Top 6647 Clinical integration manager Jobs

Clinical Client Integration Specialist - Remote
Highmark Inc. —Pennsylvania
- $86,400 - $138,600 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
Electronic Medical Records Project Manager - Ambulatory Monitoring and Diagnostics (Central/Eastern US)
Philips —Remote
- $90,000 - $160,000 a year
- Full-time
- 7 years
- Mid-level
- High school diploma or GED
- Health savings account
- Employee stock purchase plan
Program Manager - Transformation and Strategic Projects - Full Time 8 Hours Day (Non-Union, Exempt)
USC —Arcadia, CA
- $95,680 - $158,230 a year
- 8 hour shift
- Hospital
- Mid-level
- Master's degree
Healthcare Consulting Manager - Clinical Enterprise
Huron Consulting Services LLC —Chicago, IL
- $145,000 - $231,250 a year
- Full-time
- Remote
- Microsoft Excel
- 6 years
- Bachelor's degree
- Dental insurance
Quick Apply
Sr Accessibility Product Manager, Clinical Solutions (Remote)
RELX —Home, PA
- $115,400 - $217,587 a year
- Full-time
- Remote
- Product management
- Senior level
- HTML
- Parental leave
- Flexible schedule
Sr Accessibility Product Manager, Clinical Solutions (Remote)
Elsevier —Home, PA
- $115,400 - $217,587 a year
- Full-time
- Remote
- Product management
- Senior level
- HTML
- Parental leave
- Flexible schedule
Clinical Systems & Product Operations Manager (Full-Time) - Remote
Oula —Remote
- $110,000 - $120,000 a year
- Full-time
- Remote
- SQL
- Ob/Gyn
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Project/Program Manager with Experience with the US Department of Veterans Affairs
Artemis Connection —Remote
- $70 - $80 an hour
- Contract
- Remote
- 5 years
- Travel
- Senior level
Quick Apply
Senior Project Manager, Clinical Integration (PFK)
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Writing skills
- Mid-level
- Ability to climb stairs
RN Care Coordinator
Scenic Rivers Health Services —Bigfork, MN
- $31.03 - $36.79 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health savings account
- AD&D insurance
Quick Apply
Nurse Manager - Telemetry
MountainView Regional Medical Center —Las Cruces, NM
- Full-time
- Acute care
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
12d
RN - Operations Educator Supervisor
El Rio Community Health Center —Tucson, AZ
- $34.16 - $49.47 an hour
- Full-time
- Spanish
- Nursing
- Management
Quick Apply
Regional Medical Director
TapestryHealth —Orlando, FL
- $200,000 - $250,000 a year
- Full-time
- Medicine
- Management
- 3 years
Quick Apply
Director, ICU/Pathology - SMG
SMG System Medical Group —Morgantown, WV
- Overtime
- Hybrid work
- Hospital
- Urgent Care
- Master's degree
Program Manager - Cardiac Rehabilitation
SouthEast Alaska Regional Health Consortium —Juneau, AK
- $36.46 - $51.29 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- BLS Certification
- Paid parental leave
- Disability insurance
Quick Apply
Facility Medical Director - AHCC
State of Washington Dept. of Corrections —Airway Heights, WA
- $130,319 - $338,142 a year
- 8 hour shift
- Background check
- Medicine
- Management
- Paid holidays
- Health insurance
Manager of Histology
JCA Personnel —Yuma, AZ
- $110,000 - $135,000 a year
- Full-time
- 3 years
- In-person
- Senior level
Quick Apply
11d
Medical Assistant, Upper Keys Internal Medicine, $5k Bonus
Baptist Health South Florida —Tavernier, FL
- $21.24 - $27.61 an hour
- Full-time
- Bilingual
- Vital signs
- Customer service
- Commuter assistance
- Paid parental leave
Director, Pharmacy - Denver Health Medical Plan (* Hybrid Work Schedule *)
Denver Health —Denver, CO
- $150,900 - $249,100 a year
- Full-time
- Hybrid work
- Customer service
- Pass drug screening
- Office
- Paid parental leave
- Paid holidays
Radiology Quality Control Manager
MedStar Radiology Network - Washington, D.C. & Maryland —Bel Air, MD
- Full-time
- Anatomy knowledge
- Mid-level
- Clinic
- Paid holidays
- Disability insurance
Quick Apply

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Clinical Client Integration Specialist - Remote

Highmark Inc. -
Pennsylvania

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Job Details

Full-time
$86,400 - $138,600 a year

Qualifications

Employee relationship building

Full Job Description

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This job is responsible for the overall clinical support of account and sales specific activities within the Clinical Services division. The incumbent works with leaders in clinical services and sales/account management as a liaison, developing collaborative relationships across departments such as sales, actuary, underwriting, product and marketing to provide clinical content research for clients, clinical expertise for high-cost reporting, RFP responses, preparation for client meetings, and tracking of performance guarantees including participation in strategies to improve outcomes.

ESSENTIAL RESPONSIBILITIES

Develop collaborative relationships across various departments such as sales, actuary, product, marketing and others, as identified. Actively collaborate with account managers, clinical sales consultants, and other key stakeholders in preparation for client meetings. Support sales when prepping for client meetings. Provide support for sales finalist meetings from a clinical services perspective by providing the clinical insight into value to members and clients. This is a client-supporting role.
Support the clinical management team to assure that there are clear expectations for Case Managers & Disease Managers as it relates to specific models and client accounts. Provide new client implementation and ongoing support for clinical teams for buy-up products. Work with clinical managers to coach nurses on identified opportunities specific to client expectations.
Serve as primary leader in coordination and preparation for client audits and clinical reviews assuring that all requirements established by the client including contractual obligations are met and staff involved in any onsite reviews are adequately prepared and coached.
Work with the Member Listening System (MLS) team to align new cohorts or changes in existing cohorts to maintain contractual agreements.
Liaison between Sales and Clinical teams to field sales and client requests for case management referrals, metrics and case escalations, and success stories.
Analyze, synthesize, and provide clinical detail on High-Cost Claims & Authorization reports leveraging many systems and programs.
Serve as the clinical subject matter expert for RFPs. Work with the clinical writing team to support the strategy in submissions.
Manage the day-to-day performance operations for all Well 360 Products
Obtain, monitor and analyze data, monitor the performance of the buy up models.
Other duties as assigned or requested.

EDUCATION

Required

Bachelor's Degree in Nursing or clinical-related field OR relevant experience and/or education as determined by the company in lieu of bachelor’s degree

Preferred

None

EXPERIENCE

Required

5 years of clinical or managed care experience

Preferred

Health insurance experience

LICENSES OR CERTIFICATIONS

Required

None

Preferred

Registered Nurse (RN)

SKILLS

Written & Oral Presentation Skills
Analytical Skills
Relationship-builder with Unsurpassed Interpersonal Skills
Project Management
Reporting
Sales Support
Leadership

Languages (other than English)

None

Travel Requirement

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Physical work site required

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$86,400.00

Pay Range Maximum:

$138,600.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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Refine Your Search

clinical integration manager jobs

Clinical Client Integration Specialist - Remote

Electronic Medical Records Project Manager - Ambulatory Monitoring and Diagnostics (Central/Eastern US)

Program Manager - Transformation and Strategic Projects - Full Time 8 Hours Day (Non-Union, Exempt)

Healthcare Consulting Manager - Clinical Enterprise

Sr Accessibility Product Manager, Clinical Solutions (Remote)

Sr Accessibility Product Manager, Clinical Solutions (Remote)

Clinical Systems & Product Operations Manager (Full-Time) - Remote

Project/Program Manager with Experience with the US Department of Veterans Affairs

Senior Project Manager, Clinical Integration (PFK)

RN Care Coordinator

Nurse Manager - Telemetry

RN - Operations Educator Supervisor

Regional Medical Director

Director, ICU/Pathology - SMG

Program Manager - Cardiac Rehabilitation

Facility Medical Director - AHCC

Manager of Histology

Medical Assistant, Upper Keys Internal Medicine, $5k Bonus

Director, Pharmacy - Denver Health Medical Plan (* Hybrid Work Schedule *)

Radiology Quality Control Manager

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