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The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp’s specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical…
POSITION SUMMARY The Clinical Review Team Lead is the team’s clinical subject matter expert for prospective utilization review. The Team Lead resolves complex criteria and guideline questions, audits and coaches nurse…
To develop high-quality scientific content and documentation across therapeutic areas by conducting in-depth literature reviews, synthesizing data, and delivering clear, accurate, and audience-appropriate materials.…
Conduct toxicological risk assessments for pharmaceutical, consumer health, and combination products, ensuring compliance with global regulatory requirements. Perform impurity qualification assessments in accordance…
• PO Invoice processing and responsible for coding NON-PO invoices; • Monitor and clear ‘on hold’ invoices in a timely manner; • Ensure accuracy of transactions captured and traceability of transactions performed; •…
MAJOR RESPONSIBILITIES • Balances between case review production and team lead duties based on business needs and staffing levels • Conducts case reviews as assigned. Maintains a minimum target of 3.5 cases per hour…
Working Hours : We offer a variety of shift patterns to suit different availability: Weekday Evenings: 17:00 - 22:00 or 17:30 - 22:30 Weekday Mornings: 07:00 - 09:00 Saturday: 08:00 - 22:00 (6-12 hour shifts available)…
Key Responsibilities: The Sourcing Manager – Procurement is a member of a client sourcing service delivery team, managing the development and execution of sourcing projects of various complexity levels. Responsible for…
We are seeking an experienced Assistant Manager with a strong background in Life Sciences and Healthcare analytics. The ideal candidate will lead a small team of analysts responsible for delivering solutions to…
Perform roll forward analysis and assumption changes/impact for designated products. Regular production needs including Quarter Close, Stat Overlay, Ad-hoc requests including hedging and ALM. Responsible for…
• Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the Client and any applicable governing body. • Facilitates…
• Perform daily Accounts Receivable / Order-to-Cash activities in line with established procedures; • Track daily workload in accordance with the working procedures and agreed priorities; • Process and allocate…
ob Title: Source to Contract Associate Location: Remote Employment Type: Fill Time Industry: Procurement Services - SaaS/Tech Experience Level: Entry-Level 🧭 About the Role We are seeking a Source to Contract…
Key Responsibilities 1. RTR Operations Management Lead and manage end-to-end RTR operations, including: General Ledger accounting Journal Entries Account Reconciliations Intercompany accounting and reconciliations…
Responsibilities Design and administer Snowflake databases, schemas, roles, warehouses and access controls for Knowledge Domains. Automate provisioning, configuration and promotion through Infrastructure-as-Code and…
Category specific knowledge and experience. Deep understanding of procurement-to-pay cycle. Strong analytical skills and ability to work with data in Excel using pivot tables and various other key Excel functions to…
Job Overview The Sr. Manager is the overall owner of a client procurement program, responsible for delivery performance, client alignment, operational governance, and continuous improvement. The role leads day-to-day…
Position Summary Seeking a senior-level SQL Server and ETL developer with deep expertise in SQL Server 2022/2025, advanced T-SQL, SSIS, data integration, and analytics. The role owns client data onboarding, master data…
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