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: Must reside within 45 miles to office locations in New Albany, OH, Chandler, AZ or High Point, NC. Precertification Nurse Case Manager is responsible for reviewing medical records to determine the medical necessity for elective procedures. They are responsible for communicating the current status and determinations to our providers and members, as well as guide the members, through the health care system. They assess the members conditions and coordinate care with our care management team, telephonically assessing, planning, implementing and coordinating activities with members to evaluate the medical needs of the member, to facilitate the member’s overall wellness. Services strategies, policies and programs are comprised of network management and clinical coverage policies. What is A1A? Aetna One Advocate is Aetna’s premier service and clinical offering for Aetna nation-wide and creates industry-leading solutions for our customers and members. The model is a fully integrated population health and customer service solution for large plan sponsors high-touch, high-tech member advocacy service which combines data-driven processes with the expertise of highly trained clinical and concierge member services. Our mission is to meet each member at every aspect of their health care journey. Our embedded customer-dedicated serv
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Clinical Data Manager Jobs
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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 As a Case Management Coordinator you will facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. Travel: 50-75% travel required within Lake County, IL. Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. Coordinates and implements assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. Identifies and escalates quality of care issues through established channels. - Utilizes negotiation sk
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 As the Strategic Account Executive (SAE), you'll serve as the primary relationship manager and strategic advisor for the FEP Mail Order business. You will be accountable for client satisfaction, operational performance, contractual compliance, and the execution of strategic initiatives that enhance member experience and deliver value to FEP. You'll partner with leaders across Mail Operations, Customer Care, Clinical, Finance, Technology, Legal, and Product teams to drive performance, resolve complex issues, and ensure successful delivery of contractual obligations. This position requires strong executive presence, strategic thinking, and the ability to influence cross-functional teams in a highly matrixed environment. Key Responsibilities Serve as the primary point of contact for FEP Mail Order operations and strategic initiatives. Build and maintain trusted relationships with client stakeholders and internal leadership. Lead business reviews, operational discussions, and executive-level presentations. Monitor and drive operational performance, contractual commitments, service guarantees, and client deliverables. Partner across business functions to resolve complex issues, mitigate risks, and ensure continuity of service. Translate operational, financial, and performance data into actionable business insights 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 As a member of the Strategic Intelligence and Automation team you will be part of a nimble team that lives in and amongst data. We specialize in automating the movement of data, integrating data analysis to create new business processes, and reporting out the findings of our analysis. As part of the team you will: Build ETL workflows using Dataiku and Python to receive, manipulate and populate data Collaborate with cross-functional teams, including product managers, clinical support, and designers, to gather and document product requirements Support direct team members in testing and troubleshooting and documenting work Aid in retaining our client base by researching and resolving client issues by writing queries and analyzing data Answer internal questions by investigating the data sets Contributes to knowledge management initiatives to ensure that knowledge and best practices are understood and shared across the organization Actively contributes to team meetings, brainstorming sessions, and collaborative projects, including sharing ideas, providing feedback, and contributing to the overall goals and objectives of the team Assists in maintaining our integrated high-performance culture Required Qualifications Intermediate understanding of SQL language 2+ years experience in ETL wo
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. Title: Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team. At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Registered Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients. Our Registered Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities: Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and excee
Job Title: Aseptic Pharmacist Banding: Band 8c Location: Salisbury Start Date: ASAP Duration: Ongoing Hourly Rate: £50-53 Working Hours: 37.5 hours per week Job Overview Pulse is currently seeking an experienced Band 8c Aseptic Pharmacist to join a specialist pharmacy team in Salisbury. This is an excellent opportunity for a highly experienced pharmacist with a strong aseptic services background to take on a senior leadership role within a well-established Technical Services department. The successful candidate will act as Deputy Accountable Pharmacist for Aseptic Services, supporting the delivery and governance of aseptic production services, including parenteral nutrition (PN), CIVAS, and cytotoxic preparations. The role also includes providing expert advice to clinicians and senior managers, supporting quality assurance and risk management activities, and deputising for the Aseptic Services Accountable Pharmacist when required. Key Responsibilities Support the day-to-day management and provision of Technical Services, including: Parenteral Nutrition (PN) Centralised Intravenous Additive Services (CIVAS) Cytotoxic preparation services Act as Deputy Accountable Pharmacist for Aseptic Services Provide professional leadership and supervision across all sections of the Aseptic Unit Deliver expert advice on aseptic preparation, stability and compatibility data, facilities management, and risk management Support the evaluation of quality and performance indicators, environmental monitoring programmes, and service audits Ensure compliance with GMP standards, regulatory requirements, and local policies Provide specialist clinical pharmacy support to cancer services on a rotational basis Support the nutritional team as required Deputise for the Aseptic Services Accountable Pharmacist, undertaking managerial responsibilities during periods of absence Qualifications and Experience Registered Pharmacist with the General Pharmaceutical Council (GPhC
About TeleMed2U At TeleMed2U, we believe that time is the most valuable resource in healthcare— whether it is time to diagnosis, time to treatment, or time to better health. That is why, since our founding in 2011, we have been dedicated to increasing access to care across 20 medical and behavioral health specialties nationwide. By breaking down traditional barriers to specialty care, TeleMed2U has become a leading technology-enabled healthcare services company, delivering high-quality, convenient, and easy-to-access virtual healthcare solutions. Our integrated approach to chronic disease management empowers both patients and providers, improving health outcomes through seamless care coordination. With a focus on patient-centered innovation, provider collaboration, and data-driven care delivery, TeleMed2U is redefining specialty care—making it faster, simpler, and more accessible for all. About the role TeleMed2U, a multi - specialty group practice is seeking a patient focused, CA licensed certified PA or PMHNP for our growing outpatient psychiatric team. The right candidate will provide professional mental health services to children, adolescents, and adults. At TeleMed2U, we focus on diagnosis, treatment planning and medication management with referrals to Psychotherapy. What you'll do Conduct comprehensive psychiatric evaluations via telehealth for new and returning patients. Develop and implement individualized treatment plans based on evidence-based practices. Prescribe and manage psychotropic medications within scope of licensure and in accordance with TeleMed2U protocols. Provide ongoing psychiatric care, including routine follow-ups, medication monitoring, and crisis intervention when appropriate. Collaborate with supervising physicians, therapists, case managers, and primary care providers to ensure continuity of care. Maintain timely and accurate clinical documentation in the electronic medical record (EMR) system. Monitor patient progress, evaluate
Primary Responsibilities: Awareness and understanding of relevant GVP modules. Perform medical review of non-serious & serious ICSRs with emphasis on seriousness, expectedness, causality & narrative etc. without missing on quality & compliance. Experience of medical review of ICSRs received from sources such as Spontaneous, Literature, Regulatory Authority, Solicited and Clinical trials. Experience across multiple therapeutic areas such as Oncology, Respiratory, Immunology, Neuroscience, Rare diseases etc. Support triage of cases and determine seriousness and relatedness across products as assigned. Review and verify appropriate selection of adverse events from source documents, assign appropriate MedDRA code, assess labelling and review narrative. Acquire and maintain current knowledge of product portfolio and safety profiles for products across therapeutic areas. Involve in process improvement activities such as implementation of quality control process. Provide medical guidance and expert opinion on the cases to the data entry associates and quality reviewers to help resolve queries. Identify and resolve case issues, coordinate with client therapeutic teams and within functional team and manage as appropriate. Maintain PV expertise and understanding of international safety regulations and guidelines. Responsible for completing the MR activities in the safety database within the stipulated time to comply with service level agreements and regulatory timelines. Provide timely feedback to case processors on the errors/ discrepancies noted. Assist in training/mentoring of other case processing/medical review personnel as necessitated. Adapt to different client case processing conventions and multi-task as per business needs. Perform ad-hoc tasks as advised by the team lead/manager with quality and compliance as per project requirement. Participate in organizational activities to meet objectives suitable for the role/area of expertise. Candidate Profile: Me
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. Title: Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team. At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Registered Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients. Our Registered Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities: Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and excee
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 – Case Manager Analyst - Field Location: Champaign, IL This Case Management Analyst Field position is with Aetna’s Long-Term Services & Supports (LTSS) team. The requirement is for candidates to travel 75% of the time to meet with members face to face. This position holds a full caseload to manage waiver members. This position requires in person quarterly visits with members. This position is critical to meeting contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources. Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. Coordinates and implements assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case man
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 This is a full-time, remote, telehealth role. Must live in a compact state and hold a compact license in MT or PST zones. Working schedule is Monday-Friday, standard business hours in time zone of residence with one to two days per week until 7 PM MT or PST. This is an exciting team to join because we specialize in engaging and advocating for disengaged, vulnerable members who often have multiple medical, behavioral, and social challenges. We’re uniquely positioned to meaningfully improve health outcomes and costs. As Case Manager RN, you will be responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member and facilitate the member’s overall wellness. You will develop a proactive course of action to address the issues presented to enhance their short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. You will also: Use clinical tools and information/data review to conduct an evaluation of members’ needs and benefits. Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. Conduct assessmen
Position Summary Pfizer is seeking a motivated Senior Associate Scientist to join the In Vivo Pharmacology group within the Oncology Research Unit, with a focus on antibody-drug conjugate (ADC) programs, but including other large molecule and small molecule programs. This role supports the execution of in vivo oncology studies that enable ADC discovery and preclinical development, including efficacy, tolerability, pharmacodynamic, and sample collection workflows. The ideal candidate will demonstrate strong technical aptitude, careful attention to detail, and a commitment to animal welfare, compliance, and high-quality study execution. The Senior Associate Scientist is expected to contribute as a dependable technical team member while building scientific understanding of oncology pharmacology and ADC-specific study requirements. Position Responsibilities Execute in vivo oncology studies supporting discovery programs using a variety of in vivo models including human cell line- derived, patient-derived xenograft, syngeneic models as appropriate with minimum guidance from study leads. Perform routine and advanced in vivo procedures, including tumor measurements, body weight monitoring, test article administration (IV, PO, subQ, IP dosing), clinical observations, and sample collection. Perform routine in vitro tissue culture procedures Support pharmacology studies evaluating efficacy, tolerability, pharmacodynamic biomarkers, dosing schedules, and combination approaches. Prepare study materials, confirm dosing and sampling schedules, and ensure study activities are performed according to approved protocols and SOPs. Maintain accurate, timely, and compliant study records using approved electronic data capture and documentation systems. Communicate study observations, technical issues, animal welfare concerns, and timeline risks promptly to managers and study line leads. Collabo
At Kailera, we are bold, authentic and committed to our mission of developing therapies that give people the power to transform their lives and elevate their overall health. Rooted in an entrepreneurial spirit and a team-oriented culture, we are working together to advance Kailera’s mission to advance novel therapies for obesity and related conditions. We are passionate about creating an inclusive workplace that promotes collaboration, integrity, and excellence. As we expand, we seek the most talented individuals with diverse backgrounds, cultures, perspectives, and experiences to join our team. What You’ll Do: Kailera Therapeutics is seeking an experienced Data Management professional to join as Director, Data Management. This role is accountable for the timely delivery and high-quality execution of Data Management deliverables across early- and late-phase clinical trials. The Director partners closely with key study stakeholders to define and implement a clear, comprehensive data strategy for assigned programs and studies. This position reports directly to the Head of Clinical Data Management. Required location: Waltham, MA (hub-based, onsite 3-4 days per week) Responsibilities: Lead vendor oversight activities across global development programs, ensuring alignment between Kailera and CROs on all data management deliverables. Provide program-level leadership and oversight of clinical data management activities; monitor and report on program and study progress. Represent the Data Management function on the study team, fostering cross-functional collaboration and clear expectations. Monitor vendor performance and quality metrics, escalate issues to management, and drive resolution strategies. Proactively identify risks and develop and implement mitigation or corrective action plans. Ensure Data Management Trial Master File (TMF) documentation is filed accurately and maintained in an inspection-ready state. Support study-level inspection readines
At Kailera, we are bold, authentic and committed to our mission of developing therapies that give people the power to transform their lives and elevate their overall health. Rooted in an entrepreneurial spirit and a team-oriented culture, we are working together to advance Kailera’s mission to advance novel therapies for obesity and related conditions. We are passionate about creating an inclusive workplace that promotes collaboration, integrity, and excellence. As we expand, we seek the most talented individuals with diverse backgrounds, cultures, perspectives, and experiences to join our team. What You’ll Do: We are seeking an experienced Data Management leader to join us as the Senior Director, Data Management. Reporting to VP, head of Biometrics, this role will define and execute the global clinical data management strategy, scale the data infrastructure, and oversee end-to-end data integrity across all phases of clinical development. As a strategic and operational leader, this individual will drive data quality, standardize processes, and ensure inspection readiness. Responsibilities: Actively plan and manage full-lifecycle clinical data quality and integrity across all trials (including eCRF builds, edit checks, external data integrations, reconciliations, data cleaning, database locks, and submission readiness). Build and scale a high-performing Data Management organization; drive departmental performance, resource allocation, and talent development to maintain a resilient, growth-oriented team. Drive strict compliance with global regulatory standards and internal SOPs while supporting regulatory audits and maintaining inspection readiness. Cultivate strong cross-functional partnerships and represent Data Management in key cross-functional forums and enterprise initiatives. Manage CRO relationships to ensure timely, high-quality deliverables, establishing robust quality metrics and governance frameworks. Required Qualifications: 10+ years of cli
eClinical Solutions helps life sciences organizations around the world accelerate clinical development initiatives with expert data services and the elluminate Clinical Data Cloud – the foundation of digital trials. Together, the elluminate platform and digital data services give clients self-service access to all their data from one centralized location plus advanced analytics that help them make smarter, faster business decisions. OVERVIEW The Director, Clinical Data Management, is responsible for executing strategic direction and ensuring effective end-to-end data management services across programs and studies. This role has primary leadership responsibility for the India-based CDM organization and is accountable for elevating the quality, consistency, and predictability of clinical data delivery, ensuring that projects meet or exceed established quality standards, timelines, and financial targets. A key focus of the role is to strengthen and mature the Clinical Data Management (CDM) function by enhancing leadership effectiveness, reinforcing core data management fundamentals, and implementing consistent operational oversight and best practices. The Director will also lead the development and scaling of a high-performing team of Clinical Data Management professionals, data analysts, and subject matter experts focused on ongoing data review, proactive data surveillance, and generation of meaningful customer insights. In parallel, the Director will play a critical role in modernizing the organization’s data management capabilities through the adoption of risk-based methodologies, advanced analytics, centralized and AI-enabled data review, and other data-driven approaches aligned with broader business objectives. The role partners with internal and external stakeholders optimize data management technologies, processes, and standards while driving cross-functional collaboration to deliver scalable solution
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