Clinical Solution Specialist Jobs

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: Community Health Worker Company: Oak Street Health Role Description: The purpose of a Community Health Worker (CHW) at Oak Street Health is to act as the bridge between our patients, community, and medical systems in order to remove barriers and increase wellness across all life domains. A CHW is a patient’s advocate or liaison, accompanying patients through proactive in-person and phone outreach based on their care needs to promote health literacy and increase access to resources needed to live healthier lives. High levels of flexibility, problem solving, strong communication, and an intimate knowledge of the community served are required to be successful. CHWs work closely with Medical Social Workers to manage patient care plans, support care team decision making, and coordinate clinical and complementary services needed to provide high quality health care and improve the quality and cultural competence of service delivery. CHWs are expected to work within their scope of practice. There is no expected clinical license for this position. Core Responsibilities: Establish and maintain strong interpersonal relationships with patients, community organizations, team members, and partners to coordinate patient needs Manage patient referrals defined by the care team & collaborate with the Medical Social Work

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: Community Health Worker Company: Oak Street Health Location: 222-19 Linden Blvd Jamaica, NY 11411 Role Description: The purpose of a Community Health Worker (CHW) at Oak Street Health is to act as the bridge between our patients, community, and medical systems in order to remove barriers and increase wellness across all life domains. A CHW is a patient’s advocate or liaison, accompanying patients through proactive in-person and phone outreach based on their care needs to promote health literacy and increase access to resources needed to live healthier lives. High levels of flexibility, problem solving, strong communication, and an intimate knowledge of the community served are required to be successful. CHWs work closely with Medical Social Workers to manage patient care plans, support care team decision making, and coordinate clinical and complementary services needed to provide high quality health care and improve the quality and cultural competence of service delivery. CHWs are expected to work within their scope of practice. There is no expected clinical license for this position. Core Responsibilities: Establish and maintain strong interpersonal relationships with patients, community organizations, team members, and partners to coordinate patient needs Manage patient referrals defined by

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Position Overview The Product Development and Automation Senior Scientist provides services of a technical nature to support the development, implementation, and maintenance of automation, IT, and software systems used in the clinical laboratory. The Product Development and Automation Senior Scientist will perform moderate and highly complex analytical processes to support feasibility and validation studies. This includes wet lab testing for feasibility, verification and validation of lab automation, workflow, and software. This role will also be responsible for performing user acceptance testing (UAT), and validation of Laboratory information system (LIS) system changes and upgrades. This role will collaborate with end users and LIS developers to address needed improvements to current modules, design requirements for new test systems, validation, and implementation of the changes. Once resources are identified, can get a project off the ground and running with minimal support from management. Can make new processes, systems, validation methods or projects successful. Essential Duties Include, but are not limited to, the following: Assist in UAT testing Edit and review controlled documents within the laboratory document control system to support changes or implementation of software and process changes. Contributes ideas and insights to new technologies, testing methodologies, applications, techniques or procedures that are creative and practical. Provides input

POSITION SUMMARY You will be responsible for managing the clinical sample logistics function for Pfizer’s vaccine clinical portfolio, ensuring samples are transported safely, compliantly, and reliably across domestic and international clinical trial networks to the Pearl River, NY biorepository and then distributed to our network of internal and external testing laboratories. You will lead an end-to-end logistics strategy from study start-up through operations and finally sample disposition. Your responsibilities include leading a large team, improving global logistics capabilities, advancing digital and automation initiatives, and partnering with Vaccines, Quality, Legal, Finance, Compliance, clinical study teams, couriers, and technology vendors. You will be accountable for maintaining sample integrity, enabling global clinical trial execution, and developing scalable logistics processes to support Pfizer’s vaccine pipeline. KEY RESPONSIBILITIES Lead the global sample logistics function--Provide strategic and operational leadership for a team of 40+ colleagues responsible for domestic and international shipment execution, study start-up support, ongoing operations, and clinical sample lifecycle management. Shape long-term sample logistics strategy. Develop scalable operating models, governance frameworks, and business continuity plans that support pipeline growth, clinical trial expansion, and evolving global regulatory expectations. Protect sample integrity and compliance. Ensure reliable, temperature-controlled movement of clinical biological samples while maintaining adherence to applicable FDA, EMA, IATA, DOT, CDC, trade compliance, GCLP, and Pfizer quality requirements. Advance inspection readiness and quality oversight. Maintain robust documentation and audit-ready processes for deviation management, CAPAs, change controls, an

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. Executive Director, Technology Product Management – Medical Cost Initiatives Location: Remote Department: Healthcare Technology & Product Management Reports To: VP, Chief Health Informatics Officer (CHIO) - CVS Healthcare Delivery Role Overview As the Executive Director, Digital Product – Medical Cost Initiatives , you will lead the technology product strategy and execution for key medical cost portfolios for CVS Healthcare Delivery businesses. Core areas of focus are Care Transitions, Patient Segmentation, Chronic Condition Pathways, and Specialty Care Services. In this high-impact executive role, you will partner directly with clinical and business operational leaders to shape end-to-end technology pathways that support CVS Healthcare Delivery care models. You will lead a multidisciplinary team of product managers, Epic analysts, software engineers, data scientists, and UI/UX designers to translate clinical vision into scalable technology roadmaps that optimize patient outcomes and lower the total cost of care. The ideal candidate must have expertise with value-

Work Flexibility: Field-based Stryker Position Title: Trauma Sales Representative Schedule & On-Call Requirements This position requires an on-call schedule, including nights, weekends, and holidays, to support trauma cases as they arise. While this level of availability is essential for the role, we understand it may not be suitable for every candidate. Candidates who choose not to pursue this position due to the on-call demands will not be negatively evaluated or penalized in future opportunities with our organization. Please see the link below for more information: Why I am Rebuilding Lives About the Role Join a fast-paced medical device sales environment where clinical expertise, customer support, and sales execution come together. As a Trauma Sales Representative, you will partner with orthopedic surgeons, operating room teams, and hospital staff to provide products and technical support for trauma procedures while managing a designated sales territory. This role combines consultative sales, surgical case coverage, inventory management, and customer education. Success is measured through territory performance, customer support responsiveness, product utilization, inventory accuracy, and achievement of assigned business objectives. What You Will Do Manage a designated territory to achieve sales goals, business objectives, and market growth targets. Provide on-site support for trauma procedures by ensuring the appropriate products, instruments, and implants are available when needed. Educate surgeons, operating room staff, and healthcare professionals on product functionality, surgical applications, and new product offerings. Conduct customer visits

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, remote position supporting clients 13&#43; in Washington state and/or California. Qualified candidate must be a Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LICSW), Licensed Professional Clinical Counselor (LPCC), Licensed Mental Health Counselor (LMHC), or Licensed Marriage and Family Therapist (LMFT)​. If hired for the position, must be willing and able to obtain additional state licensure. Join the Minute Clinic team, an industry-leading company for a refreshing change in a stable, consistent, and professional environment. We empower our therapists to practice at the top of their license with the support of our clinical care team, while reaching patients within their communities. What our Mental Health Therapists find at Minute Clinic: - Autonomy to build and grow the Minute Clinic practice without the burden payor contracting, credentialing, and billing. - Opportunities to provide psychosocial support and education needed to address the mental wellbeing of individuals, couples/families ages 13&#43;. - Evidence-based care and access to assessment and treatment planning tools to elevate and support the continuity of care for patients. - Career growth and professional development within the organization. - In-depth training, development, and support. <

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 remote position. Qualified candidates must be a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), or Licensed Marriage Family Therapist (LMFT) in Georgia. Join the MinuteClinic team, an industry-leading company for a refreshing change in a stable, consistent, and professional environment. We empower our therapists to practice at the top of their license with the support of our clinical care team, while reaching patients within their communities. What our Mental Health Therapists find at MinuteClinic: - Autonomy to build and grow the MinuteClinic practice without the burden payor contracting, credentialing, and billing. - Opportunities to provide psychosocial support and education needed to address the mental wellbeing of individuals, couples/families ages 13&#43;. - Evidence-based care and access to assessment and treatment planning tools to elevate and support the continuity of care for patients. - Career growth and professional development within the organization. - In-depth training, development, and support. Required Qualifications - Current, active, and unencumbered state license as a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), or Licensed Mar

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 40 hour/week, fully remote position supporting patients 13 years and older. Ideal candidate must be a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Marriage and Family Therapist (LMFT) in Virginia, Maryland, or Washington, D.C. . Must also be willing to obtain additional state licensure. Join the Minute Clinic team, an industry-leading company for a refreshing change in a stable, consistent, and professional environment. We empower our therapists to practice at the top of their license with the support of our clinical care team, while reaching patients within their communities. What our Licensed Clinical Therapists find at Minute Clinic: - Autonomy to build and grow the Minute Clinic practice without the burden payor contracting, credentialing, and billing. - Opportunities to provide psychosocial support and education needed to address the mental wellbeing of individuals, couples/families ages 13&#43;. <

Become a part of our caring community The Medical Director, National Outpatient Medicare leverages clinical expertise and medical judgment to review preauthorization requests for services. This role is responsible for evaluating moderately complex to complex cases, where analysis of clinical information and situational factors requires in-depth assessment and sound decision-making. As a Medical Director at Humana , you will use your clinical expertise and judgment to make meaningful coverage and care determinations that support quality, consistency, and compliance across the healthcare continuum. In this role, you will review requests for services, level of care, and site of service, using nationally recognized clinical guidelines, CMS policies, medical references, and internal clinical resources to guide decision-making. This position offers the opportunity to work on complex outpatient cases , review clinical documentation, and collaborate with both internal partners and external physicians to gather additional information and discuss determinations. You may also contribute to care management activities and, depending on the role, provide input on areas such as clinical documentation, coding, grievances and appeals, and outpatient services or equipment reviews. Beyond case review, this role provides the opportunity to build strong relationships with physicians, provider groups, facilities, and community partners in support of regional priorities. It is a strong fit for physicians who are interested in contributing to value-based care, population health, and care management strategies while working in a structured environment that values sound clinical judgment, collaboration, and operational excellence. Humana is seeking a Medical Director to

ROLE SUMMARY The primary purpose of this job role is to function as a member of the Sample Logistics (SL) operations within Pfizer Vaccine Research and Development (VRD). The incumbent will be responsible for receiving samples from global clinical/study trials according to approved protocols and processes. The individual will participate in all aspects of tracking and documenting the chain of custody of samples. The incumbent’s role will include sample receipt, documentation, storage, tracking, aliquoting, distribution to the testing labs, and sample disposal. The colleague will work in a team setting and will share roles and responsibilities as assigned by the team leader/manager. ROLE RESPONSIBILITIES The incumbent will be required to complete all processes as detailed in Sample Management’s Standard Operating Procedures. The colleague will perform job responsibilities in compliance with GXP and all other regulatory agency requirements. The candidate will receive samples from clinical trial sites and enter samples into an electronic database management system. Performs sample storage and retrieval using manual freezers and BiOS (automated freezer storage system). Performs manual sample aliquoting and aliquoting using the Hamilton robotic instrument. Ship samples and lab supplies to external and internal testing labs. Assists in the general maintenance of the Hamilton robotic instruments. Participates in the shipment discrepancy resolution process. Completes documentation according to cGMP/GLP and all other regulatory agency requirements and archives documents as per applicable policies. Carries out sample disposal/sample destruction according to regulated policies and procedures Performs other duties as assigned. QUALIFICATIONS Must Have Bachelor of Science Degree or Bachel

Overview The Associate Director of Service Engineering leads the reliability, availability, and operational excellence of Natera’s lab-facing platforms. This role ensures that clinical systems, laboratory equipment workflows, and data pipelines operate with high reliability, scalability, and compliance in a regulated healthcare environment. You will lead a team responsible for production stability, incident response, and service health, partnering closely with Production Engineering, Lab Operations, Bioinformatics, Infrastructure, Facilities, and Compliance to support mission-critical genetic testing and diagnostics. Key Responsibilities Leadership & Team Development Lead, mentor, and scale a team of Service Engineers / SREs supporting clinical production systems Establish clear expectations around ownership, on-call readiness, and operational excellence Drive hiring, onboarding, performance management, and career growth Foster a blameless, learning-oriented culture focused on patient impact and reliability Service Reliability & Production Operations Own reliability and availability for production services supporting laboratory operations, reporting, and customer delivery Define and manage SLAs, SLOs, and operational KPIs aligned with clinical and business priorities Lead major incident response, ensuring rapid triage, clear communication, and thorough post-incident reviews Oversee on-call rotations, escalation paths, and operational playbooks Ensure operational readiness and go-live support for new assays, pipelines, and platform capabilities Technical Strategy & Execution Partner with Engineering and Development teams to design resilient, fault-tolerant systems Drive best practices for monitoring, alerting, logging, and observability across lab and cloud platforms Reduce operational toil through automation, tooling, and process improvements Advocate for reliability, performance, and scalability requirements early in t

Become a part of our caring community The Grievances and Appeals Representative 4 role in the Internal Review Team is responsible for managing appeal denials, by reviewing clinical documentation, determining whether further action is needed, and validating final determinations in coordination with clinical and internal Humana partners. Key Responsibilities: Manage Level 1 appeal cases , ensuring accuracy, completeness, and compliance with CMS requirements Review clinical documentation to support appeal determinations and escalation decisions Coordinate with clinical teams and internal partners to finalize appeal outcomes Investigate and resolve member and provider issues with a focus on timely resolution Maintain high productivity and quality standards in a production-driven environment Ensure strict adherence to confidentiality and compliance regulations Independently prioritize and manage multiple high-volume case assignments Proactively embraces change and supports smooth transitions in a dynamic work environment Use your skills to make an impact Required Qualifications: 1&#43; year of grievance & appeals and/or customer service experience Strong data entry skills Proficiency in Microsoft Office Applications Experience in a production-driven environment Experience prioritizing and delivering multiple assignments Strong commitment to confidentiality and high-quality results Preferred Qualifications: Associate's or Bachelor's degree 2–4 years of grievance and appeals experience Medical claims processing experience Previous inbound call center experience Experience wi

Become a part of our caring community As a Care Management Support Assistant, you will help members take the next step toward better health and well-being. You will do this by connecting with them over the phone, completing important non-clinical assessments, identifying barriers to care, and helping them access resources and benefits. We are looking for people who show compassion and document customer issues in detail, can work in a call center environment, and motivate themselves through work that directly supports members and care teams. This is a remote position, and the assigned shift will be 11:30 AM–8:00 PM Eastern Standard Time. Job Description What You Will Do Engage members by phone to encourage participation in care management programs. Complete required assessments and questionnaires to help identify health risks, care needs, and opportunities for clinical team follow-up. Assist members who need support scheduling doctor’s appointments or connecting with appropriate care resources. Identify and help address barriers to preventive screenings, benefits, and health-related services so members can close gaps in care. Support members in understanding, retaining, and accessing benefits that contribute to their overall health and well-being. Manage both inbound and outbound calls in an auto-dialer environment while documenting member information. What Success Looks Like You create a positive member experience by treating each interaction with respect, patience, and professionalism You demonstrate compassion, integrity, and sound judgment when supporting members with sensitive health-related needs You listen to

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