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. Job Purpose and Summary: Join a mission-driven organization at a transformative moment in employer-sponsored health care. As Executive Medical Director, Clinical Business Solutions at Aetna, a CVS Health company, you will lead the clinical team that serves as the clinical voice to our Commercial plan sponsors, prospects, and their advisors, demonstrating how Aetna’s clinical capabilities reduce cost, improve population health, and strengthen the member and provider experience. Reporting directly to the Vice President, Chief Medical Officer, Commercial & Innovation, you will direct a national team of clinicians (MD, RN, NP) providing clinical support to Aetna’s National Accounts, Large Group, and Public & Labor businesses, in close partnership with Field and Account teams. You will lead and continuously improve the operations of the team to raise the level and quality of clinical support delivered to the Field, while sharing directly in its external work — including personally cultivating and holding relationships with key brokers, consultants, and plan sponsors. The role is deliberately bidirectional. You will bring the voice of the customer and the producer community back into the organization, partnering with Clinical Operations, Medical Affairs, Commercial Product, and others to ensure our clinical offerings reflect what the market requires. <p

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

At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Gilead and help create possible, together. Job Description Knowledge: Able to develop complex concepts, techniques, and standards. Able to develop solutions to complex problems which require an in-depth degree of ingenuity, creativity and innovativeness. Challenges are frequently unique and solutions may serve as precedent for future decisions, which affect the entire organization. Recommends organizational objectives and interprets company policies. Establishes organizational policies in a major segment of the company. Able to interpret, execute, and recommend modifications to department policies. Demonstrates a comprehensive understanding of the financial aspects of Supply Chain operations.

What is PerfectServe? PerfectServe is a leading provider of clinical communication and physician scheduling solutions in the health IT space. The company was founded in 1997 and has grown steadily since then, with a notable jump after several major acquisitions were announced in 2019. PerfectServe now has 400+ employees, 30,000+ customers — spanning medical practices, hospitals, and health systems — and $100 million+ in annual revenue. PerfectServe’s mission is to accelerate speed to care by optimizing provider schedules and routing communications — including messages, pages, calls, and alerts — to the right place at the right time in any care setting. By facilitating real-time information sharing, building better schedules, and automating important clinical workflows, we believe we can help our customers advance patient care and improve the well-being of their clinicians. Leading analyst firms like Gartner® and KLAS Research have consistently validated our approach: In 2026, PerfectServe was named highest in execution and furthest in vision in the Gartner Magic Quadrant™ for Clinical Communication and Collaboration — the clear segment leader. PerfectServe also received two Best in KLAS awards in 2026 — one for physician scheduling and another for ambulatory clinical communications. That makes for 11 Best in KLAS awards over the past 9 years. At PerfectServe, you'll have a unique opportunity to join a collaborative team with decades of experience that finds new ways to delight our customers every day. This involves consistent efforts to stay on the cutting edge of product development, which includes everything from implementing AI in new and existing solutions to brainstorming with customers about novel workflows. But you don't have to be in product to make in impact — everybody at PerfectServe contributes to important work that moves the business forward. If you're looking for a well-established, tech-forward company full of smart people doing meaningful work

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: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists The Opportunity The Clinical Information Analyst will work out of our Santa Clara, CA location and is responsible for the development and optimization of reporting solutions which support and advance data-driven problem solving in the 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. Senior Medical Director, Clinical Informatics Position Summary The Senior Medical Director for Clinical Informatics and Healthcare Delivery (HCD) Technology Product serves as the senior physician leader across healthcare delivery technical domains, providing clinical insight and technical expertise to drive end-to-end technology execution and ensure that Epic-enabled solutions advance core business outcomes. This role is the clinical expert and trusted physician advisor for teams across HCD technology, driving effective enterprise governance, improving clinician experience, enhancing patient outcomes, and supporting organizational strategic priorities. The Senior Medical Director will also serve as the product leader for two core HCD technology domains - Center Operations and Quality/Stars. The Senior Medical Director brings hands-on clinical and Epic build expertise, partners closely with operational and technical leadership across the enterprise to align the Epic roadmap with organizational strategy, has excellent clinical judgement and keeps patient experience, safety, and outcomes at the center of everything we do, and represents the clinical voice in enterprise governance, escalation, and innovation efforts. Key Responsibilities Clinical Product & Technology Leadership Serve as the senior product leader across Clinic Operations and Quality

At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Gilead and help create possible, together. Job Description The Senior Director, Applied AI Solutions, leads the applied AI function within the AI Research Center (ARC), part of Gilead’s Clinical Data Science (CDS) organization in Drug Development. As CDS’s center of excellence for applied AI, this leader is accountable for the technical and product path from a prioritized AI use case defined by CDS functional organizations to a trusted, reusable capability in production — spanning discovery, experimentation, technical validation, first production release, adoption support, and measured value. The ownership model is deliberate. Business ownership of priorities, requirements, funding, process change, and workflow outcomes remains with the CDS and Develo

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 115,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Position Overview The Senior Clinical Laboratory Scientist will be responsible for performing moderate and high complexity laboratory testing on patient specimens, interpreting and reporting patient results, performing quality control and quality assurance procedures, assisting Laboratory Leadership with advanced laboratory duties, and complying with all applicable local, state, and federal laboratory requirements. The Senior Clinical Laboratory Scientist will continually display excellent initiative in all aspects of their work, contribute to projects and discussions in addition to daily laboratory testing and consistently performing to high standards. Leadership is demonstrated in technical troubleshooting of laboratory instrumentation and processes as well as laboratory quality improvements, health and safety, and training of laboratory staff. Essential Duties include but are not limited to : Perform moderate and highly complex laboratory tests, procedures, and analyses according to the laboratory’s standard operating procedures with minimal supervision. Perform, review, and document laboratory quality control procedures. Identify potential problems, determine potential solutions, and take appropriate action in order to maintain a high level of quality in test processes and results. Achieve and maintain competency on laboratory tasks. Participate in research, validation, and/or implementation of new procedures and/or technologies. Mainta

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. You will make an impact: The eLearning Manager will be responsible for leading a team who develops powerful and comprehensive eLearnings for the elluminate platform, which trains users on the capabilities of the platform and helps them rapidly adopt their processes to maximize the value elluminate delivers. This includes managing the eLearning team and the work, working with SMEs, other team members, and our internal clients to ensure eLearning modules are strategically aligned with learning and development initiatives. As a member of the Global Education and Learning team, our mission is to enable our customers to grow their businesses through self-serve content. Your day to day: Leads the design and development of engaging, self-paced eLearning experiences, including storyboards, courseware, online tutorials, assessments, and other digital learning resources for delivery across major learning platforms. Leverages AI and emerging learning technologies to enhance content development, improve efficiency, support personalization, and elevate the learner experience. Uses learning analytics, evaluation data, and learner feedback to assess content effectiveness and identify opportunities to improve existing courses and inform the development of new learning experiences. Manages the ongoing lifecycle of eLearning content, ensuring materials remain accurate, relevant, engaging, and aligned with evolving product, learner, and business needs. Responsible for content strategy / roadmap, including prioritization, r

Opportunity Overview: We are seeking a versatile and highly skilled Lead Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends,

Opportunity Overview: We are seeking a versatile and highly skilled Claims Auditor to join our dynamic Payment Integrity team. This critical role involves conducting comprehensive professional and facility coding reviews—encompassing both outpatient/professional and inpatient claims—to ensure the accuracy of code assignment, DRG/reimbursement, and to maximize overpayment identification. If you possess a CPC and/or CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for deep analytical auditing, you will be instrumental in supporting our commitment to accurate reimbursement solutions. This opportunity requires a self-motivated individual who thrives on precision, compliance, and continuous learning in a high-growth environment What you’ll do: Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement. Conduct comprehensive outpatient and professional coding reviews to ensure accuracy in code assignment and reimbursement. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Conduct ambulatory surgery center, emergency room, observation and infusion coding reviews. Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications. Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations. Utilize advanced DRG encoder tools (such as 3M, Webstrat) to drive efficiency and accuracy in audits. Meet or exceed company quality and productivity standards, including strong uphold rates for appeals. Stay ahead of industry trends, coding updates, and compliance regulations to maintain expert-level knowledge. Adhere to HIPAA and company policies and procedures to ensure data security and regulatory compliance. Maintain and apply superior knowledge of changes and updates to coding guidelines, reimbursement trends, and

Opportunity Overview: We are seeking a Sr. Data Engineer to help drive the technical vision of our Data Engineering team as we scale our infrastructure, services, and architecture. This role is ideal for someone who blends deep technical expertise with strategic thinking and cross-functional influence. As a Sr. Data Engineer, you will partner closely with other data and analytics engineers, architects, product leaders, and business stakeholders to evolve our data infrastructure in support of high-trust, scalable, and business-aligned outcomes. You’ll also serve as a force multiplier across teams; raising the bar for data engineering excellence and accelerating the maturity of our data platform capabilities. What you’ll do: Develop, and maintain robust ETL/ELT pipelines to ingest, transform, and load data from multiple source systems into enterprise data platforms. Ensure pipelines are scalable, reusable, fault-tolerant, and optimized for batch and near real-time processing requirements. Develop interactive dashboards, scorecards, and KPI reporting solutions using BI tools. Deliver executive, operational, and analytical reporting aligned with business goals. Identify repetitive manual reporting processes and automate them using scripting, workflow orchestration, scheduling tools, and dashboard refresh mechanisms to improve efficiency, accuracy, and turnaround time. Collaborate with internal stakeholders and leadership teams to understand data integration and reporting needs, define KPIs, document business rules, and translate requirements into scalable technical solutions. Implement data validation checks, reconciliation controls, lineage documentation, metadata standards, and governance policies to maintain trusted, secure, and compliant data assets across the organization. Provide technical guidance, code reviews, best practices, and mentor junior team members. Investigate and resolve production incidents related to pipelines, delayed reports, data mismatches

Opportunity Overview: We are seeking a Technical, Hands-on Manager to lead a team in building AI-driven healthcare enterprise applications . In this role, you will combine strong people leadership with deep technical expertise to guide the development of scalable, data-intensive solutions that drive meaningful business impact. As a leader who is still technically involved , you will mentor and manage data scientists and analysts while having the ability to guide the team through evaluating, selecting, and implementing the right models , paired with an understanding of end to end workflow and ensure the delivery of scalable AI solutions . This position requires excellent communication and collaboration skills as you partner closely with internal stakeholders and cross‑functional engineering, product, and clinical teams . In our fast-paced environment, adaptability is key—your ability to reprioritize quickly and lead your team through evolving business needs will ensure maximum impact What you’ll do: Lead, mentor, and develop a high‑performing team of Data Scientists and ML Engineers, ensuring strong execution and continuous skill advancement. Contribute to event‑driven architecture design and implementation, enabling asynchronous processing and large‑scale system integration. Work seamlessly across functions—partnering with Data Scientists on model tuning, experimentation, and prompt design; collaborating with Product and Software Engineering to embed AI/ML into user-facing applications; engaging with DevOps/Platform Engineering on environment setup, CI/CD, monitoring, and reliability; and working with Data Engineering on pipeline design and ingestion strategies. Provide technical leadership in the effective use of AWS services such as Lambda, EC2, EMR, S3, Athena, Batch, Textract, Comprehend, Bedrock. Drive the implementation of project scope definition, effort estimation, and planning in close coordination with cross-functional teams. Conduct code reviews, pr

Opportunity Overview: Cohere’s Provider & User Management team is responsible for ensuring that provider organizations are supported throughout their lifecycle of using the platform. This role will play a critical part in enabling successful onboarding across our client base by capturing, analyzing, and translating real-world workflows into actionable insights for downstream teams. The Business Analyst role is an entry-level position focused on pre-implementation readiness. This individual will support client onboarding by conducting workflow shadowing, time studies, and documentation of current-state processes within provider organizations and health plans. As a Business Analyst , you will work closely with cross-functional teams at Cohere to deeply understand our mission and the providers and health plans engaging with our products and services. You will gain exposure to client user perspectives—including clinical reviewers (e.g., RNs, LPNs) and operational teams—and the workflows they operate within. You will leverage this knowledge to document and synthesize insights that inform Client User Training, Provider Training, Product, and Provider Success Account Management teams. Your work will directly impact how Cohere prepares providers and clients for implementation and scales best practices across the organization. The Business Analyst will be highly organized, curious, and detail-oriented, with a strong ability to observe, document, and communicate workflows in a way that drives clarity and action. What you’ll do: Conduct pre-implementation workflow shadowing sessions with provider organizations and health plan teams Perform time studies and analyze current-state workflows to identify inefficiencies and variation Document workflows, processes, and user behaviors in a clear and structured format Translate observations into actionable insights and recommendations for downstream teams (e.g., Client Training, Provider Training, Product) Partner with cross-functi

What is PerfectServe? PerfectServe is a leading provider of clinical communication and physician scheduling solutions in the health IT space. The company was founded in 1997 and has grown steadily since then, with a notable jump after several major acquisitions were announced in 2019. PerfectServe now has 400+ employees, 30,000+ customers — spanning medical practices, hospitals, and health systems — and $100 million+ in annual revenue. PerfectServe’s mission is to accelerate speed to care by optimizing provider schedules and routing communications — including messages, pages, calls, and alerts — to the right place at the right time in any care setting. By facilitating real-time information sharing, building better schedules, and automating important clinical workflows, we believe we can help our customers advance patient care and improve the well-being of their clinicians. Leading analyst firms like Gartner® and KLAS Research have consistently validated our approach: In 2026, PerfectServe was named highest in execution and furthest in vision in the Gartner Magic Quadrant™ for Clinical Communication and Collaboration — the clear segment leader. PerfectServe also received two Best in KLAS awards in 2026 — one for physician scheduling and another for ambulatory clinical communications. That makes for 11 Best in KLAS awards over the past 9 years. At PerfectServe, you'll have a unique opportunity to join a collaborative team with decades of experience that finds new ways to delight our customers every day. This involves consistent efforts to stay on the cutting edge of product development, which includes everything from implementing AI in new and existing solutions to brainstorming with customers about novel workflows. But you don't have to be in product to make in impact — everybody at PerfectServe contributes to important work that moves the business forward. If you're looking for a well-established, tech-forward company full of smart people doing meaningful work