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Practice manager work from home jobs

- 451 jobs
  • Medical Director

    Ascendo Resources 4.3company rating

    Remote job

    Medical Director - Medicare Programs Remote | Approx. $300,000 base + significant bonus potential About the Opportunity: A leading national healthcare contractor is seeking a Medical Director to provide clinical leadership and decision-making support for Medicare operations. This position plays a critical role in developing and enforcing coverage determinations, reviewing complex claims, and promoting evidence-based medical policy. The role is ideal for a physician, especially those with a background in Physical Medicine and Rehabilitation (PM&R), who wishes to transition from direct patient care into a leadership position influencing medical necessity and healthcare compliance at scale. Key Responsibilities: Clinical Leadership: Provide medical expertise for claim reviews, appeals, and Medicare policy development. Serve as a subject matter expert across multiple specialties. Policy Development: Collaborate with the Centers for Medicare & Medicaid Services (CMS) and other contractors to create, revise, and maintain Local Coverage Determinations (LCDs) and related guidance. Program Integrity: Identify trends in billing or compliance issues and work with investigative teams to address improper claims. Medical Review & Appeals: Oversee quality assurance in pre- and post-payment medical review determinations and assist with administrative law proceedings when necessary. Provider Education: Lead outreach and training for healthcare providers and professional associations to ensure adherence to Medicare policies and evidence-based practices. Travel is minimal (approximately 3-4 weeks per year), and the position is fully remote with occasional in-person meetings or conferences. Required Qualifications: MD or DO from an accredited institution. Active, unrestricted medical license in at least one U.S. state (must be eligible for additional licensure where required). Board Certification in a specialty recognized by the American Board of Medical Specialties (minimum three years). At least three years of experience as an attending physician. Prior experience within the Medicare, health insurance, or utilization review environment. Strong understanding of clinical evidence evaluation and medical necessity determination within fee-for-service structures. Excellent communication and collaboration skills across technical, regulatory, and clinical teams. Computer proficiency (MS Office, data analysis tools, virtual collaboration platforms). Preferred Qualifications: Background in PM&R, Internal Medicine, Oncology, Radiology, Ophthalmology, or Infectious Disease. Five or more years of clinical practice experience. Prior experience as a Medical Director in a Medicare or commercial payer organization. Familiarity with HCPCS, CPT, and ICD-10 coding standards. Advanced degree or coursework in healthcare administration or systems management (MBA, MHA, MS). Experience performing systematic literature reviews or using GRADE methodology. Compensation & Benefits: Base salary: Approximately $300,000, flexible depending on experience. Bonus structure: Significant performance-based bonuses. Benefits: Comprehensive health coverage, generous retirement contributions, paid time off, and strong professional development support. Schedule: Full-time, remote position with flexible hours. Why Join: This is an opportunity to move beyond clinical work while continuing to make a direct impact on patient access and policy integrity at a national level. Join a mission-driven organization that values medical expertise, promotes collaboration, and advances fairness and compliance within the U.S. healthcare system.
    $300k yearly 5d ago
  • Medical Director (remote)

    Viewfi

    Remote job

    Reports Jointly To: Chief Executive Officer and Chief Medical Officer Clinical Specialty: MD, Board Certified in Sports Medicine (primary board specialty flexible) ViewFi is a nationwide virtual musculoskeletal (MSK) practice bringing high-quality orthopedic, sports-medicine, and physical-therapy care directly to patients in both traditional and non-traditional markets. We serve a diverse set of partners including personal injury/med-legal groups, self-insured employers, risk-based payers, and digital health collaborators in the sports and fitness markets through technology enabled, evidence-based clinical care. We are redefining what excellent MSK care looks like in a virtual environment. Position Summary The Medical Director will serve as the clinical leader of ViewFi's physician team and a core partner to our physical therapy, product, operations, and business teams. This role requires a practicing, board-certified Sports Medicine physician who can balance patient care with 30-40% administrative/leadership responsibilities. The Medical Director will ensure clinical excellence, maintain high-quality and consistent clinical pathways, represent ViewFi as the medical voice of the organization, and advance the science and evidence behind virtual MSK care. Key Responsibilities Clinical Leadership & Oversight Lead, oversee, and support the national team of physicians delivering virtual MSK care. Maintain and update clinical pathways, treatment standards, and practice guidelines across all ViewFi service lines. Partner closely with the Physical Therapy leadership team to ensure integrated, cohesive care between MDs and PTs. Ensure consistent, high-quality clinical documentation, coding accuracy, and compliance across markets. Oversee peer review, quality assurance activities, and clinical performance metrics. Participate in recruitment, onboarding, and ongoing development of new clinicians. Patient Care (70-80%) Actively see patients in a virtual setting, providing MSK consults and follow-ups. Model best-in-class virtual care workflows and contribute to continuous improvement of the patient experience. Support escalated or complex cases requiring senior clinical judgment. Strategic & Administrative Leadership (20-30%) Serve as the medical voice of ViewFi at conferences, webinars, panels, and partner meetings. Collaborate with executive leadership on product development, new service lines, geographic expansion and clinical innovation initiatives. Guide medical input for payers, partners, self-insured employers, and med-legal groups. Participate in strategic planning related to national expansion, licensure strategy, and resource allocation. Work cross-functionally with operations and technology teams to enhance clinical workflows. Provide medical insight and feedback on ViewFi's technology roadmap, including clinical decision support, AI integration, and general telehealth tools. Research, Publishing & Thought Leadership Lead or collaborate on clinical research demonstrating the efficacy of virtual MSK care, including both MSK MD consults and virtual PT. Publish and present outcomes, case series, and efficacy studies at relevant medical and industry conferences. Help build ViewFi's reputation as the leader in evidence-based virtual MSK care. Quality, Compliance & Risk Management Ensure the practice meets state and federal clinical guidelines, telehealth regulations, and licensure requirements. Maintain oversight of clinical incident review processes, risk-mitigation protocols, and outcome tracking. Drive continuous improvement in clinical quality, patient safety, and service reliability. Qualifications MD with Board Certification in Sports Medicine (primary board: FM, IM, EM, PM&R, etc. is flexible). Multi-state licensure required; willingness to pursue additional licensure required. Minimum 10 years of clinical experience; virtual care experience strongly preferred. Demonstrated leadership experience in a clinical or medical director role. Strong collaboration skills with PTs, operational teams, and cross-functional partners. Excellent communication and presentation skills; comfortable representing ViewFi publicly. Passion for virtual care, musculoskeletal medicine, and innovative delivery models. What We Offer Opportunity to lead a national MSK practice at the forefront of technology enabled virtual healthcare Collaborative environment with clinical and operational teams aligned around quality care and aggressive growth Competitive compensation with protected administrative time Support for conference travel, research, publishing, and clinical innovation Commitment to clinical excellence, patient outcomes, and provider support
    $174k-281k yearly est. 4d ago
  • Medical Director

    Intepros

    Remote job

    Medical Director (Utilization Management) The Medical Director plays a key role in ensuring coverage and payment determinations are clinically appropriate, compliant, and aligned with plan benefits and contractual agreements with participating provider networks. This position requires sound clinical judgment, collaborative leadership, and a strong understanding of healthcare delivery, population health, and payer operations. Key Responsibilities Provide physician leadership and clinical guidance to Utilization Management and Care Management functions Render coverage and payment determinations in accordance with health plan benefits, medical policies, and provider contracts Apply evidence-based clinical guidelines and best practices to support consistent, high-quality decision-making Exercise informed medical judgment grounded in clinical medicine, patient safety, quality management, and population health principles Collaborate effectively with clinical teams, operational leaders, senior management, and external partners Promote efficient, cost-effective care delivery across all lines of business Support organizational initiatives related to quality improvement, compliance, and healthcare outcomes Required Qualifications & Experience Medical Doctor (MD) or Doctor of Osteopathy (DO) from an accredited medical or osteopathic medical school recognized by AAMC, AOA, or WHO Unrestricted and active Pennsylvania medical or osteopathic license Current board certification through ABMS or AOBMS (Family Medicine or Internal Medicine preferred) Ability to successfully complete organizational credentialing requirements Strong knowledge of Utilization Management, healthcare delivery systems, and payer-based medical decision-making Work Location Fully Remote: This position is designated as fully remote Work must be performed within the Tri-State Area (Pennsylvania, New Jersey, or Delaware)
    $181k-282k yearly est. 5d ago
  • Physician / Administration / Oklahoma / Permanent / Medical Director - Medicaid (remote)

    Humana 4.8company rating

    Remote job

    Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
    $213k-308k yearly est. 1d ago
  • Physician / Non Clinical Physician Jobs / Oklahoma / Permanent / Medical Consultant- Remote

    UNUM 4.4company rating

    Remote job

    When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally.
    $189k-256k yearly est. 1d ago
  • Manager, Practice Support

    Clover Health

    Remote job

    The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our Managed Care Organization. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers. The Manager, Practice Support leads and develops a team responsible for the operational backbone of Clover's In Home Care delivery. This leader oversees new patient enrollment, appointment scheduling, and administrative coordination functions to ensure seamless access, outstanding member experiences, and efficient clinical team support. The Manager, Practice Support is a compassionate, process-oriented leader who thrives in fast-paced, mission-driven environments and is motivated by improving healthcare operations for seniors and vulnerable populations. As a Manager, Practice Support, you will: Own the day-to-day operations of patient enrollment, scheduling, and administrative coordination to ensure efficiency and high-quality member and provider experiences. Support cross-functional collaboration between clinical, operational, and technology teams to improve workflows and streamline communication. Lead a team of enrollment specialists, schedulers, and administrative coordinators, including hiring, training, performance management, and career development. Implement operational best practices and process improvements that enhance access to care, drive performance metrics, and improve member satisfaction. Monitor key performance indicators (KPIs) for scheduling accuracy, response times, enrollment conversion, and patient satisfaction, using data insights to guide improvements. Collaborate closely with clinical leadership, care coordination, and technology teams to ensure alignment between practice operations and patient care delivery. Foster a culture of accountability, empathy, and continuous improvement across all practice support functions. You should get in touch if: You have 5+ years of experience in healthcare operations, preferably in primary care, home-based care, or value-based care settings. You bring 2+ years of leadership experience managing multi-functional administrative or operational teams. You possess strong analytical and process improvement skills, with experience using data to drive operational decisions. You are an empathetic leader who can motivate teams through change, ambiguity, and growth. You thrive in a rapidly evolving organization and healthcare landscape. You possess superior operational excellence: Ability to design, measure, and improve workflows to achieve operational goals efficiently. You have proven success in managing and developing distributed teams with empathy and accountability. You have a patient/member-centered mindset and a commitment to enhancing access, experience, and outcomes for patients and their families. About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most. We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare. From Clover's inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity. All of our employee's points of view are key to our success, and inclusion is everyone's responsibility. Benefits Overview: Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions. Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare. Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents And much more! #LI-Remote Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. A reasonable estimate of the base salary range for this role is $117,000 to $143,000 Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc.
    $117k-143k yearly Auto-Apply 3d ago
  • Advanced Practice Clinician Manager

    Hey Jane

    Remote job

    Unless otherwise noted, all positions are fully remote with work permitted from the following states: CA, CO, HI, IL, MA, MD, NJ, NM, NY, OR, and WA. We are living through a pivotal moment for reproductive and sexual health-and Hey Jane is uniquely positioned to help. From day one, we've been committed to providing safe, discreet medication abortion treatment-and have helped more than 100,000 people get the care they need. Today, we offer a range of reproductive and sexual health care services from the comfort and convenience of your phone. Our in-house clinical care team, composed of board certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away. We're committed to helping our patients get safe, discreet, judgment-free virtual health care, from a team that truly cares. Role Overview We are seeking a compassionate, detail-oriented, and experienced APC Manager who thrives in a fast-paced clinical environment and is motivated by the opportunity to expand access to high-quality, patient-centered care. In this role, you will lead and manage a team of nurse practitioners and certified midwives, ensuring the delivery of safe, compliant, and compassionate care across all aspects of our services. You will oversee day-to-day clinical operations, drive performance management for your team, and serve as a critical bridge between the clinical team and organizational leadership-translating strategy into action through strong communication, sound judgment, and operational excellence. Working in a startup telehealth environment requires flexibility and adaptability, while offering the unique opportunity to shape and refine clinical workflows. The ideal candidate is both a skilled Nurse Practitioner and an empathetic leader-comfortable mentoring others, managing tough conversations, and steering the team through change with grace and accountability. You'll excel at building trust within your remote team, fostering a culture of continuous improvement, and ensuring that every patient receives timely, evidence-based care delivered with empathy and respect.Qualifications 5+ years of clinical experience as a NP or CNM with 1+ years in reproductive or sexual health 2+ years of experience managing clinical teams, preferably in telehealth, reproductive healthcare, or a startup environment Proven ability to motivate, mentor, and support clinical staff with a focus on team morale, development, and accountability Proven ability to foster collaboration, trust, and a supportive team culture Experience documenting protocols, implementing process updates, and training teams through changes in clinical or operational systems Strong interpersonal and communication skills, with the ability to collaborate effectively across clinical, operational, and leadership teams Knowledge of healthcare compliance, regulatory requirements, and quality assurance frameworks Ability to analyze clinical and performance data and translate insights into actionable improvements Deep understanding of trauma-informed care principles Comfortable working in a fast-paced, mission-driven startup environment Able to travel to on-site location at least once a quarter At Hey Jane, we work towards the vision of having equitable healthcare, changing the status quo, and rebuilding the way people experience healthcare-and bring that same vision to our workplace. We're an equal opportunity employer committed to building an inclusive environment, and encourage all applicants from every background and life experience.
    $82k-138k yearly est. Auto-Apply 42d ago
  • Manager _ Corporate Tax _ Escalon Tax Practice

    Escalon Services 4.1company rating

    Remote job

    Department Escalon Tax Practice Employment Type Full Time Location Remote Workplace type Fully remote What You'll Bring Why You'll Enjoy Working at Escalon: More about us: About Escalon Services, LLC.
    $53k-112k yearly est. 60d+ ago
  • CE Practice Manager

    Western Computer 3.9company rating

    Remote job

    The Role The CE & Power Platform Practice Manager will play a key role in ensuring the successful delivery of projects, maintaining high levels of employee engagement, and contributing to the growth of the CE & Power Platform practice. This role will uphold Western Computer's gold standard of customer satisfaction, drive forward the Customer Engagement functional area, manage team performance, and collaborate with peers and leadership to maintain and improve the overall health of the practice. In 2026, we look forward to expanding this practice to be the connector for a customer's business applications, establishing a strong foundation for the use of AI. Experience in Power, CoPilot, and integrations or a passion for learning these areas will drive success in this role. Key Responsibilities Drive Practice Success * Partner with the Practice Director to identify and drive strategic initiatives that improve delivery efficiency, profitability, and client satisfaction. * As we focus on growth in CE, Power, and Integrations, we will be filling the Director role. There will be an interim period prior to the Director being added to the team. * Collaborate with senior leaders to define and design the future state of the CE and Power teams, ensuring alignment with Microsoft's strategic initiatives * Monitor and react to KPIs to ensure customer satisfaction, employee engagement, and overall practice health. * Contribute to the creation and achievement of annual OKRs for the practice. * Collaborate across practices to ensure consistent delivery methodology and alignment with company goals. Maintain Project Health * Uphold the gold standard of customer satisfaction across assigned projects. * Partner with Solution Architects and Project Managers to ensure timely, high-quality project delivery aligned with client expectations. * Monitor active projects to identify risks, proactively addressing potential delivery or resource challenges. * Assist in resolving project escalations by developing "get-to-green" recovery plans, negotiating financial adjustments when needed, and rebuilding client trust and confidence. Client Management * Develop and maintain strong relationships with clients to ensure consistent communication and satisfaction. * Support the management of escalated client issues and ensure resolution aligns with Western's delivery standards. * Champion the client experience by gathering feedback and driving continuous improvement across delivery teams. Team Management * Lead and coach assigned team members including Project Managers, Consultants, and Solution Architects. * Oversee team performance and engagement through consistent feedback, performance discussions, and career path planning. * Manage employee satisfaction issues promptly and effectively, fostering an environment of trust and accountability. * Evaluate team skillsets to identify training opportunities, capacity needs, and potential expansion areas. Process Improvement * Contribute to the enhancement of delivery processes and methodologies to drive standardization, efficiency, and quality across projects. * Collaborate with peers to identify gaps and implement best practices that strengthen delivery consistency. * Promote knowledge sharing and encourage cross-team collaboration within the practice Support Sales Processes * Provide presales support by assisting with scoping, estimating, and reviewing Statements of Work (SOWs). * Collaborate with Sales and Solution Architects to ensure proposals reflect achievable project plans and align with client needs. * Engage with prospects as a subject matter expert, articulating the CE & Power solutions, project approach, and value proposition with confidence. * Understand when integrations will need custom development tools and determine feasibility. * Understand integration trends and customer needs and work with the team to create scalable solutions to deliver results in an efficient way Qualifications * 8+ years of experience leading or delivering Microsoft Dynamics 365 CE (CRM) and Power Platform implementations. * Proven experience in practice management, people management, project management, or consulting leadership within a professional services environment. * Experience with Celigo, Dual Write, and Power Automate or other integration and automation tools * Strong leadership and interpersonal skills with the ability to mentor, motivate, and develop high-performing teams. * Experience in CE sales is a plus. * Excellent communication, presentation, and negotiation abilities. * Skilled in conflict resolution and driving results through collaboration. * Deep understanding of project management methodologies and change management principles. * Passion for delivering innovative CE & Power solutions that drive measurable business value for clients. The Perks: * Stellar Salary: Get ready to be rewarded handsomely, with a competitive OTE ranging from $150k - $170k USD per year. Your skills and experience are pure gold, and we want to show you the appreciation you deserve. * Super Healthcare Benefits: Say goodbye to worries about medical, dental, and vision costs. We've got your back with access comprehensive healthcare coverage, and yours is covered! * Retirement Treasure: Invest in your future with access to a 401(k)-retirement plan. Your financial security is important, and we're here to help you build it. * Time to Chill: We believe in the power of relaxation. Enjoy generous paid time off for vacations, holidays, and those inevitable sick days. Work hard, but don't forget to play hard! * Remote Work Magic: Embrace the freedom to work remotely from the location of your choice. Who we are: We've been on an exciting mission since 1987 to partner with customers as they transform and grow their businesses. As a Microsoft Solution Partner, we're recognized as a top partner. We owe that success to our team of 150+ Microsoft Dynamics 365 and Power Platform solutions experts who pair business needs with system capabilities to create the recipe for success. We are continuously innovating to maximize our customers' technology investments. From our IP products to our teams who always have a little fun, we are not your average ERP company. We encourage you to apply even if you feel that you do not meet all of the above qualifications. Frequently cited statistics show that women and underrepresented groups are more likely to only apply to jobs if they meet 100% of the listed qualifications. Western Computer encourages you to break that statistic and to apply. No one ever meets 100% of the requirements. We look forward to your application!
    $150k-170k yearly 31d ago
  • Practice Manager

    Specialty1 Partners

    Remote job

    Our Office, NRV Oral & Maxillofacial Surgery LTD - Blacksburg, a busy specialty practice in Blacksburg, VA, is looking for a talented and skilled Practice Manager to help us fulfill our mission of improving the lives of our patients by providing a world-class specialty experience at the Blacksburg and Radford locations. If you're passionate about delivering exceptional patient care and leading a dynamic team, we'd love to connect with you! At NRV Oral & Maxillofacial Surgery LTD - Blacksburg & Radford, we believe in the power of collaboration and continuous learning. Our diverse team includes Dental Assistants, Sterilization Technicians, Specialists, Office Managers, and Patient Care Coordinators who work together to ensure exceptional patient experience and outstanding clinical results. We're committed to fostering an environment where all employees are valued, respected, and given the opportunity to thrive-at work, at home, and everywhere in between. Your Role: Practice Manager As our Practice Manager, you will play a crucial role in ensuring our operations run smoothly, efficiently, and in compliance with all regulations. You'll be responsible for mentoring team members, enhancing patient experiences, and implementing best practices across all levels of our organization. Here's what you can expect in this role: Travel to the Radford location Overseeing daily operations to ensure they are carried out in a cost-effective manner. Managing budgets, financial data, and forecasts to improve profitability. Purchasing materials, planning inventory, and optimizing warehouse efficiency. Ensuring the practice remains compliant with all legal and healthcare regulations. Implementing quality controls and monitoring key performance indicators (KPIs). Training and supervising staff, while fostering a culture of continuous improvement. Enhancing the quality of patient care through innovative and compassionate leadership. Coordinating and facilitating additional office responsibilities as needed. Your Background: We're looking for a resourceful and compassionate Practice Manager who excels at leading teams and achieving financial goals. You thrive on seeing patients leave our office healthier and happier, and you're a problem-solver who can adapt to changing priorities. Here's what we're looking for: 3-5 years of experience managing a dental or OS practice. WinOMS experience a plus Expertise in insurance verification, claims, and resolution processes. Strong understanding of patient and insurance accounts receivable (AR) management. Proven ability to maintain positive employee relations and oversee payroll. Solid knowledge of profit and loss (P&L) management, with a focus on controlling expenses. Familiarity with standard OSHA and HIPAA practices and policies. If this describes you, you'll fit right in with our team! Your Benefits & Perks: We offer a comprehensive benefits package designed to support you in all aspects of your life, including: Sign on bonus offered! BCBS High Deductible & PPO Medical insurance Options VSP Vision Coverage Principal PPO Dental Insurance Complimentary Life Insurance Policy Short-term & Long-Term Disability Pet Insurance Coverage 401(k) HSA / FSA Account Access Identity Theft Protection Legal Services Package Hospital/Accident/Critical Care Coverage Paid Time Off Diverse and Inclusive Work Environment Strong culture of honesty and teamwork #priority We believe in transparency through the talent acquisition process; we support our team members, past, future, and present, to make the best decision for themselves and their families. Starting off on the right foot with pay transparency is just one way that we are supporting this mission. Position Base Pay Range$45,000-$55,000 USDSpecialty1 Partners is the direct employer of non-clinical employees only. For clinical employees, the applicable practice entity listed above in the job posting is the employer. Specialty1 Partners generates job postings and offer letters to assist with human resources and payroll support provided to the applicable practice. Clinical employees include dental assistants and staff assisting with actual direct treatment of patients. Non-clinical employees include the office manager, front desk staff, marketing staff, and any other staff providing administrative duties. Specialty1 Partners and its affiliates are equal-opportunity employers who recognize the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment based on objective criteria and without regard to the following (which is a non-exhaustive list): race, color, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws. Specialty1 Partners' Privacy Policy and CCPA statement are available for view and download at ************************************************** Specialty1 Partners and all its affiliates participate in the federal government's E-Verify program. Specialty1 further participates in the E-Verify Program on behalf of the clinical practice entities which are supported by Specialty1. E-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. The E-Verify process is completed in conjunction with a new hire's completion of Form I-9, Employment Eligibility Verification upon commencement of employment. E-Verify is not used as a tool to pre-screen candidates. For up-to-date information on E-Verify, go to **************** and click on the Employees Link to learn more. Specialty1 Partners and its affiliates uses mobile messages in relation to your job application. Message frequency varies. Message and data rates may apply. Reply STOP to opt-out of future messaging. Reply HELP for help. View our Privacy & SMS Policy here. By submitting your application you agree to receive text messages from Specialty1 and its affiliates as outlined above.
    $45k-55k yearly Auto-Apply 9d ago
  • Advanced Practice Consultant

    Arizona Department of Administration 4.3company rating

    Remote job

    ARIZONA BOARD OF NURSING The mission of the Arizona State Board of Nursing is to protect and promote the welfare of public by ensuring that each person holding a nursing license or certificate is competent to practice safely. The Board fulfills its mission through the regulation of the practice of nursing and the approval of nursing education programs. The mission, derived from the Nursing Practice Act, supersedes the interest of any individual, the nursing profession, or any special interest group. Advanced Practice Consultant Job Location: 1740 West Adams Street Suite 200 Phoenix, Arizona 85007 Posting Details: Hourly Pay Rate: $47.59 Grade: 29 This position will remain open until filled Job Summary: The Advanced Practice Consultant (APC) investigates both alleged nurse practice and non-nurse practice violations of the Nurse Practice Act, and recommends appropriate disciplinary action to the Board. Job Duties: • Reviews complaints and develops an investigative plan. Interviews complainants, witnesses, providers, and respondents and obtain written statements, records, and evidence relevant to the investigation. Prepares and issues subpoenas to obtain or inspect pertinent information (police reports, medical records, personnel records, etc.). Gathers and preserves documentary and physical evidence • Enters relevant case information and documents into the database to track and monitor open cases to ensure accurate status, and timely resolution of complaints. Analyzes medical records, medical documentation, legal documents, evaluations, healthcare and employment-related records, government records, and practice reviews • Writes reports of findings to summarize the evidence obtained and submit for review and use in disciplinary proceedings. Conducts multi-agency investigations regarding various subject matter in high-profile cases. Prepares Interim Orders requesting licensees consider voluntarily submitting to an evaluation or drug test, based on prior board actions and presents findings for final action • Presents cases at Board Meetings and testifies in administrative hearings as an official witness. Works with applicable staff to refer criminal actions to appropriate law enforcement entities. Submits cases for summary suspensions, consent agreements and non-disciplinary actions • Takes part in projects and presentations • Other duties as related to the position Knowledge, Skills & Abilities (KSAs): Knowledge: • Knowledge in applicable laws, rules, policies, procedures and standards related to standards of practice and nursing scope of practice • Knowledge in health care issues and standards of care for various populations including acute care and long term services • Knowledge in project management principles, professional report writing principles • Knowledge reporting regulations for abuse and neglect of vulnerable populations • Knowledge of Nurse Practice Act rules and regulations Skills: • Strong interpersonal skills in order to effectively relate to licensees and certificate holders, complainants and inter-agency stakeholders • Basic computer operations skills, including working with Word and Google documents, and use of databases • Skilled in nursing process including assessment, monitoring and evaluation • Skilled in medical chart review Ability: • Ability to work well with others; prioritize, plan, analyze, coordinate and manage a caseload; maintain objectivity; produce timely and accurate reports and documentation; and in presenting cases in a Board meeting or hearing • Ability to interpret rules, laws, and policies and apply to unique case circumstances • Ability to work independently and with a variety of internal and external customers • Ability to organize, prioritize and track files and information from various sources • Critically analyze problems and develop plans for remedial action • Ability to work in a fast-paced environment Selective Preference(s): • Experience as Advanced Practice Nurse, legal nurse consulting, investigations, substance abuse, and in acute, outpatient, public health or long-term care settings preferred • Minimum of 5 years nursing experience Licenses/Certifications: • Current unencumbered license/certification as a Registered Nurse and Advanced Practice Nurse with prescribing privileges through the Arizona State Board of Nursing • Masters Degree in Nursing If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver's License Requirements. Benefits: The State of Arizona offers a comprehensive benefits package to include: • Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance • Life insurance and long-term disability insurance • Vacation plus 10 paid holidays per year • Health and dental insurance • Retirement plan • Sick leave By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion. Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page Retirement: • Positions in this classification participate in the Arizona State Retirement System (ASRS) • Please note that enrollment eligibility will become effective after 27 weeks of employment Contact Us: • If you have any questions, please feel free to contact Shawn McConnell at ****************** for assistance
    $47.6 hourly 60d+ ago
  • Practice Administrator - Emergency Medicine - Remote - Nationwide

    Vituity

    Remote job

    Jacksonville, FL - Seeking Practice Administrator Everybody Has A Role to Play in Transforming Healthcare As a Practice Administrator, you play a vital role in our mission to improve lives. Provide direct, business operations support to our medical directors, site physician partners, advanced providers and scribe (when applicable) employees. At Vituity we know the impact you can have. Join the Vituity Team. At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity * Act as the operational administrator for the site Vituity leadership and as the interface for the practice to the hospital and community. * Act as the front-line liaison for the provider team with hospital C-Suite, nursing leadership, nursing staff, and Vituity support team. * Provide executive support to the site medical director and site management team to meet contract expectations. * Provide support for all site financials to include, but not limited to, contract stipends, expense reimbursements, and site payroll timecards. * Act as the super user for all Vituity software applications and as a point person for hospital software and hardware systems. * As appropriate to site practice, provide support to Vituity providers acting as a percipient witness in criminal or civil disputes including, but not limited to, receiving and routing subpoenas, scheduling depositions and trial testimony as applicable, development of a provider fee schedule, and including malpractice carrier as appropriate. * Provide office management to include, but not limited to, all aspects of meeting management, office systems, supplies, site events, and customer service. * As applicable to the practice line, facilitate all aspects of the daily patient census and attend daily multi-disciplinary rounds. * As applicable to the site practice, responsible for all aspects of the site clinical schedules to ensure adequate coverage with no disruption to patient care. * Collect, track, and analyze all site financial and operational data. * Project management as needed of the site operational programs to include, but not limited to, Operations Meetings, Patient Experience Program, Quality/Performance Improvement Program, Advanced Provider and/or Scribe Programs, and Student or Resident rotations. * Ensure all aspects of recruiting and on-boarding are completed for new providers and employees as well as locums and reservists and/or residents and students. * Ensure all licensed providers complete their recredentialing timely and appropriately for their licensing, certificates, and credentials required by Vituity and hospital Medical Staff Office. * Ensure all site partners and employees remain in compliance with Vituity and hospital programs and other mandated training or requests. * Act as the point person for all Vituity People Operations (Human Resources) relations to include, but not limited to, ensuring accurate site roster and compliance with employment law and Vituity policies. * Develop and maintain site orientation checklists and manuals. * Collaborate with Medical Director and Site Management Team in developing and maintaining site practice policies and procedures. * As applicable to practice line, responsible for all medical records and data submission to Revenue Cycle Management in a timely manner and responsible for appropriate charge capture in designated system, sending notices and follow up as appropriate. * Ensure billing and documentation compliance through completion of site WIP/TAD lists, answering provider routine questions, and schedule/hosting/participating in the monthly meeting with Revenue Cycle Management billing team. * Ensure completion of mandated forms and requests as appropriate to include, but not limited to, death certificates, physician office requests, State specific Workers Compensation and Motor Vehicle Department reporting compliance, and pharmacy requests. Required Experience and Competencies * Two to three years of experience in an office or healthcare setting required. * Associate or Bachelor's degree in Business Administration, Human Resources or related field strongly preferred. * Experience working in the healthcare field is preferred. * Knowledge of healthcare and medical terminology preferred. * Knowledge of general Human Resource principles preferred. * Knowledge of Federal, State, and County Agencies who regulate the Healthcare Industry preferred. * Intermediate to advanced MS Excel, Word, PowerPoint, and Outlook skills. * Strong consultation skills and the ability to seek out information. * Strong work ethic, organizational skills, and interpersonal skills. * Ability to prioritize and work in a stressful environment. * Ability to be self-directed, motivated, and sensitive to deadlines. * Ability to express ideas and convey information effectively in verbal and written communications. * Able to create a positive environment, clearly understand client / customer relationships, and promotes Vituity positive image. * Ability to understand and apply information management principles, data analysis interpretation and continuous quality improvement tools/methodologies. * Ability to maintain flexibility, cooperation and participate in cross-organizational performance improvement activities. * Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency. * Ability to establish and maintain effective working relationships as required by the duties of the position. * Ability to read, understand and communicate in English sufficient to perform the duties of the position. * Ability to evaluate and convey information in legible reports to Human Resource, Finance, and Executive groups. The Practice Ascension St. Vincent's Riverside Hospital - Jacksonville, Florida * STEMI Receiving Center and Stroke Center. * 240-bed facility with a 50-bed Emergency Department. * Annual volume of 38,000 patients. * Beautiful waterfront views of the St. John's River, with a great physician lounge. The Community * Jacksonville, Florida, the largest city by area in the U.S., offers a dynamic mix of urban excitement and natural beauty, making it a fantastic place to work and call home. * Located in Northeast Florida along the St. Johns River, it boasts landmarks like the Cummer Museum of Art and Gardens and the historic Riverside neighborhood. * Just a short drive away are beautiful beaches like Jacksonville Beach and Amelia Island, perfect for sunbathing and water sports. * The city's diverse activities include exploring the Jacksonville Zoo, attending concerts at VyStar Veterans Memorial Arena, or strolling along the Riverwalk. * Residents enjoy a warm climate with mild winters and sunny summers. * Sports enthusiasts cheer for the NFL's Jacksonville Jaguars or enjoy college football at the annual Florida-Georgia game. Benefits & Beyond* Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future. * Superior health plan options * Dental, Vision, HSA/FSA, Life and AD&D coverage, and more * Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% * Outstanding Paid Time Off: 3-4 weeks' vacation, Paid holidays, Sabbatical * Student Loan Refinancing Discounts * Professional and Career Development Program * EAP, travel assistance, and identify theft included * Wellness program * Commuter Benefits Program * Purpose-driven culture focused on improving the lives of our patients, communities, and employees. We are excited to share the base salary range for this position is $20.97 - $26.22, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company's annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. * Benefits for part-time and per diem vary. Please speak to a recruiter for more information. Applicants only. No agencies please.
    $21-26.2 hourly 9d ago
  • Clinical Operations, Manager - RN - Full-time (Remote U.S. within Alaska Time Zone Hours)

    Acentra Health

    Remote job

    Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Clinical Operations, Manager - RN - Full-time (Remote U.S. within Alaska Time Zone Hours) to join our growing team. Job Summary: * Manages the day-to-day operations for the Clinical Operations, Utilization Management, and/or Clinical Reviewers, assuring quality customer service and support for clients and staff, including developing and enforcing operational policies and procedures, managing staff, monitoring, and managing correspondence between external stakeholders and the company, and operational status reporting to leadership. Responsibilities: * Coordinates and directs clinical operations and related programs and directly supervises clinical support staff. Coordinates special programs such as automated outreach system and incentive plans. * Develops and maintains procedures and practices for accomplishing departmental or program goals and objectives. * Develops and monitors business and financial metrics related to the day-to-day operational success of the program, reports and measures progress toward operational goals through periodic reviews. * Coordinates all aspects of clinical operations including program coordination, scheduling, work plan management, status reporting and issue resolution tracking. * Assumes responsibilities for the Program Director in their absence. * Resolves program or department operations issues or delegates to the appropriate personnel or staff members for prompt resolution. * Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The above list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. PLEASE NOTE: * This role is contingent upon being awarded a contract. Start dates and final offers are contingent upon the contract award and final contract start dates. * Qualifications Required Qualifications/Experience: * Must be available to work business hours as defined by contract within the Alaska Time Zone. * An active, unrestricted Licensed Registered Nurse (RN) in the State of Alaska. * OR the ability to obtain Alaska RN state licensing within three months of your start date, if selected. * Bachelor's degree. * 5+ years of operations management experience managing related services with similar budgets, preferably in Medicaid or the healthcare industry and for a project similar in scope. * Strong knowledge of federal regulations surrounding utilization management and service authorization. * Ability to work within the company's decision-making and organizational structure. * Skill in examining and re-examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures. * Knowledge of U.S. healthcare industry; preferably with experience in both public and private sector. * Expertise in employee development and performance management skills. * Ability to analyze resources and environment appropriate to the scope of responsibility and design a course of action consistent with the company's mission and strategic plan. * Demonstrated achievement in P&L management, operational process engineering, remote operations management, and new business development support. Preferred Qualifications/Experience: * Residency within Alaska, Pacific, OR Mountain Time Zone. * Ability to successfully manage change and growth. * Knowledge of business development, strategic planning, tactical implementation, and creation of business partnerships. * Demonstrated expertise in managing differing customer needs. * Ability to participate as a team member fostering collaborative decision-making among leadership, committees, teams, or work groups of diverse composition. #LI-SD1 Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at Acentra Health EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay for this position is listed below. "Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Pay Range USD $90,960.00 - USD $113,700.00 /Yr.
    $91k-113.7k yearly 2d ago
  • Manager, Agile Practices (Remote)

    Allergan Aesthetics 4.8company rating

    Remote job

    At Allergan Aesthetics, an AbbVie company, we develop, manufacture, and market a portfolio of leading aesthetics brands and products. Our aesthetics portfolio includes facial injectables, body contouring, plastics, skin care, and more. Our goal is to consistently provide our customers with innovation, education, exceptional service, and a commitment to excellence, all with a personal touch. For more information, visit *************************************** Follow Allergan Aesthetics on LinkedIn. Allergan Aesthetics | An AbbVie Company Job Description As the Manager, Agile Practices, you will report to the Senior Manager, Tech Business Operations & Agile Practices as well as continuously collaborate with key stakeholders across the business to solve the most important technical problems. Employees can work remotely You Will: · Manage, mentor, and grow a team of Agile Specialists, providing hands on support, regular feedback, and career development. · Establish clear performance expectations, foster a culture of accountability, and drive continuous improvement. · Ensure consistent implementation of Agile Practices while identifying and implementing continuous improvement of those practices. · Drive agile maturity by establishing standards of work, metrics-driven insights, and cross team collaboration. · Oversee and continuously improve planning processes to provide visibility into multiple quarters of work ahead while ensuring clarity of scope, dependencies, and key milestones. · Standardize reporting practices for KPIs such as velocity, burndown, and other delivery metrics, consolidating and presenting this data transparently to inform leadership of progress and enable decision making. · Track progress, identify and manage risks, and remove obstacles across Engineering teams supported by Agile Specialists. · Build strong partnerships to collaborate across the business, with key partners such as Product, Engineering, Program, Design, and business stakeholders, ensuring shared context, coordinated execution, and predictable outcomes. · Oversee the effective use of Jira and other tooling used by Agile Specialists, ensuring data integrity, consistency, and scalability across teams. Qualifications Bachelor's degree in Business, Information Technology, or related field. 6+ years' experience in Agile delivery, with at least 2+ years of direct people management experience. Expertise in Agile frameworks (Scrum, Kanban, SAFe or similar) with a proven track record of scaling agile practices across teams. Strong leadership and coaching skills. Strong problem-solving skills and adaptability. Excellent organizational, communication, and interpersonal skills, with the ability to manage through ambiguity and change. Strong stakeholder management skills and the ability to influence at multiple levels of the organization. Data-driven mindset with the ability to leverage metrics to drive accountability and improvement. Ability to work collaboratively with cross-functional teams. Proficiency in JIRA, Confluence, and related tooling. Additional Information Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future. We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. This job is eligible to participate in our short-term incentive programs. This job is eligible to participate in our long-term incentive programs Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled. US & Puerto Rico only - to learn more, visit ************************************************************************* US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more: *************************************************************
    $138k-189k yearly est. 6d ago
  • Clinical, Manager, Prior Authorization Technician

    Capital Rx 4.1company rating

    Remote job

    About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi , the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Responsibilities: Oversee a dynamic team of pharmacy technicians engaged in the prior authorization process. Analyze available data to provide prior authorization staffing, workflow, and system enhancement recommendations to maximize team agility and performance. Actively participate in the prior authorization technician metric and quality goal setting process. Generate and deliver comprehensive reports on prior authorization technician metrics to both internal and external stakeholders. Assist the talent acquisition team in the hiring, evaluation, training, and onboarding of new employees. Investigate/resolve escalated issues or problems from team members, clients, and other internal teams. Key stakeholder in ensuring the prior authorization review platform is optimized for technician functions. Maintain relationships with external Independent Review Organizations and clinical resource vendors. Support the training and growth of both new and existing staff members in adherence to proper procedures. Collaborate with prior authorization leadership to develop process improvements and support long-term business needs, recommend new approaches, policies, and procedures to influence continuous improvements in department's efficiency and help establish best practices for conflict resolution while actively participating in problem identification and coordinate resolutions between appropriate parties. Assists with in other responsibilities, projects, implementations, and initiatives as needed in accordance with the policies and procedures established within the department. Prepare prior authorization requests received by validating prescriber and member information, level of review, and appropriate clinical guidelines. Maintain compliance with local, state, and federal laws, in addition to established organizational standards. Proactively obtains clinical information from prescribers, referral coordinators, and appropriate staff to ensure all aspects of clinical guidelines are addressed for pharmacist review. Triage phone calls from members, pharmacy personnel, and providers by asking applicable drug and client specific clinical questions. Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies Required Qualifications: Active, unrestricted, National Certified Pharmacy Technician (CPhT) license required Bachelor's or Associate's degree is preferred 4+ years of PBM or Managed Care pharmacy experience required Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint Strong clinical background required Excellent communication, writing, and organizational skills Ability to multi-task and collaborate in a team with shifting priorities Preferred Qualifications: 2+ years of regulated market prior authorization operations experience or knowledge of how to operationalize regulated market requirements Previous prior authorization operations leadership experience Salary Range$80,000-$90,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
    $80k-90k yearly Auto-Apply 17d ago
  • Regional Clinical Manager - Remote (Travel Required)

    Argentum Medical 3.4company rating

    Remote job

    Click here to view our 2026 Benefits Guide Serves as the clinical expert in key healthcare domains, including infection control, wound care, surgical procedures, vascular access, LVAD (Left Ventricular Assist Device), Durable Medical Equipment (DME), Remote Patient Monitoring (RPM), and related product categories. Leads expert clinical support for field sales teams to help achieve strategic business objectives and drive revenue growth. Leads the planning and execution of product evaluations, customer training sessions, and implementation initiatives for both internal stakeholders and external healthcare professionals. Develops and delivers professional education programs, including the creation of training materials and presentations, often acting as lead presenter and project manager. Plays a critical role in shaping the customer experience across the sales lifecycle-from initial engagement and product adoption to long-term satisfaction-impacting training outcomes, product utilization, purchasing decisions, and overall customer retention. Essential Functions (ACCOUNTABILITIES/RESPONSIBILITIES): Serves as a clinical and education expert, providing training and support to internal teams, customers, distributors, and white-label partners across the full Bravida product portfolio. Leads field-based product evaluations, implementations, and maintenance activities, including account setup and tailored training plans that directly support sales success. Leads training for field sales representatives (direct and 1099), and for the training, supervision, and mentorship of per diem clinical staff and clinical education specialists ensuring clinical competence, brand consistency, and measurable ROI from training investments. Drives the development and execution of Bravida Academy offerings, taking the lead in multiple education programs with significant influence on customer success and learning outcomes. Contributes to CE accreditation processes as needed. Conducts customer needs assessments in response to field complaints, identifying trends, ensuring compliance with internal processes in partnership with RAQA, and recommends targeted training and troubleshooting strategies to field sales and clinical teams. Leads and executes training programs for all internal colleagues and external customers, fostering long-term clinical skill development and amplifying the voice of the customer across Bravida teams. Develops and maintains strategic relationships with KOLs (Key Opinion Leaders), overseeing consultant-led educational content, poster presentations, speaking engagements, and related projects. Represents Bravida as an active member of professional organizations, delivering presentations, authoring content, and coordinating outreach and training at local, regional, and national events, conferences, and trade shows. Maintains current expertise in clinical practice guidelines, FDA and regulatory standards, market trends, and competitor products; contributes to content and document review in QT9 quality management system. Provides clinical input to New Product Development (NPD) and R&D teams, shaping portfolio innovation and supporting training strategy for product launches. Leads clinical research activities, including Bravida-sponsored trials, ensuring alignment with FDA requirements and Good Clinical Practice (GCP) standards from initiation to completion. Collaborates cross-functionally with the CCLO, Marketing, and Sales teams to develop and deliver clinical messaging, sales tools, and customer-centric educational content; drives continuous improvement through feedback integration. Delivers clinical education using a variety of digital platforms (e.g., On24, eLearning tools, websites) and stays current with best practices in remote and virtual training technologies. Utilzes Bravida business systems (e.g., SFDC, Fast Field, Monday.com, IntelAgree) for planning, communication, project tracking, and deliverable management. Sets an example and ensures full compliance with Bravida policies, procedures, Code of Conduct, and the organization's mission and values. Qualifications: Experience 5+ years of clinical nursing experience in one or more of the following areas: Operating Room, Wound Care, Infection Control, Vascular Access, and/or Critical Care, with a strong foundation in patient care and clinical protocols. 3-5 years of experience in a nursing manager and/or educator role, demonstrating leadership in staff development, training programs, and clinical oversight. 3-5 years of experience in the medical device industry preferred, with a focus on direct customer engagement, clinical field support, educational content development, and training delivery. Education Bachelor's Degree in Nursing (BSN) preferred. Master's Degree in Nursing (MSN) or Business Administration (MBA) preferred. Credentials Registered Nurse (RN), licensed and in good standing, required. Accredited Nursing Certifications (e.g., Wound Care Certification [WCC], Perioperative Nurse [CNOR], Infection Control [CIC], Critical Care Registered Nurse [CCRN]) preferred. General Skills/Competencies/Specialized Knowledge Strong clinical competencies in areas such as Operating Room, Wound Care, Infection Control, Vascular Access, and Critical Care. In-depth understanding of the healthcare industry, market trends, and the evolving role of medical devices in clinical practice. Proficient expertise in clinical program design for the medical device industry, with the ability to link clinical needs to business outcomes. Proven effectiveness in supporting sales teams through customer training, product utilization, and decision-making support to drive business objectives. Competent leadership and project management skills, including the ability to collaborate across departments and lead processes effectively to meet or exceed deadlines. Training content development and strong presentation skills with a proven track record of success in educational settings. Exceptional communication, interpersonal, and negotiation skills, with a focus on building long-term professional relationships. Strong problem-solving abilities in complex clinical and business environments. Competence in digital tools and platforms, including PPT, Excel, Power BI, eLearning, digital conference and webinar platforms with high-quality content delivery. Desirable Job Competencies Ambition and drive to grow within the company and the industry. Ability to juggle multiple tasks simultaneously with a sense of urgency, prioritizing competing priorities in a fast-paced environment, ensuring timely delivery without compromising quality. Ability to build strong relationships with internal teams, customers, and professional organizations. Leadership potential with the ability to manage projects and initiatives to completion. Innovative, creative thinker with a focus on customer experience and high-quality outcomes. High clinical confidence with the ability to navigate and influence complex healthcare systems. Expertise in networking and driving sales, contributing to customer conversion and retention. TRAVEL REQUIREMENTS/WORK ENVIRONMENT and PHYSICAL DEMANDS: Travel Requirements Willing and able to travel up to 80% for customer-facing activities, including product evaluations, conversions, ongoing support, and educational training sessions in the field. Work Environment & Physical Demands Must be able to lift and carry items up to 30 lbs. as needed for demonstrations and training setups. Requires frequent walking and standing in various settings, including acute care hospitals, conference centers, airports, and other customer locations.
    $62k-97k yearly est. Auto-Apply 60d+ ago
  • Field Clinical Manager (Remote)

    Kardium 4.2company rating

    Remote job

    Your opportunity By joining the Kardium team, you can help make a difference in the lives of millions around the world. We have developed a ground-breaking medical device for the diagnosis and treatment of the most common heart rhythm disorder, atrial fibrillation - which can cause stroke, heart failure, and other heart-related complications. Kardium's mission is to deliver the best treatment for atrial fibrillation. To achieve this, we have developed The Globe Pulsed Field System - we have a fantastic technical team that has developed a product with strong, unique, and customer-valued differentiators versus other solutions on the market. We have built connections with key opinion leaders who are already using the Globe System and are helping to tell our story. We are now focused on our commercial launch. This is an exciting and significant milestone in our journey to bring this ground-breaking technology to patients. As a Field Clinical Manager, you will play an instrumental role in the success of the commercial launch for the Globe Pulsed Field System. You will be responsible for building, managing and supporting a team of Field Clinical Specialists who will provide clinical expertise and support for the Globe System. You will play a crucial role in ensuring the successful implementation and utilization of our products in clinical settings, fostering strong relationships with healthcare professionals, and driving the overall success of the commercial launch. Please note, this opportunity is a remote work arrangement based in the United States. Meaningful work you will be a part of Your responsibilities will include: Lead, mentor, and manage a team of Field Clinical Specialists. Develop and implement training programs to ensure team proficiency in electrophysiology and in supporting commercial ablation cases. Monitor and evaluate team performance, providing feedback and coaching to drive continuous improvement. Provide clinical expertise and support to healthcare professionals during cardiac ablation procedures. Ensure compliance with regulatory requirements and company policies. Stay current with industry trends, advancements, and best practices in electrophysiology. Travel to various clinical sites to support team activities and build relationships with key stakeholders. What you bring to the team Our Kardium team is smart, creative, and passionate about creating cutting-edge medical devices to help improve people's lives. We work within a collaborative environment based on trust and respect. And we understand that only by working together can we solve the unsolvable. You will be successful in this role because you possess these attributes: Bachelor's degree, or equivalent 5+ years experience leading a team of Clinical Specialists in Electrophysiology or experience as a Field Trainer Strong clinical knowledge and expertise in electrophysiology procedures and products. Excellent communication, interpersonal, and leadership skills. Flexibility to take on additional responsibilities as appropriate Ability to work in the USA A valid Driver's License Ability to travel over 50% Compensation Kardium has listed the total cash compensation range (base salary + 5% 401k contribution + variable compensation based on the achievement of organizational goals and objectives) that we expect to pay applicants for this role, as of the time of this posting. Pay offered will be determined based on numerous relevant business and candidate factors including, for example, education, qualifications, certifications, experience, skills, and business or organizational needs. For candidates with more or less experience than listed above, the pay range will be adjusted. As a permanent employee, you will also participate in Kardium's stock option plan. $175,000 - 230,000 (USD Annually) Your Benefits & Well-being The total cash we've listed for this position includes a base salary, plus a contribution to a Retirement Savings plan to help support your financial goals. Comprehensive medical & dental coverage for all permanent employees - effective as of Day 1, with no waiting period. Work-day flexibility - additionally, we provide 3 personal days per year. Support for you (and your dependents) overall well-being. Family building - we provide top up for both maternity leave & adoptive leave. Employees can also enroll in benefit coverage for fertility drug treatment. Career progression and learning support. Professional membership support. Life at Kardium What makes us a great place to work? Our Purpose Our People Our Culture At Kardium, we embrace diversity of background, experience, and perspective and we're committed to inclusion and equity at every level. We encourage applications from all qualified candidates who represent the full diversity of all communities. We collaborate with Employee Resource Groups (ERGs), as volunteer-led groups who share a common dimension of diversity and come together to provide support, education, and other opportunities across Kardium. Examples of our ERGs include Women ERG, Pride ERG, Race Ethnicity & Cultural Heritage (REACH) ERG, Truth & Reconciliation ERG, Persian Community ERG, Chinese ERG, Barangay Kardium (Filipino) ERG, and Irish ERG. As part of your application, we encourage you to note if you require an accommodation for the recruitment process (including alternate formats of materials, accessible meeting rooms or other accommodations). There will be an optional section in the application form where you can provide this information to the recruitment team. And our employees think we are great too - check out Glassdoor to learn more!
    $63k-101k yearly est. 2d ago
  • Clinical Manager - Seating and Positioning

    Ki Mobility 4.2company rating

    Remote job

    The Clinical Manager is responsible for developing and implementing clinical training curricula detailing the application and fitting of the designated Etac product area to achieve positive functional outcomes. This position trains providers, therapists, and sales associates in the form, fit, and function of Etac products and their clinical applications. This is a traveling position providing product presentations, clinical in-services, and product/client fittings with providers and/or clinicians and provides one-on-one training with sales associates with the goal of supporting efforts to increase sales of all designated Etac products. The role also supports and leads larger in-person clinical product education and training engagements with key customers. Product Areas: Seating & Positioning: all Etac North America Mobility custom and “packaged” seating products, including Axiom, Axiom Kids, Axiom Custom Back, Axiom Custom Seating, Star Cushions, secondary positioning supports, and other products and accessories as they may be designated in the future. Mobility: all Etac North America Mobility manual wheelchairs and related accessories or components, including power assist. This includes manual wheelchair in the folding, rigid, tilt-in-space, pediatric and adolescent categories, as well as, any products and accessories as they may be designated in the future. Pediatrics: all Etac North America Mobility products intended for use by the pediatric population. This includes all products, accessories, or components from R82, Convaid, Ki Mobility, including power assist. This will also include any products and accessories as they may be designated in the future. Essential FunctionsJob Responsibilities Assist in the development of clinical training curricula relating to relevant Etac products. Create and deploy training materials that will be used by sales associates, export partners, and other clinical education team members. Establish and maintain a travel schedule with Etac sales associates centered around in-field customer and clinician engagements. Attend trade shows, customer events, and sales meetings as necessary. Contribute to the development of the company's strategic plan to drive future growth and profitability for relevant Etac products. Present professional continuing education content (CEUs) as needed, either through coordination with sales associates and managers, or at key business partner education events. Manage sales expenses within the guidelines of the Company expense policy. Work closely with the sales team, specifically Territory Sales Managers, to align training initiatives with sales strategies and customer needs. Collaborate with cross-functional teams to align and deliver product education and training programs. Uphold Company values and ethical business conduct, as well as, maintain confidentiality of sensitive information. Utilize sales and order analysis tools, including Qlik, to strategically plan and prioritize travel to optimize effectiveness. Utilize sales and order analysis tools, including Qlik, post-travel to analyze effectiveness of travel and/or training curricula. Be a key contributor to product development requirements around competitive opportunity, clinical requirements and efficacy that deliver strong new product enhancements that meet market needs. Ensure and follow safety, quality, and other company requirements and standards. Keep the work area clean and orderly. Perform all duties in a manner that follows, demonstrates, and promotes Company's values. Report to work as scheduled, on time, and able to work entire work schedule. Perform additional duties as assigned. Knowledge, Skills, and Ability Excellent presentation skills and confidence in front of small and large groups. Strong organizational skills. Strong Microsoft PowerPoint skills. Knowledge and proficiency with Microsoft Office Suite products, including Excel and Outlook, and other enterprise software. In depth knowledge of clinical issues relating to disabled populations. Knowledge of manual mobility and seating products than span adult and pediatric solutions within the complex rehabilitation industry. Ability to establish and maintain professional communications both inside and outside the company. Funding knowledge within complex rehab technology. Ability to network with providers, ATP's, clinicians, and caregivers. A high level of interactive communication is required to service our customers and clinicians; must be able to respond quickly and effectively to satisfy customer and clinician inquiries. Possess a strong business acumen with an understanding of market potential and contract development. Analytical skills in order to solve complex problems and make informed decisions. Possess excellent written and oral communication and interpersonal skills to collaborate effectively with cross-functional teams. Proactive and self-motivated with the ability to work independently and in a team environment. Ability to lift and handle wheelchairs. Ability to observe and identify details. Ability to work extended hours as scheduled, including weekends. Physical Demands Frequent sitting, wrist manipulation, walking, and standing. Frequent bending, pushing, pulling, and twisting. Occasional to frequent driving in a vehicle. Frequent light/medium work with lifting up to 30 pounds. Occasional medium work with lifting up to 50 pounds. Must be able to lift, handle, load, and unload all products. Manual dexterity to type and operate office equipment frequently. Must be able to complete all physical requirements to perform essential functions. QualificationsEducation/Experience Degree in a clinical discipline (Occupational or Physical Therapy, Kinesiology) or a related field or 3-5 years of experience in the complex rehab industry. ATP certification is beneficial. Must possess and maintain a valid driver's license. Intermediate level experience with computer applications. Working Environment Remote position with an expectation of up to 75% travel focusing on specific key referral sources, their clinicians, providers, and ATP's. This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the associate for this position. Duties, activities, and responsibilities may change, or new ones may be assigned at any time with or without notice. Associate must be able to satisfactorily perform the essential functions of the position with or without reasonable accommodations. Ki Mobility is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.
    $52k-70k yearly est. Auto-Apply 60d+ ago
  • Clinical Manager - Seating and Positioning

    Etac Ab

    Remote job

    The Clinical Manager is responsible for developing and implementing clinical training curricula detailing the application and fitting of the designated Etac product area to achieve positive functional outcomes. This position trains providers, therapists, and sales associates in the form, fit, and function of Etac products and their clinical applications. This is a traveling position providing product presentations, clinical in-services, and product/client fittings with providers and/or clinicians and provides one-on-one training with sales associates with the goal of supporting efforts to increase sales of all designated Etac products. The role also supports and leads larger in-person clinical product education and training engagements with key customers. Product Areas: Seating & Positioning: all Etac North America Mobility custom and “packaged” seating products, including Axiom, Axiom Kids, Axiom Custom Back, Axiom Custom Seating, Star Cushions, secondary positioning supports, and other products and accessories as they may be designated in the future. Mobility: all Etac North America Mobility manual wheelchairs and related accessories or components, including power assist. This includes manual wheelchair in the folding, rigid, tilt-in-space, pediatric and adolescent categories, as well as, any products and accessories as they may be designated in the future. Pediatrics: all Etac North America Mobility products intended for use by the pediatric population. This includes all products, accessories, or components from R82, Convaid, Ki Mobility, including power assist. This will also include any products and accessories as they may be designated in the future. Essential FunctionsJob Responsibilities Assist in the development of clinical training curricula relating to relevant Etac products. Create and deploy training materials that will be used by sales associates, export partners, and other clinical education team members. Establish and maintain a travel schedule with Etac sales associates centered around in-field customer and clinician engagements. Attend trade shows, customer events, and sales meetings as necessary. Contribute to the development of the company's strategic plan to drive future growth and profitability for relevant Etac products. Present professional continuing education content (CEUs) as needed, either through coordination with sales associates and managers, or at key business partner education events. Manage sales expenses within the guidelines of the Company expense policy. Work closely with the sales team, specifically Territory Sales Managers, to align training initiatives with sales strategies and customer needs. Collaborate with cross-functional teams to align and deliver product education and training programs. Uphold Company values and ethical business conduct, as well as, maintain confidentiality of sensitive information. Utilize sales and order analysis tools, including Qlik, to strategically plan and prioritize travel to optimize effectiveness. Utilize sales and order analysis tools, including Qlik, post-travel to analyze effectiveness of travel and/or training curricula. Be a key contributor to product development requirements around competitive opportunity, clinical requirements and efficacy that deliver strong new product enhancements that meet market needs. Ensure and follow safety, quality, and other company requirements and standards. Keep the work area clean and orderly. Perform all duties in a manner that follows, demonstrates, and promotes Company's values. Report to work as scheduled, on time, and able to work entire work schedule. Perform additional duties as assigned. Knowledge, Skills, and Ability Excellent presentation skills and confidence in front of small and large groups. Strong organizational skills. Strong Microsoft PowerPoint skills. Knowledge and proficiency with Microsoft Office Suite products, including Excel and Outlook, and other enterprise software. In depth knowledge of clinical issues relating to disabled populations. Knowledge of manual mobility and seating products than span adult and pediatric solutions within the complex rehabilitation industry. Ability to establish and maintain professional communications both inside and outside the company. Funding knowledge within complex rehab technology. Ability to network with providers, ATP's, clinicians, and caregivers. A high level of interactive communication is required to service our customers and clinicians; must be able to respond quickly and effectively to satisfy customer and clinician inquiries. Possess a strong business acumen with an understanding of market potential and contract development. Analytical skills in order to solve complex problems and make informed decisions. Possess excellent written and oral communication and interpersonal skills to collaborate effectively with cross-functional teams. Proactive and self-motivated with the ability to work independently and in a team environment. Ability to lift and handle wheelchairs. Ability to observe and identify details. Ability to work extended hours as scheduled, including weekends. Physical Demands Frequent sitting, wrist manipulation, walking, and standing. Frequent bending, pushing, pulling, and twisting. Occasional to frequent driving in a vehicle. Frequent light/medium work with lifting up to 30 pounds. Occasional medium work with lifting up to 50 pounds. Must be able to lift, handle, load, and unload all products. Manual dexterity to type and operate office equipment frequently. Must be able to complete all physical requirements to perform essential functions. QualificationsEducation/Experience Degree in a clinical discipline (Occupational or Physical Therapy, Kinesiology) or a related field or 3-5 years of experience in the complex rehab industry. ATP certification is beneficial. Must possess and maintain a valid driver's license. Intermediate level experience with computer applications. Working Environment Remote position with an expectation of up to 75% travel focusing on specific key referral sources, their clinicians, providers, and ATP's. This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the associate for this position. Duties, activities, and responsibilities may change, or new ones may be assigned at any time with or without notice. Associate must be able to satisfactorily perform the essential functions of the position with or without reasonable accommodations. Ki Mobility is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.
    $53k-86k yearly est. Auto-Apply 60d+ ago
  • Telehealth Clinical Manager - Remote

    Gateway Rehabilitation Center 3.6company rating

    Remote job

    Ready to Elevate Addiction Recovery? If you're looking to redefine the way care is delivered and be at the forefront of addiction recovery, we have the career for you! Your expertise and compassion can change lives-one virtual session at a time Gateway Rehab Center (GRC) is seeking a passionate and skilled Clinical Manager to revolutionize the way we deliver care. This management position allows you to bring compassion, innovation, and expertise to individuals on their journey to recovery-all from the comfort of your home with occasional travel to a GRC location. If you're driven by the mission of making high-quality, accessible care a reality for all, we want to hear from you! Please Note: This is a remote position with occasional travel to a GRC facility in Robinson, PA. Ideal candidate should live in the Pittsburgh area or surrounding counties. Why Choose Gateway Rehab? Make an impact through Gateway's mission “to help all affected by addictive disease to be healthy in body, mind, and spirit.” Be a part of an organization that has been leading the way in addiction treatment for over 50 years. Leverage cutting-edge telehealth technology to bridge gaps in care and transform lives. Enjoy the flexibility of a remote role while maintaining meaningful client Why This Role is the Future of Addiction Treatment? GRC's Telehealth Services team is changing lives, and as a Clinical Manager you'll be at the forefront of this movement. Your work will expand access to critical services, empower clients, and shape the future of addiction recovery. This is more than just a job-it's a mission-driven career where you can make a lasting impact every single day. Your Role in Transforming Recovery Conduct authorization audits to ensure timely completion, avoiding any disruption in payments. Develops a training curriculum for Aura/m.care, tailored for new hires in all Telehealth positions. Performs chart audits for compliance of all new admissions, ensuring deadlines are met and sending reminders to staff with outstanding documentation. Maintains staff training records and identify training opportunities based on areas of need, as recommended by the Director or Executive Director. Oversees patient program attendance, ensuring compliance with policies and licensure requirements, particularly for psych services and IOP. Conducts documentation audits across different levels of care to ensure timely completion of all required items. Attends mandatory GRC trainings and in-services. Requirements What We're Looking For Master's degree in field that meets Pennsylvania Department of Health staffing qualification regulations required. License or certification from the Pennsylvania Certification Board eligible. Two years' clinical experience in a health or human service agency, including one year working directly with chemically dependent persons. Supervisory experience preferred. Knowledge of Substance Use Disorders and Evidence-based treatment methods. Strong leadership skills. Ability to manage crisis, make decisions, and make sound clinical judgements. Excellent written and verbal communication skills. Additional Requirements Pass PA Criminal Background Check. Obtain PA Child Abuse and FBI Fingerprinting Clearances. Pass Drug Screen. TB Test. Work Conditions Remote with travel into a GRC facility. Favorable working conditions. Minimal physical demands. GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.
    $31k-38k yearly est. 19d ago

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