Clinical Validation Auditor (CVA) Auditor III ExlService Holdings IncClinical Validation Auditor (CVA) Auditor IIINYRemote$70,000–$80,000 / yearEXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.
Clinical Visiting Professor Covista IncClinical Visiting ProfessorNorth Brunswick Township, NJRemoteWith more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students to thrive as healthcare professionals. Chamberlain College of Nursing clinical educators experience the powerful satisfaction that comes from helping educate, empower and embolden students and advance the health of people, families, and communities as we face new challenges ahead together.
NP/PA - Virtual Health Assessment Bilingual - Spanish Oscar Health IncNP/PA - Virtual Health Assessment Bilingual - SpanishNYRemote$130,000–$140,000 / yearAbout the role: Oscar Medical Group runs a Virtual Health Assessment (VHA) program that outreaches and virtually engages Oscar Health Insurance members in an evaluation and management visit. Responsibilities: Perform preventative care screenings, complete medication reconciliation, diagnose medical conditions and provide health coaching, referrals and treatment when clinically appropriate.
Director of Customer Success Movn HealthDirector of Customer SuccessNYRemote$140,000–$180,000 / yearThis is not a passive account management role - you'll be the person who turns satisfied partners into enthusiastic referral champions, and who brings the right intelligence back into the organization to unlock growth across payer contracting, new business lines, and marketing. Our fully virtual program makes world-class cardiac rehab accessible from home - helping patients build lasting heart-healthy habits while reducing hospital readmissions and costs for our partners.
Obstetrics Care Provider CNM or NP - Weekday Schedule Pomelo Care IncObstetrics Care Provider CNM or NP - Weekday ScheduleNYRemote$110,000–$135,000 / yearYour North Star: Provide direct patient care and clinical oversight that optimizes outcomes for pregnant people and newborns through population-based implementation of evidence-based care. We combine proactive, 24/7 clinical care with technology that helps us reach patients earlier, identify risks sooner, and deliver personalized care throughout their journey.
Clinical Case Manager Blue Cross and Blue Shield AssociationClinical Case ManagerNYRemote$75,000–$85,000 / yearSupport members at all stages of their health care journey and across multiple settings and specialty areas, connecting with multiple providers and community-based organizations; guide members in accessing services to support their health and wellness goals in accordance with their benefits, partnering effectively with the Plan's customer service, providers relations, and/or utilization management teams. Clinical Case Manager Qualifications: Graduate of an approved program in professional nursing: RN, VT licensure and ability to apply for Compact License or active multi-state licensure required, BSN desired; OR Licensed Clinical Social Worker (LICSW) in the State of Vermont or comparable degree and licensure in an allied mental health profession.
Utilization Management Clinician Behavioral Health Night Shift - 4 Days CVS Health CorpUtilization Management Clinician Behavioral Health Night Shift - 4 DaysNJRemote$54,095–$142,576 / yearAbility to manage crisis calls, apply clinical judgment to assess risk, determine support needs, and coordinate appropriate interventions, including escalation for suicide risk, self-harm concerns, and welfare checks when necessary. Join our Utilization Management team and help ensure members receive timely, appropriate behavioral health services while making a meaningful impact on outcomes.
Vice President, Government and Commercial Programs Allied UniversalVice President, Government and Commercial ProgramsNYRemote$130,000–$160,000 / yearThe Vice President, Government and Commercial Programs is responsible for all government and commercial healthcare operations in addition to managing interactions with government entities while concurrently developing and executing strategies to drive commercial growth and Profit & Loss (P&L) responsibility across both public and private sectors. Responsible for the day-to-day oversight of the operational efficiency and effectiveness of the clinical auditing, compliance and special investigations unit organization, to include special programs such as Physician, Managed Care, Pharmacy, PACE, and Special Needs.
Director, Medical Science Liaison - Precision Oncology Quest Diagnostics IncDirector, Medical Science Liaison - Precision OncologySecaucus, NJRemote$140,000–$185,000 / yearJob DescriptionThe Medical Science Liaison (MSL) - Precision Oncology will be responsible for leading scientific engagement, evidence generation,andcross-functionalcollaborationtoadvancesolidtumorprecisiononcologyatQuestwithafocusonHaystack's minimal residual disease (MRD) diagnostic platform. Strongunderstandingofclinicalresearchdesign,datainterpretation,andreal-worldevidencegenerationAbility to translate complex scientific data into impactful medical dialogue across diverse audiences.
Senior Clinical Informaticist Cohere Health Technologies LLCSenior Clinical InformaticistNYRemote$75,000–$100,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Physician - Virtual Urgent Care Oscar Health IncPhysician - Virtual Urgent CareNew York, NYRemote$227,226–$298,233 / yearParticipate in collaborative care model with various care team members including but not limited to registered nurses, medical assistants, PCPs, behavioral health clinicians, and clinical supervisor where applicable. Compact license from IMLCC or eligible for a compact license (hold a full, unrestricted medical license in a state that is a member of the Compact).
Education Manager, Clinical (Grievance & Appeals) VNS HealthEducation Manager, Clinical (Grievance & Appeals)New York, NYRemote$98,200–$130,800 / yearEnsures clinical education programs are aligned with CMS Triple Aim framework: improving the patient's experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita cost of healthcare. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.