Medical Claim Analyst Jobs

Firefighter is responsible for responding to aircraft and structural fire emergencies, medical emergencies, hazardous material incidents, and other emergencies within the airport premises. This role involves ensuring the safety and security of passengers, crew, and airport personnel by performing firefighting, rescue and emergency medical services. Source: Adani Group | Job ID: 53846

Job Description: Help guide report strategy, help determine important safety concerns and review medical and medical safety content that will be included or discussed in the report, including but not limited to safety signals, health authority requests, safety-related literature, adverse event case reviews, benefit-risk assessments, and overall medical assessments and conclusions. Work in collaboration with contributing team members, particularly with the reports assigned to the Global Risk Assessment and Safety Physician. Review all stages of the report that are assigned during the report authoring process, record their recommended revisions, and indicate completion of their reviews in the corresponding systems. Key Responsibilities: Provide medical and scientific judgment in the evaluation of data pertaining to the efficacy and safety of Client products including, but not limited to, PBRER-PSURs and benefit-risk evaluations Review and contribute to strategy discussions, including determination of the important safety concerns and review of draft/final data, HA feedback topics, signals, and benefit-risk evaluation. Coordinate with Global Risk Assessment and Safety Physicians regarding PBRER steps and hand-offs and collaborate with other members of the report authoring team. Review the drafts and final reports as assigned and provide feedback, which may include pre-initial, drafts, drafts, final drafts, and final reports as assigned. Qualifications: Requirement: Licensed Medical Physician Experience in Drug Safety and Pharmacovigilance (PV) Concepts, regulatory requirements, research principles, and safety data analysis. 1-3 years of experience in pharmaceutical regulations and R&D processes. Technical Skills: the ability to analyze, interpret, and present complex data in a concise and understandable scientific manner, both orally and in written format, is essential. Attention to detail: diligence in record-keeping and records organizatio

LOCATION: The territory for the role includes Long Island Suffolk, NY. The Associate Clinical Oncology Specialist (ACOS) is responsible for contributing to account sales, service, and support activities of all Oncology products. The role includes ensuring patients adherence to the prescribed test cadence with a focus on improving patient outcomes. The individual will identify areas of improvement in clinical workflows, test fulfillment, internal systems and processes. Responsibilities include cultivating and maintaining key relationships and working with customers and internal partners that enable Signatera patient retention and unit growth within existing customers. Primary Responsibilities: Work with assigned COS to grow, maintain & support existing customers Build relationships with key personnel at assigned Oncology accounts to facilitate unit growth. Analyze and monitor patient testing to ensure that patients remain on the protocol prescribed by the Oncologist. Assess the needs of medical professionals and staff members with a focus on customer support, coordination of logistics, and problem solving Become experts on all Natera Oncology products and processes to maximize effectiveness in the field. Educate medical professionals on the tools and resources that Natera provides to facilitate test order management Utilize and maintain internal reports of key performance indicators (KPIs) related to patient retention and fulfilled order volume. Be a key team player within the sales organization who can partner with internal stakeholders, such as sales reps, patient coordinators, territory managers, etc., to achieve the best outcomes for the patient and the provider. Qualifications: Bachelor’s degree preferred or Associate’s degree with minimum of 4 years of relevant experience Medical assistant, clinical support, patient liaison or nursing background or a Minimum of 2 years of sales experience Knowledge, Skills, and Abil

Firefighter is responsible for responding to aircraft and structural fire emergencies, medical emergencies, hazardous material incidents, and other emergencies within the airport premises. This role involves ensuring the safety and security of passengers, crew, and airport personnel by performing firefighting, rescue and emergency medical services. Source: Adani Group | Job ID: 50192

Firefighter is responsible for responding to aircraft and structural fire emergencies, medical emergencies, hazardous material incidents, and other emergencies within the airport premises. This role involves ensuring the safety and security of passengers, crew, and airport personnel by performing firefighting, rescue and emergency medical services. Source: Adani Group | Job ID: 50193

Firefighter is responsible for responding to aircraft and structural fire emergencies, medical emergencies, hazardous material incidents, and other emergencies within the airport premises. This role involves ensuring the safety and security of passengers, crew, and airport personnel by performing firefighting, rescue and emergency medical services. Source: Adani Group | Job ID: 50191

LOCATION: The territory for this position includes Westchester, NY. The Associate Clinical Oncology Specialist (ACOS) is responsible for contributing to account sales, service, and support activities of all Oncology products. The role includes ensuring patients adherence to the prescribed test cadence with a focus on improving patient outcomes. The individual will identify areas of improvement in clinical workflows, test fulfillment, internal systems and processes. Responsibilities include cultivating and maintaining key relationships and working with customers and internal partners that enable Signatera patient retention and unit growth within existing customers. Primary Responsibilities: Work with assigned COS to grow, maintain & support existing customers Build relationships with key personnel at assigned Oncology accounts to facilitate unit growth. Analyze and monitor patient testing to ensure that patients remain on the protocol prescribed by the Oncologist. Assess the needs of medical professionals and staff members with a focus on customer support, coordination of logistics, and problem solving Become experts on all Natera Oncology products and processes to maximize effectiveness in the field. Educate medical professionals on the tools and resources that Natera provides to facilitate test order management Utilize and maintain internal reports of key performance indicators (KPIs) related to patient retention and fulfilled order volume. Be a key team player within the sales organization who can partner with internal stakeholders, such as sales reps, patient coordinators, territory managers, etc., to achieve the best outcomes for the patient and the provider. Qualifications: Bachelor’s degree preferred or Associate’s degree with minimum of 4 years of relevant experience Medical assistant, clinical support, patient liaison or nursing background or a Minimum of 2 years of sales experience Knowledge, Skills, and

Firefighter is responsible for responding to aircraft and structural fire emergencies, medical emergencies, hazardous material incidents, and other emergencies within the airport premises. This role involves ensuring the safety and security of passengers, crew, and airport personnel by performing firefighting, rescue and emergency medical services. Source: Adani Group | Job ID: 50882

Firefighter is responsible for responding to aircraft and structural fire emergencies, medical emergencies, hazardous material incidents, and other emergencies within the airport premises. This role involves ensuring the safety and security of passengers, crew, and airport personnel by performing firefighting, rescue and emergency medical services. Source: Adani Group | Job ID: 52691

Territory: Northwest Houston and surrounding areas, including The Woodlands, Texas Medical Center, Memorial City, College Station, and Cypress. The Associate Clinical Oncology Specialist (ACOS) is responsible for contributing to account sales, service, and support activities of all Oncology products. The role includes ensuring patients adherence to the prescribed test cadence with a focus on improving patient outcomes. The individual will identify areas of improvement in clinical workflows, test fulfillment, internal systems and processes. Responsibilities include cultivating and maintaining key relationships and working with customers and internal partners that enable Signatera patient retention and unit growth within existing customers. Primary Responsibilities: Work with assigned COS to grow, maintain & support existing customers Build relationships with key personnel at assigned Oncology accounts to facilitate unit growth. Analyze and monitor patient testing to ensure that patients remain on the protocol prescribed by the Oncologist. Assess the needs of medical professionals and staff members with a focus on customer support, coordination of logistics, and problem solving Become experts on all Natera Oncology products and processes to maximize effectiveness in the field. Educate medical professionals on the tools and resources that Natera provides to facilitate test order management Utilize and maintain internal reports of key performance indicators (KPIs) related to patient retention and fulfilled order volume. Be a key team player within the sales organization who can partner with internal stakeholders, such as sales reps, patient coordinators, territory managers, etc., to achieve the best outcomes for the patient and the provider. Qualifications: Bachelor’s degree preferred or Associate’s degree with minimum of 4 years of relevant experience Medical assistant, clinical support, patient liaison or nursing background in o

Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications. In collaboration with Medical Directors and cross-functional partners, this role ensures that clinical decisions are evidence-based, align with regulatory and accreditation standards, and are communicated effectively and timely. Through precise clinical review and documentation, you will help support high-quality care, regulatory compliance, and improved member outcomes. What you’ll do: Consult with Medical Directors on clinical determinations, medical necessity decisions, and related clinical correspondence Prepare clear, accurate, and compliant member and provider communications in alignment with regulatory and organizational requirements Understand regulatory requirements governing utilization management decisions and ensure appropriate application to clinical determinations and communications Understand when and why member and provider notifications are required, including regulatory and clinical triggers for written communication Support verbal notification workflows when timely communication of clinical determinations is required Document clinical information completely, accurately, and in a timely manner Consistently meet or exceed productivity, quality, and turnaround time expectations Maintain a thorough understanding of accreditation and regulatory requirements and ensure utilization management decision-making and timeliness standards remain in compliance Perform other duties as assigned What you’ll need: Registered Nurse with active, unencumbered license in the state of residence Experience developing member and provider correspondence within a health plan environment Minimum of 3 years of clinical experience Utilization Management experience required Knowledge of

Firefighter is responsible for responding to aircraft and structural fire emergencies, medical emergencies, hazardous material incidents, and other emergencies within the airport premises. This role involves ensuring the safety and security of passengers, crew, and airport personnel by performing firefighting, rescue and emergency medical services. Source: Adani Group | Job ID: 51260

MRI Lead Radiographer Up to £60,000 DOE · UK-based candidates only The opportunity We're working exclusively with a well-established independent medical imaging provider to recruit an experienced MRI Lead Radiographer. Based at a key diagnostic centre in Brighton with responsibility across satellite sites, this is a senior role combining clinical excellence with service leadership. You'll oversee the day-to-day running of MRI services, manage a team of radiographers, and work closely with the Centre Manager to drive service development and training. A fantastic opportunity for an experienced MRI practitioner ready to step up — or consolidate — in a leadership capacity. What you'll be doing Performing a wide range of MRI scans autonomously across diverse patient groups, including in the absence of a radiologist Managing and developing the radiographers working within and rotating through the MRI service Organising daily workload, optimising appointment scheduling, and coordinating equipment maintenance Producing monthly and annual service performance reports and liaising with clinicians on scan referrals Supporting service development and training across the Brighton centre and satellite sites What we're looking for BSc Diagnostic Radiography (or DCR equivalent) with current HCPC registration Significant post-qualification MRI experience with a strong cross-sectional imaging background Cannulation qualification Previous experience in a management or service leadership role Full UK driving licence and access to a vehicle (essential — multi-site role) Based in the UK (essential for consideration) Salary & benefits Salary Up to £60,000 DOE Annual leave Up to 35 days Other perks Pension · Healthcare · Parking Salary dependent on experience. Staff pension scheme, private health care plan, and free on-site parking included. Interested? Apply via the link below or reach out directly. We'd love to hear from you — send your CV along with a brief note on your MRI experienc

Firefighter is responsible for responding to aircraft and structural fire emergencies, medical emergencies, hazardous material incidents, and other emergencies within the airport premises. This role involves ensuring the safety and security of passengers, crew, and airport personnel by performing firefighting, rescue and emergency medical services. Source: Adani Group | Job ID: 48510

Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off , this is the role for you! The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. Y ou will be responsible for reviewing medical records, coordinating with healthcare providers, and ensuring that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements. Preferred Skills Communication - Strong interpersonal skills to be able to connect with patients, doctors, internal team members, and providers Customer Service - Friendly demeanor and understanding to be able to relay sensitive information to members Detail Oriented - Accuracy and attention to detail when reviewing pre-certifications and plans Qualifications: CNA, LPN, or Medical Assistant preferred Background in patient health support or care 1+ years of experience within this field Full-Time Benefits - Most benefits start day 1 Medical, Dental, Vision Insurance Flex Spending or HSA 401(k) with company match Profit-Sharing/Defined Contribution (1-year waiting period) PTO/Paid Holidays Company-paid ST and L