Clinical Data Manager Jobs

Become a part of our caring community The Clinical Pharmacist Principal designs, implements, and optimizes clinical programs across healthcare delivery systems. This team member provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. The Clinical Pharmacist Principal works with senior executives to develop and drive segment or enterprise-wide functional strategies. Advises one or more areas, programs or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert competent to work at very high levels in multiple knowledge and functional areas across the enterprise. Use your skills to make an impact Required Qualifications Doctor of Pharmacy (PharmD) degree from an accredited college of pharmacy Active pharmacist license in good standing Demonstrated experience leading enterprise or cross-functional strategic initiatives Experience designing, implementing, or evaluating programs Strong analytical and data interpretation skills Strong executive communication and presentation skills Experience influencing stakeholders across multiple organizational levels Ability to manage ambiguity and lead complex initiatives from concept through execution Additional Information: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Work at home requirements: To ensure Home or Hybrid Home/Office employees' ability to work

Become a part of our caring community The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Management Support Assistant performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. The Care Management Support Assistant will review inbound referrals and correspondence for processing, fulfilment or resolution utilizing all appropriate software systems and resources. Screen physician’s orders and documentation to identify that all qualifying medical documentation and required information is included. When necessary, request additional applicable information from referring entity. Perform verification of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching it against specified medical terms and diagnoses or procedure codes and follow established procedures for approving request or referring request for further review. Provide referral management education to members and providers regarding medical benefits, referral status and prior authorizations. Communicate with patient to confirm demographics and explain the details of the services/care requested. Coordinate the timely delivery of care and services with providers. Also communicate with referring entities, providers, and members regarding final referral determination while maintaining detailed documentation to record patient, physician, referral source and provider interactions and communications. Work with Pre-Authorization, Utilization Management, Billing, Pharmacy, and Home Care r

Become a part of our caring community The Care Coach evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity. Scheduled Hours This is a remote position. The first 4 weeks of training will be from 8:30 AM to 5:00 PM EST. After training, the work hours are Monday-Friday from 10:00 am – 6:30 pm EST. No time off is permitted during the first month of training. The first 90 days following training are critical in building your foundation; therefore, planned or unplanned time away should be minimized as much as possible. Key Responsibilities Conduct telephonic outreach (primarily via auto-dialer) to members with multiple chronic conditions and financial or functional barriers. Assess member needs through data review, structured assessments, and direct conversation to develop and manage individualized care plans. Coordinate services and connect members to appropriate clinical, community, and multidisciplinary resources to support optimal health outcomes. Ensure proper adherence to compliance. Identify and resolve barriers that impede effective care and member independence. Continuously monitor progress toward desired health outcomes and adjust care strategies as appropriate. Maintain strict adherence to compliance requirements within a highly regulated and highly visible program. Learn and navigate multiple computer systems simultaneously while engaging members in a fast-paced, structured environment with limited schedule flexibility. Use your skills to make an impact

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. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. This position is focused on assisting members in: Kankakee, Iroquois, Livingston, Ford, Champaign and surrounding counties. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. Fundamental Components • Evaluation of Members: Through the use of care management tools and information/data

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. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. This position is focused on assisting members in: Kankakee, Iroquois, Livingston, Ford, Champaign and surrounding counties. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. Fundamental Components • Evaluation of Members: Through the use of care management tools and information/data

This is an exciting opportunity to lead and grow the Data Science and Bioinformatics function supporting Natera's Women's Health and Organ Health product portfolios. In this role, you will build the bioinformatics capability within the Data Science development team, establish scalable AWS cloud infrastructure, and ensure the quality and reproducibility of the genomic algorithms powering our clinical products. PRIMARY RESPONSIBILITIES: Strategy and Vision Build and define the Bioinformatics function within the Data Science development team, identify technical tooling gaps, and execute a roadmap to advance genomics-based algorithm development. Establish and enforce pipeline and algorithm quality standards, including review processes, validation frameworks, and documentation practices Infrastructure and Automation Own and architect scalable AWS-based data science and bioinformatics infrastructure, ensuring quality, reproducibility, and reliable deployment of Next-Generation Sequencing (NGS) algorithms. Implement MLOps tooling and automated validation frameworks to support reliable algorithm deployment into clinical production. Cross-Functional Collaboration Partner with Research, Product Development, Laboratory Operations, Engineering, and Quality teams to implement stable, scalable pipelines and support successful productization Team Leadership Lead, mentor and hire a high-performing team of bioinformaticians and data scientists, establishing technical quality standards and clear operational ownership. Build technical depth within the team to support expanding product roadmaps across Women's Health and Organ Health. QUALIFICATIONS: Master of Science or Ph.D. in a quantitative technical discipline (Biostatistics, Bioinformatics, Computer Science, Physics, Applied Mathematics, or equivalent). Minimum of 10 years of experience in Data Science or Bioinformatics, with at least 5 years of direct people management experience leading technical teams. Hands-on experience archi

This is an exciting opportunity to lead and grow the Data Science and Bioinformatics function supporting Natera's Women's Health and Organ Health product portfolios. In this role, you will build the bioinformatics capability within the Data Science development team, establish scalable AWS cloud infrastructure, and ensure the quality and reproducibility of the genomic algorithms powering our clinical products. PRIMARY RESPONSIBILITIES: Strategy and Vision Build and define the Bioinformatics function within the Data Science development team, identify technical tooling gaps, and execute a roadmap to advance genomics-based algorithm development. Establish and enforce pipeline and algorithm quality standards, including review processes, validation frameworks, and documentation practices Infrastructure and Automation Own and architect scalable AWS-based data science and bioinformatics infrastructure, ensuring quality, reproducibility, and reliable deployment of Next-Generation Sequencing (NGS) algorithms. Implement MLOps tooling and automated validation frameworks to support reliable algorithm deployment into clinical production. Cross-Functional Collaboration Partner with Research, Product Development, Laboratory Operations, Engineering, and Quality teams to implement stable, scalable pipelines and support successful productization Team Leadership Lead, mentor and hire a high-performing team of bioinformaticians and data scientists, establishing technical quality standards and clear operational ownership. Build technical depth within the team to support expanding product roadmaps across Women's Health and Organ Health. QUALIFICATIONS: Master of Science or Ph.D. in a quantitative technical discipline (Biostatistics, Bioinformatics, Computer Science, Physics, Applied Mathematics, or equivalent). Minimum of 10 years of experience in Data Science or Bioinformatics, with at least 5 years of direct people management experience leading technical teams. Hands-on experience archi

Job Title: Clinical Psychologist Banding: Equivalent to NHS Band 8a Location: Leeds Working Hours: Full-time, 37.5 hours per week Salary: £46,148 – £52,809 DOE per annum We’re looking for a Clinical Psychologist to join a leading UK charity dedicated to improving the lives of people with acquired brain injuries. Based in Leeds, you’ll work within a specialist neurorehabilitation service that supports individuals to regain lost skills and achieve personal goals. This is a fantastic opportunity to work in a collaborative, multidisciplinary environment with a strong team spirit and a shared passion for making a difference. Responsibilities In this role, you will: Provide specialist psychological and neuropsychological assessments for adults with acquired brain injury. Formulate and implement evidence-based intervention plans tailored to individual needs. Deliver therapeutic interventions (individual, family, and group) and contribute to multidisciplinary formulations. Undertake risk assessments and provide psychological input into risk management plans. Maintain high standards of clinical record-keeping and data collection. Offer guidance and support to families and carers, and consult with internal and external professionals. Participate in research, audits, and service development projects. Benefits Competitive salary (£46,148 – £52,809 DOE) Strong team culture and supportive working environment Opportunities for research and professional development Access to multidisciplinary expertise and innovative neurobehavioral models Qualifications & Experience Degree in Psychology (BPS accredited) Doctorate in Clinical Psychology (or equivalent) HCPC registration as a Practitioner Psychologist Experience in neurorehabilitation or working with acquired brain injury is desirable Applicants who do not meet all requirements are still encouraged to apply. How to Apply Apply directly through the Pulse website. Our recruitment team will contact you to discuss the role and

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 Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. - Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies. - Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. - Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include the member’s level of work capacity and related restrictions/limitations. <

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 The RPh Advisor supports the clinical operations of the Member Quality Assurance Commercial and Medicare Part D fraud, waste, and abuse program for a national client. The program's goal is to identify, prevent, and resolve inappropriate drug utilization, identify negative trends, refer potentially fraudulent activity to the MQA investigators, remain compliant with the Drug Management Program for CMS. The RPh Advisor works with a diverse departmental staff which includes Professional Investigators, Data Analysts, and Clinical Assistants. Responsibilities include clinical review of plan member profiles for FWA, managing the Overutilization Taper program, submission of specific cases to vendor for External Peer Review (EPR), assistance with program and system enhancements, securing client satisfaction and retention, and working cross functionally with client and internal partners to help identify and resolve FWA issues. The RPh communicates directly with the client on a regular basis regarding status of program. Candidate must be a licensed Pharmacist in the state of Arizona with the ability to work a hybrid (1 day/wk in office) role based out of the Phoenix, AZ office, with the ability to work remotely the remaining days. Required Qualifications This position requires excellent people skills and the ability to be innovative, proactive, reso

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. This is a full-time telework position requiring 50-75% travel in the Metro East Regional counties, Illinois (Madison, St. Clair, Monroe, Clinton, Jersey, Calhoun, Macoupin, and Bond counties.) Hours for this position are Monday-Friday 8:00a-5:00pm Central Time. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits 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 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 con

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. Location: This is a full-time telework position requiring 50-75% travel in and around Northwest Illinois - including Winnebago, Boone, Stephenson, Ogle, Jo Daviess counties. Schedule: Standard business hours Monday-Friday 8:00am-5:00pm CST. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. Key Responsibilities Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of 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 h

As the Senior Director / Director of Breast Oncology Lifecycle Management, this individual will work in a highly matrixed environment to help shape the strategic direction and drive execution for company success in breast cancer. This individual will report directly to the Senior Director/Head of Women’s Cancer Lifecycle Management. Primary Responsibilities: Drives commercial strategy and success in breast cancer, working closely with broader cross functional teams to create and support execution of a strategic plan that supports adoption across all stakeholders (e.g., academic and community oncology) Lead the breast cancer lifecycle team in defining and prioritizing key indications and developing a roadmap to fill evidence data gaps. Maintain a deep understanding of the breast cancer space by integrating real-time customer feedback, publications, data presentations, competitive and market intelligence. Define value proposition and messaging framework in collaboration with commercial marketing for Natera’s oncology suite of products in breast cancer based on clinical evidence and the competitive landscape. Provide commercial insights to optimize the success of Signatera in breast cancer. Partner with Market Access to gain reimbursement for non-covered indications, specifically supporting the development of dossiers for submission to Medicare/MolDx & commercial payers. Develop KOL engagement plans in collaboration with marketing, medical, and other cross-functional teams (gain feedback, develop deep relationships, build advocacy) Co-develop and co-execute advisory boards in collaboration with medical affairs and perform other market research as needed. Frequently present strategic plans and progress on goals to executive leadership. Qualifications: Bachelor’s degree, Advanced degree preferred (MBA or PhD) Breast cancer market experience strongly preferred >8 years experience in product marketing, market analytics at a phar

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 field teleworker position that requires West Virginia residency. Travel is required 50% of the time or more, in the central region of WV. Field based travel locations may include member homes, residential treatment facilities, group homes, shelters, and detention facilities. Qualified candidates must reside in the region, in one of the following counties: Braxton, Calhoun, Clay, Fayette, Gilmer, Kanawha, Nicholas, Roane, Webster-Regional . Utilizes critical thinking and judgment to collaborate and inform the case management process, to facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education for members through the use of care management tools and resources. Schedule is Monday-Friday standard business hours. No nights, no weekends, and no holidays. 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. - Co

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. *New Hire Bonus - $3,000 Available!* Location: This is a full-time telework position requiring 50-75% travel in and around Metro east/Southern Illinois Schedule: Standard business hours Monday-Friday 8:00am-5:00pm CST. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. Key Responsibilities Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of 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 a