Oncology Clinical Informaticist Registered Nurse (RN) - Relocation Offered! MedStar HealthOncology Clinical Informaticist Registered Nurse (RN) - Relocation Offered!Baltimore, MD$82,617.60–$143,062.40 / yearEstablishes develops and maintains effective relationships working agreements and quality partnerships within the shared decision-making model and within the model of care to ensure quality patient care across the continuum and to secure resources to support evidence based patient care. Functions as a facilitator and innovator for state-of-the-art clinical care with direct involvement in implementing and evaluating new techniques and equipment for safety cost-effectiveness and benefits related to clinical practice.
Principal Clinical Quality Assurance Specialist ExperisPrincipal Clinical Quality Assurance SpecialistBethesda, MDRemote$120,000–$150,000 / yearGuided by the belief that it takes Human Ingenuity to unlock the true potential of technology, Experis helps people gain experience with leading organizations, build sought-after skills and take the next step toward a brighter future. The Principal Quality Assurance Specialist is a seasoned Clinical QA professional responsible for conducting GCP audits, supporting regulatory inspections, as well as strengthening compliance and quality systems across the organization.
NewPer Diem / PRN Mother Baby RN - $62 per hour Trinity Health FirstChoicePer Diem / PRN Mother Baby RN - $62 per hourSilver Spring, MD$54–$57 / hourMinimum two (2) years of recent clinical experience for all remaining specialties including Critical Care, Surgical Services, Maternal Services, Emergency Department and Behavioral Health. . Trinity Health is a leading not-for-profit Catholic health system with 92 hospitals and hundreds of primary, specialty and continuing care centers across the United States.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantBaltimore, MDIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Clinical Laboratory Consultant The Tatitlek CorporationClinical Laboratory ConsultantFort Meade, MarylandFull timeEnsure laboratory personnel are performing the test methods as required for accurate and reliable results; Ensure that the laboratory is enrolled in an HHS-approved proficiency testing program for the testing performed and that the proficiency testing samples are tested as required under subpart H of this part; the results are returned within the timeframes established by the proficiency testing program; all proficiency testing reports received are reviewed by the appropriate staff to evaluate the laboratory’s performance and to identify any problems that require corrective action; and an approved corrective action plan is followed when any proficiency testing result is found to be unacceptable or unsatisfactory. Ensure that policies and procedures are established for monitoring individuals who conduct pre-analytical, analytical, and post-analytical phases of testing to assure that they are competent and maintain their competency to process specimens, perform test procedures and report test results promptly and proficiently, and whenever necessary, identify needs for remedial training or continuing education to improve skills.
NewClinical Laboratory Consultant TATITLEK SUPPORT SERVICES, INC.Clinical Laboratory ConsultantAberdeen Proving Grounds, MDEnsure laboratory personnel are performing the test methods as required for accurate and reliable results; Ensure that the laboratory is enrolled in an HHS-approved proficiency testing program for the testing performed and that the proficiency testing samples are tested as required under subpart H of this part; the results are returned within the timeframes established by the proficiency testing program; all proficiency testing reports received are reviewed by the appropriate staff to evaluate the laboratory's performance and to identify any problems that require corrective action; and an approved corrective action plan is followed when any proficiency testing result is found to be unacceptable or unsatisfactory. The clinical laboratory consultant must;o Be available to provide consultation to the laboratory's clientso Be available to assist the laboratory's clients in ensuring that appropriate tests are ordered to meet the clinical expectationso Ensure that reports of test results include pertinent information required for specific patient interpretation; ando Ensure that consultation is available and communicated to the laboratory's clients on matters related to the quality of the test results reported and their interpretation concerning specific patient conditions.
NewUtilization Management Clinical Consultant (Tuesday - Saturday) CVS Health CorpUtilization Management Clinical Consultant (Tuesday - Saturday)MD$26.01–$56.14 / hourJoin our Utilization Management team and play a critical role in ensuring members receive appropriate, evidence-based behavioral health services while supporting quality care and effective treatment planning. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
NewSenior Consultant - Clinical Documentation Specialist DeloitteSenior Consultant - Clinical Documentation SpecialistBaltimore, MD$95,600–$188,400 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Managing Consultant – Clinical Quality Improvement (Maryland Programs) - Healthcare Berkeley Research GroupManaging Consultant – Clinical Quality Improvement (Maryland Programs) - HealthcareBaltimore, MarylandThis role is designed for a seasoned quality professional with hands-on experience in Maryland’s unique hospital payment and quality environment, including the HSCRC Quality-Based Reimbursement (QBR), Maryland Hospital Acquired Conditions (MHAC), and Readmission Reduction Incentive Program (RRIP), and alignment with CMS programs such as Hospital Readmission Reduction Program (HRRP), Value-Based Purchasing (VBP), Hospital-Acquired Reduction Program (HACRP), and CMS Care Compare. Led by seasoned healthcare executives, operators, physicians, nurses, and other clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment.
Clinical Data AMS Sr. Consultant DeloitteClinical Data AMS Sr. ConsultantBaltimore, MD$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
Provider Clinical Operations Consultant, Senior Associate PricewaterhouseCoopers LLPProvider Clinical Operations Consultant, Senior AssociateBaltimore, MD$77,000–$202,000 / yearPreference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
IT Consultant V - Medical Device & Clinical Systems Integration Kaiser PermanenteIT Consultant V - Medical Device & Clinical Systems IntegrationHyattsville, MDThe MCCAS (Member, Care, and Coverage Application Services) - Medical Device Integration team provides enterprise governance and technical oversight for integrations that securely and reliably transmit data from medical devices into clinical systems, including Epic, to support safe, scalable care delivery. Develops requirements, or leads a team of IT consultants in the development of requirements for complex or specialized process or system solutions which may span multiple business domains by partnering with stakeholders and appropriate IT teams (for example, Solutions Delivery, Infrastructure, Enterprise Architecture).
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistBaltimore, MD$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
CONSULTANT PHARMACIST (CLINICAL PHARMACIST) State of MarylandCONSULTANT PHARMACIST (CLINICAL PHARMACIST)Baltimore City, MDThis position serves as the Clinical expert for the Program in areas including but not limited to, drug coverage policies, coordination of efforts for the implementation and operation of Preferred Drug List (PDL), innovative cost containment strategies, review and analysis of Prospective and Retrospective Drug Utilization Management for each manage care organization and FFS, compliance functions, operation of boards and committees, and procurement of pharmacy services. This position is within the Office of Pharmacy Services (OPS), which coordinates and monitors all clinical pharmacy services provided to Maryland Medicaid Pharmacy Program participants through Fee-for-Service (FFS), Managed Care Organizations (MCOs), long-term care and other service delivery models.
Clinical Pharmacist - Clinical Consulting & Utilization Review (Hybrid) Blue Cross and Blue Shield AssociationClinical Pharmacist - Clinical Consulting & Utilization Review (Hybrid)Baltimore, MD$120,240–$214,929 / yearPURPOSE: The Clinical Pharmacist serves as a client-facing clinical consultant, partnering with pharmacy account consultants on data-driven, evidence-based pharmacy strategies to support sustainable drug cost management for large national accounts. This role is responsible for interpreting drug utilization trends, advising on clinical program optimization, translating complex pharmacy data into actionable insights, and supporting external client engagements through a consultative and collaborative approach.
Clinical Research Physician (Early Phase Clinical Unit) ParexelClinical Research Physician (Early Phase Clinical Unit)Baltimore, MarylandWe are seeking a team‑oriented Clinical Research Physician who thrives in a fast‑paced, highly specialized research environment and is passionate about mentoring and supporting clinical staff. This role offers the opportunity to contribute to clinical research, collaborate with cross-functional teams and engage directly with sponsors and partners.
SME IV - Clinical Psychologist (Clinical Support Tools) The Henry M Jackson Foundation for the Advancement of Military Medicine IncSME IV - Clinical Psychologist (Clinical Support Tools)Silver Spring, MDExamines and conducts thorough studies of presenting patients; evaluates laboratory and clinical findings, prescribing appropriate treatment or referring patient to appropriate specialty clinics. Direct Supervisor: Direct authority to make decisions on the following: employee hiring, disciplinary action, starting salaries and merit increases; conduct employee performance evaluations and directs work activities.
Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantWork At Home-Maryland, MD$32.01–$68.55 / hourCommunicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
RN - Lactation Consultant - Part-time Frederick Health Hospital IncRN - Lactation Consultant - Part-timeFrederick, MD$36.07–$55.17 / hourAwkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions. Initiates individualized plan of care using nursing diagnosis based on identified patient needs and includes all available resources, e.g., family, caregivers, other disciplines and community agencies.
Lead Clinical Specialist RN VitalantLead Clinical Specialist RNColumbia, MDFull timeYou will play a pivotal role in supporting Vitalant's life-saving mission by conducting advanced clinical procedures, which encompass therapeutic apheresis procedures including stem cell, granulocyte, and lymphocyte collections, all while operating under the supervision of a licensed physician. As a member of our non-profit organization, you can be impact-inspired to provide vital clinical services to communities nationwide, vital products to those in need of a donor's generosity, or vital scientific research that advances blood safety worldwide.