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Patient Access Appeals Case Manager Jobs

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Opportunity Overview: We are looking for a Lead Forward Deployed Automation Strategist to play a key role in delivering value for our Platform-as-a-Service (PaaS) customers. Reporting into our Senior Manager, PaaS Value Delivery, you will be part of a small, fast-paced team working directly with clients to strategically design, execute, and maintain a robust prior authorization decisioning automation program. Ultimately, the work you do will have a direct impact on the growth of the company and our ability to assist more patients at a time in their healthcare journey when they need help most. What you’ll do: Consult Platform-as-a-Service (PaaS) clients on designing an optimal decision automation program that maximizes platform value Translate complex client requirements into a detailed technical blueprints for development teams to leverage when implementing new clients Collaborate with Product, Development, Design, and Engineering teams in scoping new functionality, or enhancing existing functionality, to meet client automation needs Develop strategic roadmaps related to continuous improvement of decision automation performance in order to drive increased value for clients Analyze authorization data and leverage data visualization softwares to build and maintain analytical reports that inform internal and external stakeholders on platform performance Ensure client’s KPIs are met and ensure end-to-end automation success for each client through each stage of customer lifecycle Identify opportunities to scale and improve consultation workflows What you’ll need: 8+ years experience working in a client facing role; Demonstrated expertise in building client relationships and driving client engagement, value, and satisfaction Understanding of healthcare systems, medical terminologies, clinical workflows, and regulations Ability to navigate ethical dilemmas in healthcare data management and analysis while upholding professional standards and integrity Advanced Profici

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About the role Sana Biotechnology is growing, and we are hiring new team members who believe in the potential of engineered cells as medicines, who want to challenge the status quo, and who lead with the desire to work on novel ideas. As a Senior Director you will assist in the implementation of the company’s intellectual property strategy in the cell and gene therapy space, as well as counsel clients, manage patent drafting and prosecution, and assist in patent landscape activities, review publications and support business activities as needed. The Senior Director will be an integral working partner with the company’s research and development (R&D) organization. What you’ll do Partner with R&D to develop a deep understanding of the science and technologies at Sana, including work in cutting edge technologies in the cell therapy space Be the responsible lead IP attorney for certain pre-clinical and clinical programs and leverage knowledge about Sana’s science and technologies to develop patent portfolio strategies Partner with R&D to identify patentable subject matter and implement patent protection strategies, including drafting, filing and prosecuting patent applications Conduct or direct patent landscape overviews, freedom-to-operate analyses, validity assessments and patentability assessments Advise and provide guidance to senior managers on IP-related issues Develop IP policies and provide IP-related education to the company Provide direction, strategy, and/or support for third-party IP issues, as needs arise (e.g., oppositions, third-party observations, inter party reviews, litigation, etc.) Manage external relationships with outside counsel and collaborators Work on additional legal projects, as needed What we’re looking for Bachelors plus at least 12 yrs or equivalent combination of relevant education and experience J.D. degree Membership in at least one state bar Admitted to practice before the U.S. Patent and Trademark Office 5+ yea

Beacon Biosignals is transforming precision medicine for the brain, from clinical development to clinical care. For Life Sciences partners, we offer the leading at-home EEG platform for clinical development of novel therapeutics for neurological, psychiatric, and sleep disorders. Our Diagnostics business is building the most comprehensive at-home platform for precision diagnostics, combining EEG and cardiopulmonary signals to deliver reimbursable assessments for sleep and central nervous system disorders. Together, we're changing the way patients are diagnosed and treated for any disorder that affects brain physiology. Beacon Biosignals is seeking a Director, Alliance Management to own and steward a nine-figure, multi-year, enterprise-level partnership with a major biopharma company, which is foundational to Beacon’s growth and long-term strategy. With success, the role can expand to additional partnerships of equal scope and magnitude. This role is responsible for assessing and driving the overall health and execution of the major partnership, from post-contract launch through short- and long-term value delivery and growth, effectively serving as General Manager to the account. This role is unlike traditional business development, focused on pipeline generation and closing new partnerships, and is unlike traditional account management, focused on expansion across multiple accounts and delivery success at a high level. Instead, this position embeds deeply in the client organization, operating comfortably at all levels from leadership to working teams, to deliver cross-functional coordination, executive-level engagement, long-range planning, and best-in-class execution across multiple parallel workstreams. The Director, Alliance Management will serve as Beacon’s primary owner for its most important strategic accounts, and will play the central role in ensuring partnerships deliver on their scientific, clinical, and commercial objectives. This role is a

financeCRM
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FB
Formation Bio
📍 New York• $154.5K – $202K/yr
2mo ago

About Formation Bio Formation Bio is a tech and AI driven pharma company differentiated by radically more efficient drug development. Advancements in AI and drug discovery are creating more candidate drugs than the industry can progress because of the high cost and time of clinical trials. Recognizing that this development bottleneck may ultimately limit the number of new medicines that can reach patients, Formation Bio, founded in 2016 as TrialSpark Inc., has built technology platforms, processes, and capabilities to accelerate all aspects of drug development and clinical trials. Formation Bio partners, acquires, or in-licenses drugs from pharma companies, research organizations, and biotechs to develop programs past clinical proof of concept and beyond, ultimately helping to bring new medicines to patients. The company is backed by investors across pharma and tech, including a16z, Sequoia, Sanofi, Thrive Capital, John Doerr, Spark Capital, SV Angel Growth, and others. You can read more at the following links: Our Vision for AI in Pharma Our Current Drug Portfolio Our Technology & Platform At Formation Bio, our values are the driving force behind our mission to revolutionize the pharma industry. Every team and individual at the company shares these same values, and every team and individual plays a key part in our mission to bring new treatments to patients faster and more efficiently. Why This Role Matters People are the single most important thing we have to get right to succeed as a company. Every hire we make either accelerates or slows down our mission to get critical medicines to patients faster. We hold an extremely high bar and run a rigorous process. Every person you bring in should be capable of outsized impact: someone who raises the level of the team around them, ships things that would not have happened without them, and moves the company forward in a way that is disproportionate to a single headcount. About the Role As Lead Tech

aiproject management
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About Iovance Biotherapeutics, Inc. Iovance Biotherapeutics , Inc. is the global leader in innovating, developing, and delivering tumor infiltrating lymphocyte (TIL) cell therapies for patients with solid tumors. Amtagvi® (lifileucel) is the first FDA-approved, one-time treatment for previously treated advanced melanoma, now approved in three global markets and available at more than 95 authorized treatment centers. The Iovance TIL platform spans registrational trials and next-generation programs in additional solid tumors, including gene-edited and IL-12 tethered TIL therapies, next-generation IL-2, and precision immuno-oncology approaches. As the first and only company to take TIL therapy from concept to a broadly accessible commercial treatment, Iovance operates as an end-to-end cell therapy company, anchored by fully owned, centralized U.S.-based manufacturing that is scaled to serve thousands of cancer patients worldwide each year. For more information, please visit www.iovance.com . Amtagvi® and its accompanying design marks, Proleukin ® , Iovance ® , and IovanceCares™ are trademarks and registered trademarks of Iovance Biotherapeutics, Inc. or its subsidiaries. All other trademarks and registered trademarks are the property of their respective owners. Information on Iovance’s broad, industry-leading patent portfolio is available on the Intellectual Property page on www.iovance.com . Overview The Supervisor, Engineering & Maintenance is responsible for oversight of engineering, maintenance and calibration activities during second shift at Iovance iCTC. This position will be responsible for resolving escalations, technical issues and making sound critical decisions. Typical day to day activities include supporting the repair and maintenance of equipment, utilities and systems serving cGMP Manufacturing, Laboratories and Warehouse facilities. Ensure planned and corrective maintenanc

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About Infinitum Infinitum is a pre-IPO climate-tech company reinventing the electric motor. We are backed by a distinguished group of strategic partners and some of the world's most influential climate funds, with strong traction in shipments and several major customer wins. The market now recognizes the value of our technology and the impact it will have on the future of the industry. We have a world-class R&D organization, an extensive patent portfolio, and a strong leadership team scaling the company across all functions. We are headquartered in Austin, TX and operate a state-of-the-art manufacturing facility in Saltillo, Mexico, with room for significant expansion. Increasingly, end customers are willing to pay a premium for solutions featuring "Infinitum Inside," and our OEM partners leverage that differentiation to win more deals at higher margins. In short, we've crossed the chasm — and we are now scaling our team substantially. We're looking for people who are passionate about rapid growth, eager to learn, and excited to tackle the challenges ahead. Position Summary We are seeking a highly experienced Technical Program Manager to lead cross-functional teams in the development and launch and management of HVAC Fan Systems and related products. This individual contributor role requires a high energy individual who is both a broad thinker and skilled executor with the ability to manage multiple projects simultaneously, drive alignment across external stakeholders and internal departments, and ensure successful delivery of new products to market. There are a number of key external partners contributing to this product line. Forming and maintaining strong working relationships with these partners is central to the success of this role. Key Responsibilities Project Leadership Lead end-to-end execution of New Product Introduction (NPI) of projects for Fan Systems and related products from Concept through Launch. Lead process improvement initiatives with

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Senior Product Manager, Robotics & Autonomy What we're doing isn't easy, but nothing worth doing ever is. At Diligent Robotics, we envision a future powered by robots that work seamlessly with human teams. We build artificial intelligence that enables service robots to collaborate with people and adapt to dynamic human environments. Our robots operate every day in hospitals, helping healthcare staff spend less time on routine work and more time caring for patients. Operating a real-world fleet gives us something few robotics companies have: continuous customer feedback and operational data that directly shapes the next generation of Physical AI. We're looking for a Senior Product Manager, Robotics & Autonomy to define and execute the product strategy for some of the most critical capabilities in our robotics platform. You'll work at the intersection of robotics, autonomy, AI, and software engineering to translate business priorities, customer needs, and technical opportunities into a clear product roadmap that drives measurable outcomes. This role is ideal for someone who understands complex autonomous systems and enjoys working alongside world-class engineers to bring ambitious technology from concept into production. Responsibilities Own the product strategy and roadmap for key Robotics and Autonomy initiatives, balancing customer impact, technical feasibility, and long-term platform investments. Define product requirements for autonomy, navigation, perception, fleet intelligence, simulation, and robotics platform capabilities. Partner closely with Engineering, AI, Robotics, Customer Success, Operations, and Leadership to align priorities across the organization. Translate customer feedback, fleet telemetry, and operational insights into product decisions that improve robot performance, reliability, and user experience. Prioritize investments using data, customer value, technical complexity, and business impact. Drive cross-functional execution from concep

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About Iovance Biotherapeutics, Inc. Iovance Biotherapeutics , Inc. is the global leader in innovating, developing, and delivering tumor infiltrating lymphocyte (TIL) cell therapies for patients with solid tumors. Amtagvi® (lifileucel) is the first FDA-approved, one-time treatment for previously treated advanced melanoma, now approved in three global markets and available at more than 95 authorized treatment centers. The Iovance TIL platform spans registrational trials and next-generation programs in additional solid tumors, including gene-edited and IL-12 tethered TIL therapies, next-generation IL-2, and precision immuno-oncology approaches. As the first and only company to take TIL therapy from concept to a broadly accessible commercial treatment, Iovance operates as an end-to-end cell therapy company, anchored by fully owned, centralized U.S.-based manufacturing that is scaled to serve thousands of cancer patients worldwide each year. For more information, please visit www.iovance.com . Amtagvi® and its accompanying design marks, Proleukin ® , Iovance ® , and IovanceCares™ are trademarks and registered trademarks of Iovance Biotherapeutics, Inc. or its subsidiaries. All other trademarks and registered trademarks are the property of their respective owners. Information on Iovance’s broad, industry-leading patent portfolio is available on the Intellectual Property page on www.iovance.com . Overview Iovance Biotherapeutics is an immuno-oncology company focused on the development and commercialization of novel cancer immunotherapies based on tumor infiltrating lymphocytes (TIL). The Aseptic Manufacturing Technician II , role is crucial for the autologous cell therapy manufacturing program. This position requires a broad understanding of theories, techniques, and principles to support manufacturing processes. As an Aseptic Manufacturing Technician II, you will primarily be responsible fo

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About Formation Bio Formation Bio is a tech and AI driven pharma company differentiated by radically more efficient drug development. Advancements in AI and drug discovery are creating more candidate drugs than the industry can progress because of the high cost and time of clinical trials. Recognizing that this development bottleneck may ultimately limit the number of new medicines that can reach patients, Formation Bio, founded in 2016 as TrialSpark Inc., has built technology platforms, processes, and capabilities to accelerate all aspects of drug development and clinical trials. Formation Bio partners, acquires, or in-licenses drugs from pharma companies, research organizations, and biotechs to develop programs past clinical proof of concept and beyond, ultimately helping to bring new medicines to patients. The company is backed by investors across pharma and tech, including a16z, Sequoia, Sanofi, Thrive Capital, John Doerr, Spark Capital, SV Angel Growth, and others. You can read more at the following links: Our Vision for AI in Pharma Our Current Drug Portfolio Our Technology & Platform At Formation Bio, our values are the driving force behind our mission to revolutionize the pharma industry. Every team and individual at the company shares these same values, and every team and individual plays a key part in our mission to bring new treatments to patients faster and more efficiently. About the Position The Associate Director, GMP Quality Assurance is responsible for ensuring that all GMP-regulated activities, including manufacturing, testing, packaging, labeling, storage, and distribution of Formation Bio's portfolio are executed in compliance with regulatory requirements, industry standards, and company procedures. This role supports CMC development activities, audits CDMOs, conducts batch release, and performs investigations. The ideal candidate is a hands-on quality leader with strong communication skills and the ability to pivot in a dy

artificial intelligenceai
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Location: On-Site in Boulder, CO (Foresight Dx business unit, a Natera company) Foresight Diagnostics is a molecular diagnostics company pioneering non-invasive cancer detection through highly sensitive, cell-free DNA-based liquid biopsy technologies. Our proprietary methods - originally developed at Stanford University - are designed to detect smaller tumors earlier and enable more personalized treatment strategies for patients with cancer. We sit at the intersection of molecular biology, bioinformatics, and next-generation sequencing (NGS), and we translate rigorous science into clinically meaningful solutions. Following our acquisition by Natera, we now combine the agility of a mission-driven startup with the scale and resources of a global leader in cell-free DNA testing. It’s an exciting moment to join us. Headquartered in Boulder, Colorado, our team operates in a high accountability, collaborative environment where quality and continuous improvement aren’t just values - they’re how we work every day. About The Role The Senior Manager, Laboratory Systems & Process Engineering is a people and technical leadership role responsible for managing a team of Laboratory Systems Scientists while driving the implementation, optimization, and continuous improvement of laboratory systems and operational processes supporting Foresight Diagnostics’ laboratory operations. This role serves as a critical operational leader within the Operational Excellence and Process Engineering organization, bridging strategic direction from laboratory operations leadership with day-to-day execution across laboratory systems, process engineering, asset management, and technology transfer initiatives. The Senior Manager is responsible for ensuring laboratory systems and workflows are scalable, efficient, compliance, and aligned with organizational growth and business-aligned objectives. The Senior Manager partners closely with Laboratory Operations, R&D, Bioinformatics, Sof

*]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" data-turn-id="request-WEB:0d20b9ba-ca37-488f-a6c0-26f393963f2e-4" data-turn-id-container="request-WEB:0d20b9ba-ca37-488f-a6c0-26f393963f2e-4" data-testid="conversation-turn-10" data-scroll-anchor="false" data-turn="assistant"> Opportunity At Pulse Doctors , we are delighted to be supporting a hospital in Norfolk to recruit a Consultant in Paediatric Otolaryngology into a substantive, full-time post (10 Programmed Activities / sessions per week). This is an exciting opportunity to join a dynamic ENT department providing high-quality specialist care for paediatric otolaryngology patients across the region. The successful applicant will work within a collaborative multidisciplinary team and contribute to the delivery, development, and expansion of paediatric ENT services. The role offers a well-balanced job plan including dedicated Supporting Professional Activities (SPA), opportunities for service development, teaching, and clinical leadership, alongside participation in the ENT on-call rota where applicable. Key Responsibilities Provide consultant-level specialist care in paediatric otolaryngology . Deliver outpatient clinics, theatre sessions, and inpatient care for paediatric ENT patients. Perform a range of paediatric ENT procedures in line with specialist expertise. Participate in multidisciplinary team (MDT) meetings and contribute to shared decision-making. Support the development and delivery of paediatric ENT pathways and services. Participate in the ENT on-call rota (if required by the Trust job plan). Supervise, train, and support junior doctors and multidisciplinary team members. Engage in clinical governance, audit, and quality improvement initiatives. Contribute to teaching, training, and educational programmes within the department. Undertake

recruitment
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PH
3mo ago

Job Title: Locum Speech and Language Therapist – Adult Acute Banding: Band 6/7 Location: Central London Start Date: ASAP Rate: £24.00–£32.00 per hour Working Hours: Full-time or Part-time Contract Duration: 3 months Job Overview We are currently seeking a dedicated and experienced Speech and Language Therapist (SALT) to join a busy Adult Acute service in Central London on a locum basis. This is an excellent opportunity for a Band 6 or Band 7 clinician looking to work within a supportive multidisciplinary team, providing high-quality assessment and intervention for adult inpatients with a range of communication and swallowing disorders. The successful candidate will play a key role in delivering evidence-based care across inpatient acute services, supporting patients to achieve the best possible clinical outcomes while working collaboratively with healthcare professionals. Key Responsibilities In this role, you will: Assess, diagnose, and manage adults presenting with communication and swallowing difficulties within an acute inpatient setting. Deliver evidence-based interventions for patients with a variety of neurological, respiratory, medical, and surgical conditions. Work collaboratively within a multidisciplinary team to provide person-centred care and contribute to discharge planning. Maintain accurate, timely, and comprehensive clinical records in line with HCPC and local service standards. Participate in multidisciplinary meetings, case discussions, and service development where appropriate. Provide advice and education to patients, families, carers, and healthcare colleagues. Qualifications and Experience To be considered for this role, you must have: A recognised degree in Speech and Language Therapy (or equivalent). HCPC registration and membership (or eligibility for membership) with the Royal College of Speech and Language Therapists (RCSLT). Previous experience working within an adult acute inpatient setting. Experience managing dysphagia and communicati

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Job Title: Specialty Doctor in Adult Forensic Psychiatry Grade: Specialty Doctor Location: Bedfordshire Working Hours: 37.5 hours per week Rate: Competitive, to be discussed upon application We are seeking a dedicated Locum Specialty Doctor to join our dynamic Forensic Unit in the county of Bedfordshire for a full-time position lasting a minimum of two months. This is an excellent opportunity to work within a multidisciplinary team, providing high-quality psychiatric care to patients in secure settings. The successful candidate will play a key role in assessment, treatment planning, and risk management, contributing to the unit’s commitment to rehabilitation and recovery. Applicants must hold full GMC registration and have relevant experience in forensic or general adult psychiatry. Immediate start preferred along with previous experience in a forensic setting. Qualifications and Experience: • GMC registration (essential) • Section 12 approval (Desirable) • 3+ Years experience working in a psychiatry position • Excellent communication and teamwork skills

Job Title: Locum Band 6 Paediatric Dietitian Location: South London Start Date: ASAP Duration: 3 months Hourly Rate: £25 - £27 Working Hours: Full-time Job Overview Pulse is currently seeking a skilled and compassionate Band 6 Paediatric Dietitian to join the team with our client in South London. This is an excellent opportunity to work within a supportive clinical setting, managing a diverse and rewarding paediatric caseload. You will play a key role in delivering high-quality dietetic care to children and families, working with a varied caseload including neonates, premature babies, and patients with complex nutritional needs. This role offers the opportunity to expand your expertise across multiple specialist areas while working as part of a multidisciplinary team. Key Responsibilities Manage a varied paediatric caseload including neonates and premature infants. Provide nutritional support for Home Enteral Feeding (HEF) patients, including babies and children. Support patients with coeliac disease and faltering growth. Deliver high-quality clinical assessments and tailored nutritional interventions. Work collaboratively with families, carers, and multidisciplinary teams. Maintain accurate clinical records in line with professional standards. Qualifications and Experience Be registered with the Health and Care Professions Council (HCPC). Have experience working as a paediatric dietitian at Band 6 level or equivalent. Demonstrate strong clinical knowledge across paediatric and neonatal nutrition. Experience with Home Enteral Feeding is essential. Familiarity with Cerner or EMIS systems would be advantageous but is not essential. Possess excellent communication and organisational skills. Why Choose Pulse? From the moment you register with Pulse, our focus is entirely on you. Our specialist recruitment consultants understand your profession and are committed to finding the right opportunities to match your skills and aspirations. With excl

recruitment
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Locum Consultant Medical Oncologist – HPB & Breast We are currently seeking an experienced Locum Consultant Medical Oncologist to join a leading NHS Trust for an initial 3-month assignment , with an immediate start available . This is an excellent opportunity for a highly skilled consultant with substantial experience managing both HPB and Breast malignancies within an NHS setting. Essential Requirements Full GMC registration with a licence to practise. Extensive NHS experience at Consultant level in Medical Oncology. Proven expertise in managing HPB and Breast cancer pathways . Ability to independently lead outpatient clinics, systemic anti-cancer therapy (SACT) services, MDT participation, and inpatient oncology care. Strong multidisciplinary working experience within established cancer services. Key Responsibilities Deliver high-quality consultant-led Medical Oncology services. Manage patients with HPB and Breast cancers across outpatient and inpatient settings. Participate in and contribute to relevant MDT meetings. Develop and oversee treatment plans, including systemic therapies. Provide clinical leadership and support to the wider oncology team. Contract Details Start Date: ASAP Duration: Initial 3 months (extension potential available) Hours: Full-time preferred Rate: Negotiable based on experience and availability Why Apply? Immediate start opportunity. Competitive and negotiable rates. Supportive NHS oncology department. Potential for contract extension. Dedicated recruitment and compliance support throughout the placement. Contact Cillean Guihen for further details regarding role For further information or to express interest, please submit your CV along with your availability and GMC details for immediate consideration.

recruitment
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