Clinical Lead, Grievances & Appeals
$98.2k - $130.8kVNS Health
VNS Health is seeking a Clinical Supervisor in New York who will oversee the Grievance & Appeals department, ensuring compliance with state and federal regulations. The role demands a Registered Professional Nurse license and at least three years of healthcare experience, with a focus on grievance and appeals. Key responsibilities include supervising clinical staff, ensuring data accuracy for reporting, and managing day-to-day operations. Competitive benefits like generous paid time off and comprehensive health insurance are offered. Salary range is $98,200 - $130,800 annually. #J-18808-Ljbffr VNS Health
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...SuggestedRemote job
$71.59k - $116.48k
A prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in clinical case management, understanding of regulatory compliance, and the ability to effectively resolve...SuggestedRemote job- Jefferson Health is seeking a Clinical Appeals Nurse to be a part of their team, working fully remote. This role involves reviewing payor denials, writing appeals, and coordinating with third-party payors to advocate for patient claims. Qualified candidates will hold a...SuggestedRemote job
- ...Santa Barbara Cottage Hospital is seeking a Clinical Nurse Specialist to resolve complex clinical denials and enhance reimbursement outcomes through evidence-based appeals. Your role includes analyzing denial trends, collaborating with teams, and improving clinical review...SuggestedRemote work
- ...IntelliResume is hiring an Associate Clinical Professional Development Educator in New York, NY. This role entails developing and providing orientation and continuing education for nursing staff, ensuring their competence and readiness for patient care. The successful...SuggestedFlexible hours
$70k - $90k
A leading health organization is seeking a full-time Program Implementation Manager to oversee clinical studies. The ideal candidate will be responsible for managing recruitment and relationships with hospitals to ensure success in cardiovascular clinical trials. Specific...Full timeRemote work$46 - $53 per hour
...A community-focused nonprofit organization in Brooklyn is seeking a Clinical Program Manager to oversee The Bravest Children program. This role involves managing counseling services for children under 18, developing curriculum and ensuring best practices in clinical operations...Hourly pay- ...This position may be based in the US North East. Join Our Team as a Clinical Applications Lead! Are you passionate about Nuclear Cardiology and Nuclear Medicine? Do you thrive on educating and supporting clients to ensure their success? If so, we have an exciting opportunity...Local area
$105.4k - $144.87k
...Terumo Cardiovascular Group is hiring a Clinical Project Manager responsible for managing clinical trials from initiation through to completion. This role involves developing project plans, budgets, timelines, and ensuring regulatory compliance. Ideal candidates will...- ...Bowery Residents' Committee in New York seeks a full-time clinical supervisor to oversee Independent Living Specialists and design group counseling programs. The role requires excellent interpersonal and managerial skills, with a preference for candidates who have experience...Full time
$130k - $170k
...Clinical Outcomes Lead, Skilled Nursing The Clinical Outcomes Lead serves as the clinical market leader for Sage's skilled nursing expansion efforts. Reporting to the Head of Clinical, this role bridges frontline care delivery, data insights, and product adoption to...ApprenticeshipWork at officeLocal areaRemote work2 days per week- ...Essen Healthcare is looking for an Operational Compliance Lead to manage RCM compliance. This position is vital in ensuring compliance with auditing standards and requires a clinical background. Responsibilities include conducting chart reviews, delivering education to...
- ...Angel City VA is looking for a Business Development Associate to lead the identification and management of clinical trial opportunities. This role is crucial for advancing studies aligned with the organization's capabilities. Responsibilities include conducting due diligence...
$236.25k - $341.25k
## Senior Clinical Lead, Early Clinical & Experimental TherapeuticsBewerbenlocations: Cambridge, MA: Morristown, NJtime type: Vollzeitposted on: Heute ausgeschriebentime left to apply: Enddatum: 4. September 2026 (Noch 30+ Tage Zeit für Bewerbung)job requisition id: R28...Interim role$136.4k - $181.4k
...BeiGene, Ltd. is seeking a regional clinical operations lead to manage multiple studies and ensure quality delivery within timely and budgetary constraints. The role involves leading a regional team, collaborating with stakeholders, and ensuring compliance with regulations...- ...A leading manufacturer in pediatric adaptive equipment is searching for a Clinical Operations Manager in Dolgeville, NY. This hybrid-eligible role seeks a licensed therapist or assistive technology professional to lead a support team, ensuring children receive necessary...Flexible hours
- ...A clinical systems technology company in New Jersey is seeking a Technical Project Manager to lead the delivery of web-based clinical platforms. The ideal candidate will have 5–10 years of project management experience, a strong understanding of Agile methodologies, and...
- ...Valid8 Financial, Inc. is seeking a leader for the clinical side of their program in New York. You will supervise and guide clinical staff, ensuring that services are robust and residents receive the necessary care. The ideal candidate has a Master’s in social work and...
- ...LaSante Health Center is looking for a Clinical Quality Lead to enhance quality improvement initiatives and bolster patient care. This role involves leading quality programs, significantly enhancing preventive care performance, and enhancing patient outreach efforts. The...
$110k - $120k
...A growing medical technology company in New Jersey seeks a Technical Project Manager to lead web-based clinical platforms for medical imaging. You will coordinate between software development, testing, and business teams, ensuring seamless transitions and project delivery...$89.3k - $148.8k
...account transition for the new site and surgeon to the primary clinical specialist or customer, for ongoing case coordination and coverage... .... Identify gaps or recurring trends in team knowledge base. Lead team training sessions to enhance skillsets and consistency. Education...Temporary workWork experience placementInternshipLocal areaImmediate startFlexible hoursWeekend work$140k
...Inno Medicine is seeking a Clinical Trial Project Manager to oversee the US operations of global clinical trials. This fully remote position requires strong leadership of cross-functional teams, budget management, and site oversight. The ideal candidate will have a minimum...Local areaRemote work$152k - $209k
...maintains its roots as a science‑based start‑up and pushes our commitment to innovate across all corners of our business. The Clinical Quality Lead is responsible for driving real‑time quality oversight and consistent high‑quality standards of the global clinical trials,...Temporary work$175 per hour
...— talk with your recruiter to learn more. Base pay range $175.00/hr - $250.00/hr Position: PK/PD Module Expert – Translational / Clinical Pharmacology Decision-Maker Type: Hourly contract Compensation: $175–$250/hour Location: Remote Commitment: 10–40 hours/week Responsibilities...Hourly payContract workRemote work- ...Gan & Lee Pharmaceuticals is seeking a Clinical Research Physician to report to the VP, Clinical Science. The role involves leading clinical strategy primarily for insulin assets, overseeing clinical trials, and ensuring compliance with clinical objectives. Candidates...
- ...Sage in New York City is seeking a Clinical Outcomes Lead to drive clinical success in skilled nursing settings. This role entails developing strong relationships and facilitating clinical adoption strategies, analyzing data outcomes, and translating them into narratives...Remote workFlexible hours
$90k - $100k
...PT Solutions Physical Therapy is looking for a Clinical Engagement Specialist (CES) in Pennsylvania. The CES will develop brand awareness and build relationships with health professional students and faculty. Responsibilities include coordinating university events, enhancing...$115.49k - $192.33k
...Mount Sinai Morningside is looking for a Clinical Program Manager responsible for ensuring compliance with clinical standards and managing the performance of nursing staff at their Staten Island location. The ideal candidate will oversee clinical operations, develop budgets...$90k - $140k
...Transformcap is seeking an experienced business development professional for Capital Rx's clinical programs in Jersey City, NJ. This role involves driving sales strategies, developing client relationships, and ensuring successful onboarding for clinical offerings. The...$119.6k - $222.2k
...The Position As a Clinical Research Engagement Lead (CREL) at Roche, you will act as the ultimate strategic partner and primary face of Roche Clinical Operations within your market. This is not a traditional coordination role—you are the champion of a "ONE Roche" approach...Local areaRemote workRelocation package
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Lead, Grievances & Appeals. Be the first to apply!

