11 clinical insurance jobs found in Honolulu

Become a part of our caring community and help us put health first The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. Location: Remote - United States Schedule: This is a VSP (Variable Service Provider) role. The hours will vary between 24-40 hours per week. The s hift for training will be 10:00AM-630PM ET. After training, a shift of either 11:00AM-730PM ET, 12:00PM-830PM, or 1:00PM-930PM will be assigned based on business need. Some weekend coverage may be required. Mandatory overtime during peak season. Job Description: The Staff...

Job Description Oracle Health has an exciting opportunity for an Engagement Management Consulting Practice Director to join our team! This position is responsible for leading a practice engagement management team to include program managers, project managers, Oracle Health integration architects and partner implementation responsibilities. Description As an Engagement Management Practice Director leader, you will be responsible for business operations, revenue attainment, customer critical issues, and ensuring teams are delivering to standard best practices across engagement management for Oracle Health implementations. These teams are accountable for projects across a customer's roadmap. This encapsulates customer satisfaction, project leadership, resource planning, financial and risk management as well as project issues. Career Level - M4 Responsibilities Responsibilities include: Accountable for operational/financial metrics Supporting close...

Job Description Are you a results-oriented sales specialist with a strong background in supply chain transformation? Do you have a track record of driving SaaS growth across complex sectors like healthcare, distribution, and life sciences? If so, this is your opportunity to lead strategic engagements across North America and shape the future of digital supply chains. At Oracle, we are redefining healthcare and life sciences operations through intelligent, cloud-based supply chain solutions. Oracle Supply Chain Management (SCM) Cloud connects procurement, planning, logistics, and inventory with financial and operational systems - driving efficiency, resilience, and performance. We are looking for a high-performing Supply Chain Solution Sales Specialist (SSE) to lead Oracle SCM solution sales across life sciences and pharmaceutical organizations in NA. Join us and play a key role in enabling our customers' digital future. Responsibilities Develop and execute regional...

Job Description Are you a results-oriented sales specialist with a strong background in enterprise business transformation? Do you have a track record of driving SaaS growth across complex sectors like healthcare, distribution, and life sciences? If so, this is your opportunity to lead strategic engagements across North America and shape the future of digital business transformation. At Oracle, we are redefining healthcare and life sciences operations through intelligent, cloud-based enterprise transformation solutions. Oracle Enterprise Performance Management (EPM) Cloud connects planning and budgeting, financial consolidation and close, profitability and cost management with financial and operational systems - driving efficiency, resilience, and performance. We are looking for a high-performing EPM Sales Specialist (SSE) to lead Oracle EPM solution sales across life sciences and pharmaceutical organizations in NA. Join us and play a key role in enabling our customers'...

Product Manager - EGM (Enterprise Group Management) Anywhere Type: Contract Category: Product Management Industry: Technology Workplace Type: Remote Reference ID: JN -122025-104622 Date Posted: 01/01/2026 Shortcut: http://careers.eliassen.com/RkvqbS Description Recommended Jobs Description: 100% Remote The Product Manager for Enterprise Group Management (EGM) will serve as the primary point of contact for all EGM-related initiatives, acting as the liaison between engineering teams, PMO, executive administrators, and leadership. This role requires strategic thinking, strong relationship management, and deep understanding of enterprise group structures and rollout strategies. Due to client requirement, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company matching, and life insurance....

Become a part of our caring community and help us put health first The Project Management Lead manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Project Management Lead designs, communicates, and implements an operational plan for completing the project; monitors progress and performance against the project plan; takes action to resolve operational problems and minimize delays. Identifies, develops, and gathers the resources to complete the project. Prepares designs and work specifications; develops project schedules, budgets and forecasts; and selecting materials, equipment, project staff, and external contractors. Communicates with other operational areas in the organization to secure specialized resources and contributions for the project. Conducts meetings and prepare reports to communicate the...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies,...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. The Associate Director, RBQM, provides study-level leadership for risk-based quality management across Phase 1-4 oncology clinical trials. Reporting to the Executive Director, Data Management, this role drives data-driven quality oversight, ensuring clinical trial risks are proactively identified, monitored, and mitigated in alignment with regulatory expectations and Sumitomo Pharma America quality standards....

Job Description Why Work as a Low-Voltage Vendor Management TPM at Oracle? This role offers a unique opportunity to shape and lead a critical function within Oracle's Data Center Organization, influencing the success of global data center projects. The successful candidate will have the chance to work with cutting-edge cloud infrastructure, collaborate with diverse teams, and drive innovation in vendor management and construction processes. The Low-Voltage Vendor Management TPM will be responsible for overseeing and coordinating all aspects of low-voltage vendor engagement and performance, ensuring that Oracle's data center projects are executed with precision, consistency, and efficiency on a global scale. This role demands a strategic thinker who can develop and implement processes, drive continuous improvement, and foster strong relationships with internal teams and external vendors. Responsibilities Responsibilities: Vendor Relationship Management: Build...

Job Description The Office of the Chief Technical Architect at OCI is seeking an experienced, dynamic, and strategic Senior Director of Technical Program Management (TPM) to lead, coordinate, and drive execution across cross-functional, org-wide architectural initiatives and programs. You will operate at the intersection of technology and business, influencing technical direction, organizational priorities, and the overall architecture vision for OCI. This is a unique opportunity to define and drive the next generation of cloud architecture for the world's most demanding workloads. Key Responsibilities: Architectural Program Leadership: Develop, lead, and continuously improve large-scale, cross-cutting architectural programs and initiatives that align with OCI's strategy and architecture vision. GPU and AI Infrastructure: Drive architectural programs focused on the design, implementation, and scaling of GPU and AI infrastructure. Collaborate with...

Job Description The Office of the Chief Technical Architect at OCI is seeking an experienced, dynamic, and strategic Senior Director of Technical Program Management (TPM) to lead, coordinate, and drive execution across cross-functional, org-wide architectural initiatives and programs. You will operate at the intersection of technology and business, influencing technical direction, organizational priorities, and the overall architecture vision for OCI. This is a unique opportunity to define and drive the next generation of cloud architecture for the world's most demanding workloads. Key Responsibilities: Architectural Program Leadership: Develop, lead, and continuously improve large-scale, cross-cutting architectural programs and initiatives that align with OCI's strategy and architecture vision. GPU and AI Infrastructure: Drive architectural programs focused on the design, implementation, and scaling of GPU and AI infrastructure. Collaborate with...