16 clinical and health jobs found

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: As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a...

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared to the policy and physician request to make a determination. At times, the incumbent may conduct additional research beyond medical policy review to make coverage determinations. ESSENTIAL RESPONSIBILITIES Make coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to ensure claims are properly routed and paid. Conduct research beyond medical policy review to make decisions on medication coverage requests. Other duties as assigned. EDUCATION...

Become a part of our caring community and help us put health first The Senior IT Portfolio Management Professional - Insurance Tech Segment partners closely with business, technology, and product stakeholders across the Insurance value chain to ensure the IT portfolio and demand pipeline are aligned to enterprise priorities. Work assignments involve moderately complex to complex issues requiring deep analysis of business operations, insurance technology interdependencies, and varying organizational, regulatory, and market-driven factors. The Senior IT Portfolio Management Professional organizes and prioritizes programs and projects in alignment with IT Strategy, Enterprise Architecture guidelines, Delivery roadmaps, and segment-level strategic plans . This includes balancing discretionary and non-discretionary spend (e.g., regulatory, compliance, security, member experience, operational efficiency), evaluating funding against annual portfolio budgets, managing...

You belong at Union! Why Union? Union Health is an award-winning integrated health system and the Wabash Valley's largest employer. Union Health is an independent and not-for-profit health system. Union Health consists of Union Hospital, Union Hospital Clinton, and Union Medical Group. Union Health offers a full spectrum of healthcare career opportunities across the continuum of care. The organizations that make up Union Health have a long tradition of serving the health care needs of West Central Indiana and East Central Illinois residents, stretching back more than 125 years. The Project Management Specialist supports the planning, coordination, and execution of system-wide information systems and technology implementation projects across Union Health. You would ensure projects are completed on time, within scope, and aligned with clinical, operational, and organizational needs while supporting stakeholders throughout implementation and training. This role reports to the...

You belong at Union! Why Union? Union Health is an award-winning integrated health system and the Wabash Valley's largest employer. Union Health is an independent and not-for-profit health system. Union Health consists of Union Hospital, Union Hospital Clinton, and Union Medical Group. Union Health offers a full spectrum of healthcare career opportunities across the continuum of care. The organizations that make up Union Health have a long tradition of serving the health care needs of West Central Indiana and East Central Illinois residents, stretching back more than 125 years. The Project Management Specialist supports the planning, coordination, and execution of system-wide information systems and technology implementation projects across Union Health. You would ensure projects are completed on time, within scope, and aligned with clinical, operational, and organizational needs while supporting stakeholders throughout implementation and training. This role reports to the...

Become a part of our caring community and help us put health first The Workforce Management (WFM) Real Time Analyst is responsible for monitoring, analyzing, and optimizing intraday performance across all supported contact channels. This role ensures that service levels, staffing, and adherence goals are met by making real time adjustments, communicating operational impacts, and providing actionable insights to leadership. The RTA is detail oriented, analytical, and able to make fast, accurate decisions in a dynamic environment. The Workforce Management Real Time Analyst (Professional 1) leverages real-time analytics to evaluate staffing levels and workforce performance, proactively identifying risks and recommending solutions to meet service and operational goals. Analyzes intraday trends and staffing needs to support enterprise-level workforce planning and strategic initiatives. Demonstrates strong knowledge of workforce management principles, compliance standards, and...

Job Description The Oracle Dedicated Cloud Product Management team is looking for an experienced Senior Manager of Product Management to work across our Dedicated Region Cloud @Customer (https://www.oracle.com/cloud/cloud-at-customer/dedicated-region/) (DRCC) and Oracle Alloy (https://www.oracle.com/cloud/alloy/) offerings to focus on product Definition, Development, and Launch. The Senior Manager of Product Management for Oracle Dedicated Cloud is a leadership role responsible for defining, executing, and driving the product development with our outbound and engineering internal teams. The role carries broad influence, significant business impact, and ownership of mission-critical product releases and launches aimed at driving OCI's growth and success in global markets. The primary objective will be to define, manage and deliver the product solutions that resonate with customers. This should include managing the full portfolio roadmap for DRCC and Alloy across its...

My client, a Critical Access Hospital in Southeastern Indiana an hour from both Indianapolis & Cincinnati has an opening for a Permanent Onsite Director of Patient Accounts to join their team. They are seeking a Patient Accounts leader that has a minimum of 5 years patient accounts/revenue cycle leadership experience ideally within a Critical Access/Rural Health organization. A Bachelor's degree as well as CRCR, CHFP, or CPC Certifications are highly preferred. Working knowledge of Meditech is also a huge bonus. The selected candidate will be rewarded with a generous base salary, relocation assistance, sign-on/retention bonus paid out over the firs year, and excellent benefits package. The area is known for its friendliness and the opportunity for families to walk around the block feeling secure and happy. It also features quality education, a strong industrial base, retail shopping, special restaurants, outstanding medical facilities, a great library, and lifestyles appealing...

Become a part of our caring community and help us put health first The Manager, Workforce Management applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). You will work within specific guidelines and procedures. You will apply advanced technical knowledge to solve moderately complex problems. You will receive assignments in the form of objectives and determine approach, resources, schedules and goals. The Manager, Workforce Management will report to the Associate Director, Workforce Management. You will assess organizational staffing and identify requirements and solutions to meet workforce objectives. You will provide analysis of talent and staffing needs based on strategic planning at the enterprise level. You will make decisions typically related to resources,...

Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. In an ever-evolving IT landscape, EY stands as a beacon of trust for clients across diverse industries seeking reliable solutions to address their intricate risks and vulnerabilities. As a vital member of our Identity and Access Management (IAM) team, you will play a central role in achieving this objective by empowering clients to comprehend and navigate their complex Enterprise Identity environments. Your expertise will be instrumental in evaluating, enhancing, and devising innovative solutions, processes, and policies to cater to each client's unique IAM requirements. This is an opportunity to leverage both your technical prowess and business acumen to drive our mission and make a significant impact on global...

Position Description & Qualifications If you love high profile and challenging projects supporting the US Army, then Serco has a great opportunity for you! As the Senior Logistics Management Specialist, you will be part of the Global Logistics Augmentation and Staff Support (GLASS) team supporting the Army Sustainment Command (ASC) in Vinceza, Italy. Bring your expertise and collaborative skills to make an impact towards our military defense. At Serco, we foster a dynamic and collaborative work environment where team members contribute to innovative, high-impact projects for leading government clients. We provide opportunities to solve complex challenges, improve processes, and utilize the latest technologies to deliver top-tier products and services to our customers. The positions on this contract are located both CONUS and OCONUS in support of the Army Sustainment Command (ASC). In this role, you will: Develop and maintain LOGCAP contract requirements...

Otsuka's internship program, Intern the Otsuka Way (InTOW), offers students a unique opportunity to gain hands-on experience and develop critical skills while contributing to meaningful projects. Interns will work alongside experienced professionals, learn about the complexities of the pharmaceutical industry, and gain insights into potential career paths. By combining practical experience with professional development, our program prepares interns for future success. Our internship program also includes instructor led trainings, a leadership engagement series, as well as insightful lunch and learns. Application Deadline: Candidates are encouraged to apply within 10 business days of the posting date. The position may remain open past this window until a suitable candidate is selected. Interviews and offers: February through March 2026. Duration of internship: June 1, 2026, through August 10, 2026. Location: In Princeton 2-3 days a week Job Description ?...

Job Description The Director of Data Center Design Management is accountable for leading a team of Design Managers responsible for the end-to-end design lifecycle of large-scale Oracle Cloud Infrastructure data center programs. This leader drives technical excellence, organizational clarity, and execution discipline across multiple concurrent campuses and regions. The Design Management team provides strategic oversight across critical infrastructure design (mechanical, electrical, controls), ensuring alignment with OCI's established requirements. This team partners closely with Engineering, Construction, Planning, Commissioning, Operations, Supply Chain, and executive leadership to enable predictable, high-quality delivery at hyperscale. Must be able to travel domestically and internationally (10-25%). Responsibilities Key Responsibilities Organizational Leadership & Team Development Lead, mentor, and develop a high-performing team of Design Managers...

Job Description The Global Physical Security (GPS) Systems Operations Team is seeking an experienced Technical Project Manager (TPM) - Hardware Delivery to oversee the delivery, configuration, deployment, and lifecycle management of self-service badging kiosks, printers, and visitor management hardware at Oracle's Colo, hyperscale, and corporate sites. Reporting to the Global Director of Systems Operations, the TPM's primary focus is to ensure robust, scalable, and efficient hardware management for badging and visitor operations that support secure, high-availability access for employees, visitors, and other personnel, including at unattended locations. The role is crucial for reducing operational costs, improving workflow efficiency, and maintaining compliance with security and audit requirements on a global scale. Responsibilities Hardware Delivery & Lifecycle Management Lead the end-to-end delivery, configuration, deployment, ongoing maintenance,...

Job Descriptions: Prometheus Energetics LLC is currently seeking a Project Scheduler to develop, maintain, and analyze the Integrated Master Schedule (IMS) supporting the startup and ramp-up of Prometheus Energetics. This position is responsible for creating and maintaining a fully integrated, logic-driven, master schedule that spans all work streams of starting up the company. The Project Scheduler will also facilitate risk and opportunity management activities and provide schedule and risk visibility to company leadership to enable informed decision-making. Prometheus Energetics is a new U.S.-based joint venture between Kratos and Rafael, and will be a merchant supplier of solid rocket motors, energetics, and adjacent product areas for U.S. and international defense markets. The role works cross-functionally with all stakeholders to ensure workstreams are aligned to a single, integrated execution baseline and that risks are identified, tracked, and mitigated....

Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. About The Bureau Of Motor Vehicles (BMV) The Indiana Bureau of Motor Vehicles has been named one of Indiana’s 2023 Top Workplaces by its employees. Our Mission Is To Serve All Hoosiers By Providing Best-in-class Driver And Vehicle Services In a Timely And Accurate Manner While Ensuring Security And Transparency. The BMV Team Works Throughout The State Of Indiana And Is Dedicated To Fostering An Environment Where We Invest in our employees Engage our customers Provide sustainable systems Embrace product innovation Role Overview The Credential...