Clinical Support Representative in United States

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 Summary The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. This role involves conducting comprehensive assessments to evaluate members’ needs and addressing SDoH challenges by connecting them with appropriate resources and support services. The Social Worker provides education and guidance to members and their families on managing chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes. Accurate and timely documentation of assessments and interventions is essential, as is participation in team meetings to discuss member status and care strategies. Key Responsibilities 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care. Compiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member’s identified needs. Provides evidence-based disease manag

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: Working on the Oncology Sales team, the Sr. Regional Oncology Specialist (Sr. ROS) will develop and implement a plan to maximize the utilization of Abbott Cancer Diagnostics products in targeted accounts, while staying within budget, and support the corporate objectives and highlight the delivery of key selling messages. Products may include OncoExTra, OncoDetect (MRD) and RiskGuard (Hereditary Cancer Testing). The Sr. ROS should incorporate a high level of service toward being the best-in-class for an assay provider. The Sr. ROS’s plans are used to solve challenging problems in a dynamic environment. The plans should emphasize developing customer relationships as well as leveraging strong clinical and scientific expertise, key stakeholder insight, and selling approach in highly competitive and complex market. To do this plan, the Lead ROS must have, or be able to quickly develop, a clear understanding of key territory-related clinical/political issues. The Sr. ROS will devote whatever time is necessary to complete objectives outlined in the sales plan. The Sr. ROS provides information critical to accomplishing our mission to all parties involved in the sales of products. The Sr. ROS will provide direct feedback to individuals so they can make accurate decisions at all levels of the company, such as national, regional, and area teams. The Sr. ROS will work with managed care, reimbursement, patients, to include patient support groups, Abbott Cancer Diagnostics advocacy group, and providers to

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This position is responsible for performing utilization management (UM) reviews and authorization activities for post-acute services, including Skilled Nursing Facilities (SNF), Inpatient Rehabilitation Facilities (IRF), Long-Term Acute Care Hospitals (LTACH), Home Health, and other post-acute levels of care. The UM Nurse Consultant evaluates medical necessity and appropriateness of services utilizing clinical criteria, applicable policies, and regulatory requirements to support quality, cost-effective care. The UM Nurse Consultant collaborates with providers, care managers, medical directors, and interdisciplinary teams to facilitate timely care transitions, ensure member needs are met, and support organizational goals. This role requires independent clinical judgment, strong critical thinking skills, and the ability to manage multiple priorities in a fast-paced environment. Required Qualifications Active, unrestricted Registered Nurse (RN) license in the state of residence. Ability to obtain and maintain additional state licensure as required by business needs. 3+ years of clinical nursing experience. 1+ years of utilization management, case management, discharge planning, managed care, or post-acute care experience. Experience reviewing medical records and applying evidence-based

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As the Senior Lead Coordinator you will be responsible for implementing and maintaining comprehensive billing review processes. You will identify and quantify trends/issues and effectively communicate/report them to the appropriate members of the management team and payer business partners along with the potential impact. You will assist leadership in building and maintaining a high performing highly engaged team. In this role you will also provide excellent mentorship and support to your colleagues as well as design and implement training classes. The key responsibilities of the Medical Revenue Cycle Senior Lead Coordinator are: Review and analyze patient profiles, benefits, and prior authorizations to identify potential issues affecting clean claims. Collaborate with clinical and administrative teams to ensure accurate documentation is maintained and available for claims processing. Monitor claims submissions and follow up on pending claims to expedite resolution and payment. Identify trends in claims denials and develop strategies for improvement. Conduct training sessions for staff on best practices for claims submissions and compliance. Maintain up-to-date knowledge of insurance policies, regulations, and healthcare trends that impact claims

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. As we transition to an independent, standalone organization, we are building and strengthening internal capabilities to support our approximately 6,000 colleagues and multi-state operations. The Omnicare Air Support team provides 24/7 pharmacy support to long-term care dispensing pharmacies nationwide. As an Air Support Pharmacist, you will play an important role in helping ensure medication orders are reviewed accurately, clinically appropriately, and in a timely manner to support safe and efficient delivery to customers. We are seeking a pharmacist who demonstrates strong clinical judgment, attention to detail, and the ability to work effectively in a fast-paced environment. Success in this role requires a commitment to quality, service, compliance, and collaboration. Primary Responsibilities Verify medication orders entered by technician staff for accuracy, completeness, and clinical appropriateness Review new and refill orders to ensure safe and appropriate medication therapy Identify and address drug-drug, drug-disease, drug-food, and allergy-related concerns Document pharmacist interventions and related actions

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As the largest retail health care provider in the nation, and an industry leading Fortune top 10 Company, MinuteClinic offers the unique opportunity to deliver affordable, accessible comprehensive high-quality care that meets the needs of our patients, their families, and our communities. You’ll be empowered to provide holistic patient care to your community with support, guidance, collaboration and a “one store, one team mindset.” Minute Clinic has also been awarded the American Nurses Credentialing Center (ANCC) Pathway to Excellence premier designation for healthy work environments which recognizes health care organizations that demonstrate a commitment to establishing the foundation of a healthy workplace for staff. This includes a focus on Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development. Our Providers Enjoy: Autonomy to run your own practice with refreshing collaborator and organizational support Flexibility with scheduling Work life balance Exceptional tools, training, and resources Evidence-based guidelines and access to assessment and treatment planning tools to elevate and support the continuity of care for patients Practicing at the top of your clinical license with the support of our clinical care team Unparalleled Career growth opportunities and developm

Nurse Practitioner Company: The Boeing Company The Boeing Company’s Health Services organization is currently seeking a Nurse Practitioner to join their team in Everett, WA . The Nurse Practitioner will work in collaboration with others and partner with community health care providers, and suppliers such as Workers' Compensation Administrators to deliver services to employees, managers, and company organizations to determine how to increase the safety and well-being of Boeing employees. This position may require travel on a rare occasion to other Boeing sites in the Puget Sound area. Position Responsibilities: Provide medical services and / or medical consultation within the scope of an Advanced Registered Nurse Practitioner (ARNP) license in collaboration with company physicians and in support of company requirements Deliver services to employees, managers, and company organizations, and works with community health care providers, and suppliers such as workers' compensation administrators Provide clinical evaluation and urgent care assessment, treatment and/or referral for occupational and non-occupational medical conditions Determine fitness for duty, functional capacity, and medical restrictions for employees in relation to job demands, and provides assessment and consultation on accommodation and placement issues Perform health surveillance examinations and determines medical qualification for the occupational health examination program and international assignments Basic Qualifications (Required Skills/Experience): Must be licensed as an Advanced Registered Nurse Practitioner (ARNP) in the State of Washington or eligible

About the team OpenAI's mission is to build safe artificial general intelligence (AGI) which benefits all of humanity. This long-term undertaking brings the world's best scientists, engineers, and business professionals into one lab together to accomplish this. In pursuit of this mission, our Go To Market (GTM) team helps customers understand, adopt, and deploy OpenAI's technology across their most important workflows. The team is made up of Sales, Solutions, Support, Marketing, and Partnerships professionals who work together to bring AI to as many people and organizations as possible. About the role As an Account Director focused on Life Sciences, you will own executive-level relationships with organizations across biopharma, medical technology, and life science services. This includes pharmaceutical and biotechnology companies, medical device and diagnostics companies, contract research organizations, contract development and manufacturing organizations, research tools companies, and laboratory or scientific services providers. This is a role for someone who understands how life sciences companies create, validate, manufacture, commercialize, and support scientific and medical products. You will help these customers evaluate and deploy OpenAI's technology to accelerate R&D, improve clinical and regulatory workflows, scale scientific and medical content operations, modernize commercial and field teams, and improve knowledge work across highly regulated environments. The role blends scientific literacy, enterprise sales discipline, technical curiosity, and relationship-driven account leadership. You will partner closely with solutions, research, product, legal, security, and compliance teams to design secure, responsible, and high-impact AI deployments for life sciences customers. This role can be remote but New York or San Francisco office locations are preferred. We use a hybrid work model of three days in the office per week and offer relocation assistance t

About the team OpenAI’s mission is to build safe artificial general intelligence (AGI) which benefits all of humanity. This long-term undertaking brings the world’s best scientists, engineers, and business professionals into one lab together to accomplish this. In pursuit of this mission, our Go To Market (GTM) team is responsible for helping customers learn how to leverage and deploy our highly capable AI products across their business. The team is made of Sales, Solutions, Support, Marketing, and Partnership professionals that work together to create valuable solutions that will help bring AI to as many users as possible. About the role As an Account Director focused on Healthcare, you will own executive-level relationships with leading healthcare organizations, including integrated delivery networks (IDNs), health systems, academic medical centers, health insurers, digital health companies, and healthcare technology providers. You’ll help these organizations safely and effectively deploy OpenAI’s technology to improve clinical and administrative workflows, enhance patient and provider experiences, automate operational processes, and accelerate enterprise-wide AI adoption. This role blends enterprise sales expertise, technical depth, business acumen, and relationship-driven selling. You will collaborate closely with researchers, engineers, and healthcare-focused solution strategists to design secure, compliant, and high-impact AI deployments. This role is based in San Francisco. We use a hybrid work model of three days in the office per week and offer relocation assistance to new employees. In this role, you’ll: Manage a focused portfolio of large healthcare provider, payer, and healthcare technology accounts, developing long-term strategic account plans. Lead complex, multi-stakeholder sales cycles spanning clinical, operational, IT, digital transformation, and executive leadership teams. Partner with Solutions and Research Engineering to design pilots that demon

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: Ready to take your Medical Director career to the next level with a Fortune 6 company? Join Aetna, a CVS Health company, and make a meaningful impact on the health and well-being of Medicaid members across the country. Aetna operates Medicaid managed care plans in Arizona, Florida, Illinois, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Texas, Virginia, and West Virginia. We are seeking a Medical Director to join our centralized Medical Management team. This work-from-home position will primarily support Aetna Better Health of Louisiana , while also providing support across the other health plans as needed. In this role, you will partner with Medical Management staff to ensure timely, consistent, and clinically sound decisions for members and providers. Key responsibilities include: Utilization Management and medical necessity reviews Prior authorization and precertification determinations Concurrent review for inpatient and outpatient services Acute and post-acute care reviews Peer-to-peer consultations with treating providers Pharmacy reviews and first-level appeal determinations Collaboration with multidisciplinary clinical and operational teams The Medical Director also participates in a rotating on-c

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary It’s an exciting time for our Medical Economics team at CVS Health. As a growing team in a Fortune 5 company, we can provide amazing benefits to our employees along with continuous career development. This includes flexible work location, a great work-life balance, and a competitive salary. You will also be able to flex your analytics and consultative skills to positively impact our patients’ health. As a Medical Economics Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will be responsible for consulting with network and clinical management on opportunities to improve our company’s discount position and strategic cost and utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare analytic exhibits and manage both long and short-term projects, working collaboratively with local market leaders to accomplish tasks and goals that will improve the care we give our patients. Possible remote opportunity. You will also: • Analyze and research utilization and unit cost medical costs drivers. • Turn data into usable information by telling the story through data visualization. • Support the development of scoreable action items by identifying outlier cost issues. • Perform

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: Medical Assistant Company: Oak Street Health Location: 222-19 Linden Blvd Jamaica, NY 11411 Role Description: The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Medical Assistants (MA) report to the Practice Manager or Center Operations Specialist. They are a vital element of our model and important members of our Care Teams. Being an MA at Oak Street Health requires high levels of flexibility, energy, attention to detail, and problem solving skills. You will be expected to build relationships with Oak Street Health members. Medical Assistants will collaborate closely with their teammates to ensure an unmatched patient experience while driving clinical results. As an MA you will accomplish this by assisting in the assessment of patients’ health conditions, through screenings and routine diagnostic testing performed during appointments. Responsibilities: Ensure an efficient patient flow; room patients in a timely manner, complete vital signs, complete required screenings and complete medication reviews Inventory supplies and stock exam rooms Respond to patient requests for telephonic support (Lab results, faxing

Work Flexibility: Field-based As an Endoscopy OnSite Specialist, you’ll play a critical role in supporting surgical teams by managing the transportation, reprocessing and high‑level disinfection (HLD) of flexible endoscopes and TEE probes in alignment with hospital policy and ANSI/AAMI standards, helping ensure equipment, processes and workflows run smoothly to drive exceptional patient care. *Love having your mornings free? This role offers a consistent Monday-Friday schedule from 2:00 PM to 10:30 PM, giving you time during the day for appointments, errands, family time, or whatever matters most to you. Plus, you'll earn an additional $1/hour shift premium. What You Will Do Transport flexible scopes and probes safely between procedural areas and reprocessing sites, take the lead on leak testing, manual cleaning and automated or manual HLD, and ensure every processed scope and probe is promptly returned to its designated storage location to keep teams moving and patient care flowing. Maintain communication with clinical departments regarding instrument availability. Validate and document all HLD cycles and labeling while maintaining accurate, detailed records, including procedure information, equipment usage, monthly performance metrics, and account updates, to ensure compliance and continuity of service. Stay current through ongoing training, maintaining a strong working knowledge of Stryker equipment, disposable products, and new technologies while educating clinical staff on product use. Follow all safety, facility, and privacy standards, including patient confidentiality requirements, while maintaining a professional appearance, work ethic, and customer‑focused mindset. Provide flexible coverage, including rotating schedules, on‑call, overnight and weekend shifts, and support for other accounts within

We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life The Acute Care & Monitoring (ACM) business develops technologies that help clinicians monitor, assess, and manage patients across the continuum of care. This role supports ACM’s airway management portfolio, a product area focused on technologies used in acute care environments including operating rooms, intensive care units, and emergency departments. The engineering team partners across software, hardware, mechanical, systems, clinical, and quality functions to develop and sustain medical technologies that improve patient care and clinician workflows. This position is based in Lafayette, Colorado and is an onsite role. Limited travel may be required to support collaboration, testing activities, and business needs. As an Embedded Software Engineer II, you will develop embedded software solutions for medical devices used in airway management applications. This role combines software design, embedded systems development, hardware integration, testing, and technical documentation to support new product development and lifecycle engineering activities. You will collaborate with cross-functional teams to develop reliable software that meets product, quality, and regulatory requirements. Primary Responsibilities <li

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