Clinical Research Associate, Sponsor Dedicated IQVIA Holdings IncClinical Research Associate, Sponsor DedicatedCheyenne, WY$71,900–$189,000 / yearEnsure copies/originals (as required) site documents are available for filing in the Trial Master File (TMF) and verify that the Investigator's Site File (ISF) is maintained in accordance with GCP and local regulatory requirements. Create and maintain appropriate documentation regarding site management, monitoring visit findings and action plans by submitting regular visit reports, generating follow-up letters and other required study documentation.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadCheyenne, WYRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Cheyenne, WYRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
NewClinical Case Manager, Behavioral Health CVS Health CorpClinical Case Manager, Behavioral HealthWY$66,575–$142,576 / yearUtilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of Members: Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
Clinical Advisor - Oncology & Rare Disease Products (BCOP) CVS Health CorpClinical Advisor - Oncology & Rare Disease Products (BCOP)WYRemote$135,575–$228,800 / yearDevelop cost management and population health programs such as formulary and coverage strategies, prior authorization programs, care management programs, patient and provider engagement programs, value-based arrangements, and more to promote the delivery of high-quality, safe, and effective programs which optimize health outcomes, improves the provider and member experience, and reduces costs for clients and members. This position will be responsible for driving growth in Specialty by 1) building innovative products that secure our position as the market leader in payor focused Specialty solutions and 2) creating disruptive and holistic solutions to address oncology, rare disease, and other high-cost therapies to ensure best in class management of cost and quality of care.
Clinical Project Manager - East Coast US - FSP ParexelClinical Project Manager - East Coast US - FSPCheyenne, WYRemoteThe Project Manager drives the planning, execution, and delivery of internal initiatives across Study Management functions and reports directly to the Director, Clinical Operations. + Demonstrated end‑to‑end clinical trial management experience across Phase II and Phase III studies, with strong understanding of operational requirements from study start‑up through close‑out.
Director, Enterprise Epic Applications- Clinical - SolutionHealth - Full Time SolutionHealthDirector, Enterprise Epic Applications- Clinical - SolutionHealth - Full TimeWYThis role provides deep domain leadership for Epic and tightly integrated third party clinical and ancillary systems that enable safe, efficient, and high-quality clinical workflows, including documentation, orders, clinical decision support, ancillary services, and care coordination within the clinical record. Provides strategic leadership for Epic and third-party clinical applications supporting inpatient, ambulatory, home care, and ancillary care delivery, including clinical documentation, orders, results, clinical decision support, and specialty workflows across the continuum of care.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerCheyenne, WYRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Clinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerCheyenne, WYRemoteFull timeo Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.
Clinical Laboratory and Healthcare Facility Surveyor 2026-01319 State of WyomingClinical Laboratory and Healthcare Facility Surveyor 2026-01319WYYou will serve as a Health Facility Surveyor with the Health Care Surveillance Branch, Healthcare Licensing and Surveys, Wyoming Department of Health, conducting surveys and investigating complaints statewide according to Wyoming State Statutes and agreement with the federal Centers for Medicare and Medicaid Services (CMS). (AA) VETERANS PREFERENCE: If you are a war veteran as defined in section 101, Title 38, United States Code or are the surviving spouse of a war veteran who receives survivor benefits from the federal government based on the veterans military service, and wish to claim veterans preference, please attach the appropriate documentation substantiating your claim.
Clinical Quality Study Analyst TriWest Healthcare AllianceClinical Quality Study AnalystCheyenne, WYRemoteFull timeTechnical Skills: General knowledge of Medicare, Veteran's Administration, TRICARE, or other government health care programs; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.
Clinical Specialty Representative - South Dakota, North Dakota, Wyoming, Montana Mayo ClinicClinical Specialty Representative - South Dakota, North Dakota, Wyoming, MontanaWY$155,600–$192,416 / yearIn collaboration with Product Managers and the CSR Director, Regional Director of Sales, Regional Managers identify specific tests or groups of tests that are differentiated in the market and pursue upsells to targeted clients. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations.
Leader Medical Affairs Canon USA & AffiliatesLeader Medical AffairsCheyenne, WYRemote10 years’ experience as a Medical Physicist, Scientist, or MD in a clinical hospital or clinical research setting or 3 years of experience as a Medical Physicist, Scientist, or MD in a clinical hospital or clinical research setting plus 7 years of experience in healthcare industry as imaging scientist or research manager. Analyze and communicate technical and clinical product specification requirements from luminaries, market research teams, and via Medical Advisory Boards (MABs) to global business team.