving clinical workflows,... ...activities. Perform process improvement, gap analysis...Remote workOperationsProcess improvementContract workLocal areaMonday to FridayShift work$55k - $70k
...Utilization Review Specialist – Exact Billing... ...FL - On-site - No Remote Salary: $55K - $7... ...billing process, EBS is the oil that... ...supporttheexpansion ofglobal operations. Part of the ICBD... ...and evaluating clinical documentation,... .... Quality Improvement Participate in quality...Remote workOperationsProcess improvementWork at officeFlexible hours- ...employment opportunities: Position Title : Clinical Registered Nurse (RN) Position... ...for overseeing daily clinical operations, coordinating resident care, and supervising... ...Nursing Manager with quality improvement process. Provide remote after-hour support for LVNs and...Remote workOperationsProcess improvementFull time
$58.8k - $105k
Payfuture Technologies is hiring a Clinical Documentation Integrity Specialist for a national remote position. This full-time role involves improving health outcomes by enhancing clinical... ...Responsibilities include chart analysis, process improvement, and collaboration with...Remote jobProcess improvementFull time- ...Clinical Appeals Nurse (RN) Status: Exempt Location: Remote Department: Clinical Appeals Reports To:... ...HBiz’s revenue cycle operations by reviewing denied claims... ...overturning denials, improving reimbursement outcomes... ...Participate in process improvement initiatives...Remote workOperationsProcess improvement
- ...s leading provider of clinically integrated eye care. Our... ...advance eye care and improve lives. Based in St.... ...programs for surgical operations Identify, investigate,... ...trends and recommend process improvements to reduce... ...also be considered for remote work. PHYSICAL REQUIREMENTS...Remote workOperationsProcess improvementFull timeWork at office
- ...Central Authorization Specialist The purpose of the... ...ordered procedures and post-operative care. This will be... ...where performance improvement is needed (e.g., day to... ...workflow, education, process improvements, patient... ...experience in a medical clinic setting or training in...Remote jobOperationsProcess improvementFull timeWork at office
- ...Medication Access Specialist We are relentless... ...financial gains, operational excellence, and an... ...pharmacy to improve lives. About The Role (Remote, Work From Home)... ...streamlining patient intake processes, navigating... ...among pharmacies, clinic staff, and insurance...Remote workOperationsProcess improvementFull timeWork at officeWork from home
- Overview The Process Improvement Specialist serves as an extension of the Market President, driving operational consistency and accountability across clinic locations in Texas and Arizona. This role is... ...consistently met. Schedule: Full Time - Remote Responsibilities Clinic...Remote workOperationsProcess improvementFull timeWork at office
- ...deployment and integration of clinical programs, technologies, and... ...supporting patient care and operational efficiency. Job Duties... ...progress and identifies areas for improvement. Collects and analyzes data... ...effectiveness. Skilled in identifying process gaps and recommending...Remote workProcess improvementContract workWork experience placementWork at office
$75k - $90k
...redefining the transplant process by developing next‑... ...fewer risks. We operate a dedicated clinical manufacturing... ...in our trials. The Specialist, Quality Assurance position... ...procedures. Maintain and improve CAPA processes to... ...by law. For remote‑based positions, this...Remote workOperationsProcess improvementFull timeLocal areaWeekend workDay shift$95.4k - $208.3k
Onsite or Remote Fully On-Site Work Schedule: Monday... ...As the QIPM specialist, you will work alongside... ...QIPM team, as well as clinical, operational, and IT teams to help... ...quality and performance improvement efforts for the... ...record in operations, process improvement, and project...Remote workOperationsProcess improvementWork at officeMonday to Friday- ...Intake Specialist II At Gifthealth, we're... ...simplifying the process of managing prescriptions... ...additional operational support to the intake... ...issues requiring clinical interventionall... ...identify process-improvement opportunities,... ...Location: Hybrid or Remote (remote...Remote workOperationsProcess improvementFull timeAll shiftsMonday to FridayShift workNight shiftWeekend work
- ...device function in order to improve and maintain the proper function... ...to each individual clinical situation. This position may... ...ordering equipment to ensure remote connectivity and continuity of... ...workflow. Expected to identify process improvement ideas and contribute...Remote workProcess improvementRelief
$106k - $149k
...We generate extensive clinical evidence to... ...This position is US Remote based. How you will... ...Science team, the Sr. Specialist, Clinical Science/Medical... ...implementation of continuous process improvements as it relates to... ...therapeutic and product operation knowledge. Advanced...Remote jobOperationsProcess improvementWork experience placement$85k - $100k
...As a Provider Engagement Specialist, you will have the... ...concerns, and helping to improve processes that make care delivery... ...Team : Partner with our clinical, administrative, and operations teams to enhance provider... ...based on local markets; remote roles are aligned to national...Remote workOperationsProcess improvementTemporary workWork at officeLocal areaWork from homeFlexible hoursAfternoon shift$19.5 - $25.5 per hour
Credit Balance Specialist Overview Posting Date: 06/1... ...Specialist for our Revenue Operations Department.... ...the team. Hybrid and remote position available. All... ...with peers, leaders, clinical personnel, and payer... ...to implementation of process‑improvement initiatives aimed at...Remote workOperationsProcess improvementHourly payMinimum wageWork at office- ...Specialty | Pre-Anesthesia Clinic (LPAC)Applyremote type... ...: Kalispell, Montana: Remote Locationtime type:... ...the pre-anesthesia process* Identify and address... ...initiatives and process improvements* Demonstrate professionalism... ...daily clinical operations while maintaining patient...Remote workOperationsProcess improvementWork at officeMonday to FridayShift workDay shift
- ...Intake Admissions Specialist Franklin, IN... ...evaluating referrals for clinical appropriateness... ...the admissions process and works to... ...opportunities for improvement. Utilize CRM systems... ..., healthcare operations, customer service... ...Flexibility for remote work according to...Remote workOperationsProcess improvementWork at officeImmediate startFlexible hours
$72.8k - $130k
...in Client Service operations. This position... ...Provider Engagement Specialists in the local... ...data and business processes. The Senior Provider... ...flexibility to work remotely* as you take on... ...and technology improvement initiatives that... ...Collaborates with internal clinical services teams,...Remote jobOperationsProcess improvementMinimum wagePermanent employmentFull timeTemporary workWork experience placementWork at officeLocal area$68k - $100k
...future of healthcare operations while making a... ...will make? The Clinical Nurse Specialist plays a critical role... ...reduces write-offs, and improves payer performance.... ...prevention strategies and process improvement... ...confidentiality obligations US remote-based colleagues are...Remote workOperationsProcess improvementPermanent employmentFull time$26 - $30 per hour
...enhance patient experience in clinical studies. You will be... ...and ensuring informed consent processes are followed. Strong communication... ...organizational skills are vital for this remote position. This role requires... ...in clinical research operations, and offers an hourly pay of...Remote workOperationsHourly payTemporary work- ...that hospitals and clinics can focus on... ...covered entities improve their 340B program... ...general. The 340B Specialist will: Be expected... ...: Perform remote monthly audits independently... .../purchasing processes, and analyze... ...in 340B related operations. ~...Remote workOperationsProcess improvementContract workWork at officeVisa sponsorshipWork visaFlexible hours
- Position: Case Review Specialist - Phone Intake &... ...Location: Remote Remote Status: Remote... ...determination processes. This role serves... ...members, and internal clinical and non‑clinical... ...Appeals, Claims, Operations) to ensure cases... ...for process improvement. Provide feedback...Remote workOperationsProcess improvementWork at officeLocal areaMonday to FridayShift work
- ...for a Lead Scheduling Specialist to join our team. We are... ...effective training, process improvement, quality assurance, culture... ...and phone queue operations (5%) Other Duties as Assigned Remote Position No Status Full... ...to delivering clinical excellence in communities...Remote workOperationsProcess improvementFull timeWork at officeImmediate startShift work
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