Opportunity Overview: We are seeking a Healthcare Analytics Analyst to join our Analytics team. In this role, you will conduct analyses that drive our strategy, inform product performance, and provide insights critical to the development of new clinical intervention strategies and product enhancements. You'll partner closely with cross-functional teams and clients to optimize auto-decisioning performance and deliver increased value. This is an opportunity to directly impact company growth and assist patients at a critical time in their healthcare journey. What you'll do: Research, build, execute and optimize auto-decisioning strategy for new client implementations Work with multiple types of healthcare data to build and maintain analytical and reporting solutions to support strategy and program decision making Identify optimization opportunities based on analyses to improve auto-decisioning performance and drive increased value for clients Perform quantitative analysis of health care cost, operational performance and clinical outcomes using claims and authorization data Track cost, utilization and industry trends to inform stakeholders of solution performance and provide insights around opportunities to optimize clinical value for patients, providers and payers Prepare information for clients, build reports, data visualization and self-service solutions for internal and external stakeholders Develop, review, and analyze detailed data sets leveraged for client reporting/analytics Collaborate with IPA team on rule refinement and metric tracking What you'll need: Must-haves 2-5 years in an analyst role, ideally at a health tech company, health plan, or healthcare consulting firm Has worked hands-on with claims data, authorization data, or utilization management data Proficient in SQL (daily use) Has built and maintained dashboards in Tableau or PowerBI for internal and external stakeholders Bachelor's degree in Health Informatics, Public Health, Data Analytics, o
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Become a part of our caring community The Transition Coordinator (Care Coach 2) evaluates member's needs and requirements. This evaluation aims to achieve and/or maintain an optimal wellness state. The Coordinator does this by guiding members/families toward resources and facilitating interaction with them. These resources are appropriate for the care and wellbeing of members. The Care Coach 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Position Responsibilities: Support the ongoing member transitions in and out of the Indiana Medicaid programs, the Contractor's enrollment, and among care settings. Complete transitions and assists with the planning and preparation for them, and the follow-up care after. Works with the Member Advocate Coordinator and other member-focused departments of the plan. This collaboration ensures continuity and coordination of care and member and provider communication through the initial transition, ongoing benefit plan, and MCE transfers. Ensure the transfer and receipt of all outstanding prior authorization decisions, utilization management data, and clinical information such as prevention and wellness programs(s), care management and complex case management notes. Help with transitions from the custodial setting to the home and community-based setting. We ask that you have telephonic and in-person meetings within an assigned region. The purpose of these meetings is to work with various stakeholders, including long-term care members, hospital/rehab staff discharge planners, family members/POA's, PCP's, and other healthcare professionals. The ultimate goal is to prevent custodial placements whenever possible. Assess and evaluate member's needs to establish a member specific car
Clinical Review RN, Oncology AI Review Position Summary Natera is seeking an experienced Oncology Registered Nurse (RN) to support the clinical review and validation of AI-driven workflows that power Signatera reimbursement and coverage operations. This role will serve as a clinical subject matter expert responsible for reviewing complex oncology cases, auditing AI-generated clinical classifications, interpreting payer policy requirements, and providing feedback that improves the performance of Natera's clinical AI systems. The ideal candidate combines strong oncology expertise with a curiosity for technology and process improvement. This position is highly collaborative and will work closely with Clinical Operations, Revenue Cycle Management, Product, Engineering, and Data Science teams to improve the accuracy, scalability, and effectiveness of AI-assisted clinical review processes. Primary Responsibilities Clinical Case Review & Escalations Review oncology patient records to determine whether cases meet clinical and payer policy requirements. Serve as an escalation point for complex cases that cannot be accurately classified by AI workflows. Analyze challenging clinical scenarios, including patients with multiple cancer diagnoses, complex treatment histories, and ambiguous documentation. Document findings and recommendations within internal systems including Salesforce, LIMS, and other workflow tools. Ensure accuracy and consistency of clinical review outcomes. AI Audit & Validation Perform ongoing audits of AI-generated clinical determinations and data classifications. Evaluate AI performance against established clinical review standards. Identify errors, trends, and opportunities to improve automation accuracy. Participate in validation activities for new AI models, workflows, and clinical review processes. Provide structured feedback to improve future AI performance. AI Development Support Partner with Product, Engineering, and Data Science teams to imp
Welcome systems thinkers. System builds software to help the world see and solve anything as a system, starting in healthcare. We are a Public Benefit Corporation driven by purpose and shaped by values. We hire systems thinkers who are motivated by our purpose, share our values, and have the skills to advance our mission. At System, this means designing the pipelines, platforms, and model-serving systems that power our healthcare data products — reliably, responsibly, and at production grade. As a Data & AI/ML Engineer at System, you will: Design and maintain scalable data pipelines and ETL/ELT workflows Build and operate infrastructure for training, deploying, and serving ML models in production Develop feature stores, vector databases, and other AI-enabling data infrastructure Ensure reliability, low latency, and high availability of data systems Partner closely with Research and Data Science to move findings into production Implement monitoring and observability for data and model health Contribute to infrastructure as code practices and documentation on cloud platforms The ideal candidate has: Bachelor's or Master's degree in Computer Science, Engineering, or a related field 4+ years of experience in data engineering, ML engineering, or a related discipline Strong proficiency in Python and SQL; experience with Spark, dbt, or Airflow a plus Experience building and maintaining cloud data infrastructure (AWS, GCP, or Azure) Understanding of ML lifecycle management, model versioning, and deployment patterns Comfort with systems design principles applied to data-intensive architectures Bonus if you have: Experience with containerization and orchestration (Docker, Kubernetes) Familiarity with knowledge graphs, graph databases, or semantic data models Experience with data migrations while maintaining service availability Background working with clinical or healthcare data Exposure to LLMOps or AI governance frameworks You might be a fit if you: Think i
Job Title: Lead - Aggregate Reporting Employment Type: Full-time Work Type: Remote About ClinChoice: ClinChoice is a partner to the largest pharmaceutical, medical device, and consumer care innovators in the world. Established in 1995, we provide expertise in clinical operations, biometrics, regulatory affairs, pharmacovigilance, medical affairs, and toxicology to help our partners advance healthcare by accelerating clinical trials with data-driven insights, delivering the best strategies for product registration, and enhancing patient safety through real-world and clinical analysis. Our global delivery network has expanded to centers and satellite offices in the United States, Mexico, the United Kingdom, Armenia, China, Japan, India, and the Philippines to help our customers maintain regulatory compliance locally and globally. We have forged future-defining partnerships with industry bodies and technology companies to develop cutting-edge solutions that deliver our expertise with quality and precision. Primary Responsibilities: Responsible for authoring Aggregate Safety Reports (including but not limited to PBRER/PSUR, ACO, DSUR, PADER, CAR, RMP, Ad-hoc safety reports for medicinal and non-medicinal products and EU-MDR PSUR, PMSR, PMSP, and PRER reports for medical devices, and Cosmetovigilance reports for Cosmetic products for submissions to various health authorities as per the requirement). Plan report-specific timelines, identify relevant stakeholders, request calls for contributions, and coordinate with various stakeholders for obtaining relevant data for the preparation of aggregate safety reports. Review the safety data (including the seriousness and expectedness assessments of events, as may be necessary) as per the agreed strategy and sponsor’s conventions and verify the correctness and completeness of contributions received from stakeholders. Perform aggregate review of post-marketing cases received in global databases and assess whether the cases alter t
ClinChoice is a global full-service CRO dedicated to professional development and providing an excellent work-life balance, with a quality-focused, collaborative “one-team” culture. We are looking for a dynamic person to join our in-house team as a Senior Associate, Aggregate Reporting Physician on a permanent basis. Join our team: you can be part of making a difference in peoples’ lives and experience a fulfilling and rewarding career! Position Overview: The Senior Associate, Aggregate Reporting Physician position is responsible for developing, reviewing, and maintaining high-quality safety and pharmacovigilance documents that support the safety surveillance and regulatory compliance of consumer health products. It requires the ability to synthesize data from multiple sources, including individual case safety reports (ICSRs), aggregate safety data, clinical studies, epidemiological research, literature reviews, post-marketing surveillance, signal detection activities, and other safety data sources. The successful candidate will transform complex safety information into clear, concise, and scientifically accurate documents that support global pharmacovigilance activities and regulatory submissions and will work closely with Drug Safety, Medical Affairs, Regulatory Affairs, Clinical Development, Quality, and R&D teams to ensure consistent, evidence-based communication of product safety information. Main Job Tasks and Responsibilities: Prepare, review, and maintain pharmacovigilance and risk management documents for consumer health products. Synthesize safety information from multiple sources, including: Individual Case Safety Reports (ICSRs), Aggregate safety data analyses, Clinical trial safety data, Post-marketing surveillance data, Epidemiology studies, Published literature, Signal detection and evaluation activities, Benefit-risk assessments, Health Authority Assessment Reports.
What you will be doing: As a Service Line Advisor, you will serve as part of the GHX Value Analysis Advisory Services Team, where you will pair your subject-matter expertise with evidence to formulate and deliver actionable recommendations for medical device use in health systems. You will bring, and develop, a comprehensive perspective on cardiovascular, interventional radiology (IR), and general surgery device spend and utilization trends and combine this with GHX Value Analysis's clinical expertise to advise health system leadership and physicians on opportunities to reduce unwarranted variation and unnecessary device costs and improve patient outcomes. The successful candidate will have deep expertise in cardiovascular, interventional radiology, and general surgery device use, strategic sourcing strategy and the US vendor landscape, share a passion for learning and understanding medical device technology, and be excited to use evidence-based solutions to transform healthcare. Additionally, a successful candidate will be a collaborative, energetic problem solver with a successful track record of leading medical device utilization and cost-reduction projects, with a focus on driving both business impact and stakeholder satisfaction. Responsibilities include: Be the go-to expert in health system Cardiovascular, Interventional Radiology, and General Surgery device sourcing strategy (e.g., cardiac rhythm management, coronary/peripheral interventional devices, embolization and vascular access devices, energy/vessel-sealing devices, surgical mesh, etc.); apply medical device industry expertise to proactively build a knowledge base of market trends, best practice product selection and utilization, vendor landscape, and reimbursement Become a trusted advisor Analyze and interpret clinical and financial data to inform value-based device spend decisions Maintain up-to-date knowledge of GHX Value Analysis's research, evidence insights and recommendations, as well as market
Job Title: Assistant – Operations Employment Type: Contract (12 months) Location: Bengaluru, India Work Type: Office-based Experience: 1–1.5 years About ClinChoice ClinChoice is a partner to the largest pharmaceutical, medical device, and consumer care innovators in the world. Established in 1995, we provide expertise in clinical operations, biometrics, regulatory affairs, pharmacovigilance, medical affairs, and toxicology to help our partners advance healthcare by accelerating clinical trials with data-driven insights, delivering the best strategies for product registration, and enhancing patient safety through real-world and clinical analysis. Our global delivery network has expanded to centers and satellite offices in the United States, Mexico, the United Kingdom, Armenia, China, Japan, India, and the Philippines to help our customers maintain regulatory compliance locally and globally. We have forged future-defining partnerships with industry bodies and technology companies to develop cutting-edge solutions that deliver our expertise with quality and precision. Primary Responsibilities • Biometric & Access Management: Manage biometric attendance systems and employee access control. Activate access for new joiners and deactivate access for exiting employees. Coordinate maintenance and troubleshooting of biometric devices. Maintain and update biometric and access trackers. • CCTV Monitoring & Maintenance: Monitor CCTV systems and ensure proper functioning. Maintain CCTV time synchronization and recording accuracy. Coordinate with vendors/service providers for maintenance and issue resolution. • Security & Housekeeping Coordination: Supervise security and housekeeping operations. Manage attendance and manpower allocation for security/HK staff. Ensure workplace cleanliness, safety, and operation
Opportunity Overview: Cohere Health is seeking a detail-oriented and outcomes-driven Senior Clinical Portfolio Manager to oversee the day-to-day execution of one of our new Speech Therapy Program. Reporting to VP, Clinical Programs, each Senior Clinical Portfolio Manager will be responsible for managing a specific program’s operations and outcomes, ensuring delivery aligns with Cohere’s strategic objectives, client commitments, and member impact. Working closely with a Business Analyst for data support and reporting, the Senior Clinical Portfolio Manager will serve as the central coordinator across Clinical Strategy, Clinical Operations, Analytics, and Client Success. This role is ideal for an innovative leader who can manage the details of program execution while keeping sight of long-term outcomes — ensuring that program delivery is consistent, measurable, and continuously improving. What you’ll do: Program Development, Execution & Coordination: Own the day-to-day management of the speech therapy program, ensuring deliverables, timelines, and milestones are achieved Translate program-level strategy and roadmap (set by VP of Clinical Programs and Clinical Strategy Physician) into tactical plans, initiatives, and workstreams to continue to drive program innovation Own and maintain the program’s rolling 18-month roadmap Drive cross-functional alignment with enabling teams (Strategy Physicians, Operations, Analytics, Client Success, Finance) Ensure consistency of program management practices and adherence to internal SLAs Performance Tracking & Reporting: Track key performance metrics (e.g., clinical accuracy, denial/approval trends, turnaround time, MedEx savings, quality measures) Partner with Business Analyst to gather, interpret, and present data-driven insights Monitor program dashboards and ensure data integrity in performance reporting Proactively monitor performance and provide guidance / context to the Business Analyst in terms of root cause ana
Truveta is the world’s first health provider led data platform with a vision of Saving Lives with Data. Our mission is to enable researchers to find cures faster, empower every clinician to be an expert, and help families make the most informed decisions about their care. Achieving Truveta’ s ambitious vision requires an incredible team of talented and inspired people with a special combination of health, software and big data experience who share our company values. Truveta was born in the Pacific Northwest in the USA and has employees who live across the country. As we expand our global footprint with a new presence in Hyderabad, India, we’re building a world-class team to help us scale this mission and Clinical Intelligence and AI Evaluation is at the heart of everything we do. This job requires daily onsite work at our headquarters in Hyderabad, India. Who We Need Truveta is rapidly building a talented and diverse team to tackle complex health and technical challenges. Beyond core capabilities, we are seeking problem solvers, passionate and collaborative teammates, and those willing to roll up their sleeves while making a difference. If you are interested in the opportunity to pursue purposeful work, join a mission-driven team, and build a rewarding career while having fun, Truveta may be the perfect fit for you. This Opportunity At Truveta, we believe that high data quality will play a critical role in accomplishing our mission towards saving lives with data. An important component of this work is data normalization in which the medical terminology linking, and terminology management are essential in building deep intelligence empowering the new generation of clinical research. We are looking for a full-time Clinical Terminologist who will help to standardize the data sourced from different health systems. The responsibilities include identifying, creating, or validating mapping between medical terms from various healthcare system to standardized Terminologies
ClinChoice is a global full-service CRO recognized for its commitment to professional development, strong work-life balance, and a collaborative, quality-driven “one-team” culture. We are currently seeking a Senior Clinical Project Manager to support projects across pharmaceutical, biotechnology, medical device, and consumer health clients, ranging from emerging companies to large global organizations. In this role, you will lead cross-functional teams and oversee the execution of complex clinical trials, ensuring successful delivery in accordance with contractual commitments, SOPs, ICH-GCP guidelines, and applicable regulatory requirements. Qualified candidates will have 8+ years of clinical project management experience, including prior experience within a CRO environment. Experience managing complex studies (such as respiratory or rare disease) and/or general medicine studies is required. This is a permanent remote opportunity, in Romania. Please note that you must have CRO experience to be considered. Join our global team and help improve peoples' lives! Main Job Tasks and Responsibilities: Manage and coordinate complex clinical projects. Manage all project specific services required by the Sponsor (central lab exams, drug shipments, document shipments, etc.). Manage the correct development of the clinical project, interacting with the Sponsor and the Investigators and properly coordinating the project team members. Keep professionally abreast of all scientific, regulatory, and operational aspects relevant to the clinical projects assigned. Knowledgeable in the application process for clinical studies, in force in the country/ies of work. Collect and manage study data documentation (CRFs, patient diaries, questionnaires, queries, study supplies, regulatory documents, correspondence, etc.). May act as a Technical Specialist supervising the projects within specific therapeutic and technical areas. Assure the proper timelines of the assigne
Beacon Biosignals is transforming precision medicine for the brain, from clinical development to clinical care. For Life Sciences partners, we offer the leading at-home EEG platform for clinical development of novel therapeutics for neurological, psychiatric, and sleep disorders. Our Diagnostics business is building the most comprehensive at-home platform for precision diagnostics, combining EEG and cardiopulmonary signals to deliver reimbursable assessments for sleep and central nervous system disorders. Together, we're changing the way patients are diagnosed and treated for any disorder that affects brain physiology. We are seeking a Clinical Trial Operations Associate to join us in our mission to make brain monitoring easily accessible, interpretable, and actionable. In this role, you will collaborate with clinical research sites, project teams, and internal stakeholders to support the deployment of Beacon’s devices in clinical studies. This role focuses on study startup, site management, and live-study monitoring, ensuring the highest quality standards and compliance with regulatory requirements. This role is fully remote anywhere in the Pacific or Mountain Timezones in the U.S. and will require up to 5% travel. Beacon's robust asynchronous work practices ensure a first-class remote work experience, but we also have in-person office hubs available located in Boston, New York, and Paris. What success looks like Collaborate with project teams to support study startup activities. Act as the primary point of contact for clinical sites, ensuring smooth operations and clear communication. Provide training to research sites on the use of Beacon’s devices and study protocols, ensuring proper device usage and data collection. Monitor project progress, ensuring adherence to timelines, protocols, and quality standards. Maintain compliance with Good Clinical Practice (GCP), International Conference on Harmonization (ICH) guidelines, and regulatory standards. A
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Fully remote role with requirement to reside in the Northwest/Mountain area (ID, MT, NV, OR, UT, WA, WY) and be a Registered Nurse (RN) licensed in the state of residence. Travel up to 25% possible in support of Value Based Care groups. Schedule is Monday - Friday 8am to 5pm. No nights, no weekends and no holidays. The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration groups to drive improved performance by leading clinical performance improvement projects and managing multiple complex deliverables through to implementation. Projects will support population health and will primarily impact Stars and quality but will also focus on improvements in utilization and cost. The Senior Clinical Strategist works to drive clinical performance of assigned Medicare Provider Collaboration groups by: - Establishing trusting relationships with provider partners to promote open communication - Serving as clinical expert on actionable opportunities related to CM, gap closure, workflow discussions, and partnering with case manager supervisor/manager and CMs - Serving as internal and external liaison and clinical resource, interpreting data and educating regarding how to utilize data for PC performance improvement -Strategizing with SMEs and clinical teams both internally and externally to drive outcomes and i
Beacon Biosignals is transforming precision medicine for the brain, from clinical development to clinical care. For Life Sciences partners, we offer the leading at-home EEG platform for clinical development of novel therapeutics for neurological, psychiatric, and sleep disorders. Our Diagnostics business is building the most comprehensive at-home platform for precision diagnostics, combining EEG and cardiopulmonary signals to deliver reimbursable assessments for sleep and central nervous system disorders. Together, we're changing the way patients are diagnosed and treated for any disorder that affects brain physiology. We are seeking a Clinical Trial Operations Associate to join us in our mission to make brain monitoring easily accessible, interpretable, and actionable. In this role, you will collaborate with clinical research sites, project teams, and internal stakeholders to support the deployment of Beacon’s devices in clinical studies. This role focuses on study startup, site management, and live-study monitoring, ensuring the highest quality standards and compliance with regulatory requirements. This role is fully remote anywhere in the Pacific or Mountain Timezones in the U.S. and will require up to 5% travel. Beacon's robust asynchronous work practices ensure a first-class remote work experience, but we also have in-person office hubs available located in Boston, New York, and Paris. What success looks like Collaborate with project teams to support study startup activities. Act as the primary point of contact for clinical sites, ensuring smooth operations and clear communication. Provide training to research sites on the use of Beacon’s devices and study protocols, ensuring proper device usage and data collection. Monitor project progress, ensuring adherence to timelines, protocols, and quality standards. Maintain compliance with Good Clinical Practice (GCP), International Conference on Harmonization (ICH) guidelines, and regulatory standards. A
Opportunity Overview: As a member of the Solutions Configuration Management team you will be contributing to the analysis, documentation, implementation and maintenance of the configurations needed to enable Cohere Health solutions to meet the needs of our customers. You’ll work closely with members of the Product, Engineering, Implementation, and Testing teams to scope, document, implement and deliver configuration items (CIs) needed to meet the requirements as part of the implementation and maintenance of our solutions. What you’ll do: Own the execution of configuration deliverables for assigned projects, including client implementations and launches Analyze requirements and translate them into scalable configuration solutions Create and maintain clear documentation, including configuration specifications and standard operating procedures Collaborate with Product, Engineering, Implementation, and Testing teams to ensure configurations meet client and system requirements Validate and troubleshoot configurations in partnership with QA and testing teams Manage configuration items (CIs) throughout their lifecycle, ensuring timely and accurate delivery Required Qualifications: Must-haves 2+ years of professional experience in a Configuration role Hands-on experience working with structured data formats (JSON, XML) Familiarity with APIs Experience troubleshooting configuration issues in production or pre-production environments Experience working with ticketing systems (Jira, ServiceNow, etc.) Strong written and verbal communication skills in English, with the ability to clearly document technical configurations and decisions Experience with project management Experience with data exchange/transformation and/or integration/interoperability analysis and implementation Proven experience in Excel, including advanced functions and data analysis Knowledge of version control systems Knowledge of configuration management tools Self-starter, able to work independently, able to
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