12 sports medicine jobs found

Company : Highmark Inc. Job Description : JOB SUMMARY This job is directly responsible for the value creation, impact and cost control, and fiscal/ROI targets as set by the Organization. This includes revenue stream outcomes and engagement of primary care providers (PCP) and facilities enrolled in the Organization's value based reimbursement programs, clinical care models, and continuous improvement models. The incumbent applies subject matter expertise in clinical pharmacy, pharmacy formulary, pharmacy benefit design, pharmacy policy, medical drug policy, therapeutic alternatives, medication adherence strategies, Medication Therapy Management, utilization management, immunizations, specialty pharmacy, Medicare Stars, and Medicaid HEDIS to strategies designed to promote the Organization's value based reimbursement PCP and facility programs. The incumbent acts as a highly skilled subject matter expert (SME) in the Organization's value based reimbursement PCP and...

Job Description With ongoing and ground-breaking developments in Oncology and Rare Disease, an increased focus on more scientific, targeted medicine and continuous integration of technology into development and delivery of medicine, there has never been a more exciting time to join us! As a global leader we're looking for a Senior Lead Clinical Research Associate (CRA) to drive success as part of our Non-interventional Study team. Join Oracle as a Lead CRA and make a real impact by guiding teams, ensuring top-quality clinical research, and driving groundbreaking projects on a global scale! What you will do As a Senior Lead Clinical Research Associate at Oracle, you will: Drive study start-up: Develop feasibility questionnaires, identify and assess potential study sites, and ensure proper site selection in close collaboration with Project Managers and Sponsors. Oversee contracts and budgets: Review and track site contracts and budgets for study...

Become a part of our caring community and help us put health first Job Title: CenterWell Senior Associate, Digital Department: CenterWell Digital Marketing Location: Remote Reporting To: Associate Director, CenterWell Digital Marketing Become a part of our caring community and help us put health first. At CenterWell, we're transforming healthcare by delivering integrated, personalized experiences that put patients at the center of care. As a leading provider of senior-focused primary care, home health services, and pharmacy solutions-including specialty, mail order, and retail, we're committed to whole-person wellness: physical, emotional, and social. We're seeking a strategic digital marketing associate to help elevate CenterWell's digital presence and connect more seniors with personalized care. As Senior Associate, Digital you'll own and execute digital strategies across key owned channels-website, email, SMS, and organic social-to drive awareness, engagement,...

Become a part of our caring community and help us put health first We are building an innovative Next Best Action (NBA) platform designed to power personalized engagement, gamified incentives, and advanced agentic AI decision-making across the enterprise. As Lead Technical Product Manager (PM-T), you will shape the product vision, define the roadmap, and oversee delivery of the NBA platform. Your responsibilities include integrating data, predictive models, and APIs to enable real-time decisioning, rewards, and AI-driven experiences throughout digital and service channels. You will work in close partnership with engineering, data science, AI, and business teams to develop solutions that drive improvements in Star Ratings, expedite HEDIS gap closure, and enhance CAHPS satisfaction scores. Key Responsibilities Product Vision & Strategy Define and drive the NBA platform strategy to deliver data-driven personalization and intelligent engagement for all...

At Bayer we're visionaries, driven to solve the world's toughest challenges and striving for a world where 'Health for all Hunger for none' is no longer a dream, but a real possibility. We're doing it with energy, curiosity and sheer dedication, always learning from unique perspectives of those around us, expanding our thinking, growing our capabilities and redefining 'impossible'. There are so many reasons to join us. If you're hungry to build a varied and meaningful career in a community of brilliant and diverse minds to make a real difference, there's only one choice. Senior Medical Science Liaison, Cardiorenal (Oklahoma City, OK) The Senior Medical Science Liaison (MSL) serves as a trusted scientific expert and partner representing Bayer in the medical community through the dissemination of and education on scientific data related to Bayer products across the product lifecycle. The MSL establishes proactive long- term scientific/strategic relationships with key,...

Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. IFG is a subsidiary of Humana The Senior Organization Effectiveness Professional optimizes the effectiveness of a company, business unit, or team. Analyze the internal structure of the organization and create strategies to maximize employee work output and effectively utilize employee skills. The Senior Organization Effectiveness Professional work assignments involve moderately complex to complex...

Become a part of our caring community and help us put health first The Senior Business Intelligence Engineer utilizes advanced tools, technologies, and best practices to transform raw data into insightful and actionable business intelligence. This position works collaboratively with stakeholders to gather and understand business requirements, ensuring data integrity, accuracy, and consistency across all deliverables. The ideal candidate will demonstrate independent judgment in addressing moderately complex to complex technical challenges, with significant latitude to establish objectives and determine approaches to assignments. Success in this role requires strong analytical skills, a commitment to data quality, and the ability to communicate effectively with technical and non-technical audiences. The Senior Business Intelligence Engineer responsibilities will be to: Design, develop, and maintain business intelligence solutions, including dashboards, reports, and...

Become a part of our caring community and help us put health first The Supervisor, Outbound Sales Support leads the team who conducts selling activities related to outbound calls within a primary care setting. Assists the team with strategies to re-engage and/or drive retention of customers. The Supervisor, Outbound Sales Support works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach. Job Functions: Leads the team responsible for winning back and re-engaging Medicare eligible patients through telephonic conversations. Guides proactive determination of patients' needs in order to provide stellar customer service leading to re-engaging former patients. Ensures team effectively describes services offered and sells prospective patients on the...

Become a part of our caring community and help us put health first The Risk Management Professional 2 identifies and analyzes potential sources of loss to minimize risk. The Risk Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines and procedures. As a Risk Management Professional 2 - HCPR Compliance, you will work with HCPR Operations to ensure operational processes are complaint with appropriate regulations and report data that accurately reflects operations. In this role you will: In this role you will: Develop data universe generation guidelines (DUGG) for audit universes by interpreting protocols/guidance and reconciling it to processes/system logic Produce monthly...

Become a part of our caring community and help us put health first The Policy Governance Professional 2 policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led toward achieving goals. The Policy Governance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Policy Governance Professional 2 supports the ongoing development, review, and management of Utilization Management (UM) policies and procedures. This role works closely with UM governance and relevant committees, ensuring documentation and reporting align with regulatory standards and organizational objectives. The position also assists with monitoring and reporting quality metrics, and is responsible for preparing clear, accurate written materials to support compliance and continuous improvement initiatives....

Company : Highmark Health Job Description : JOB SUMMARY This role delivers high-impact analytics and insights focused on Social Determinants of Health (SDOH) to support enterprise strategy and population health initiatives. The position contributes to the development and evolution of enterprise SDOH dashboards and self-service analytic tools, with a focus on analytical rigor, scalability, and alignment to high-value use cases. The incumbent serves as a consultative analytic partner to the Enterprise SDOH team, collaborating to refine analytic questions and translate complex needs into clear, actionable analytic approaches. As reporting capabilities mature, this role will support advanced analysis of varied and multilevel data in exploratory, evaluative, and research-adjacent analytic work, and development of insights that inform program design and strategic decision-making. ESSENTIAL RESPONSIBILITIES Supports and leads the design, development, execution,...

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. Job Duties and Responsibilities Support development of communications with Senior Executives and strategic partners to report analytical findings and key performance metrics Develop models to set pricing strategy with the goal of supporting attainment of coverage goals and maximizing net revenue Develop payer & provider deal models to assess the implications of deal scenarios on...