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. Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation. - Reviews potential prior authorization denial language to ensure NCQA requirements are met. - Follows prior authorization workflow, policies, and procedures during the course of the workday. - Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or decisions. - Maintains a balance of productivity, quality and timeliness of work. - Participates in training and continuing education as required. - Participates in team/departmental meetings as required. - Excellent attendance is a must. - Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization decisions. - Successful pharmacy technicians will possess good written and verbal communication

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 - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation. - Reviews potential prior authorization denial language to ensure NCQA requirements are met. - Follows prior authorization workflow, policies, and procedures during the course of the workday. - Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or decisions. - Maintains a balance of productivity, quality and timeliness of work. - Participates in training and continuing education as required. - Participates in team/departmental meetings as required. - Excellent attendance is a must. - Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization decisions. - Successful pharmacy technicians will possess good written and verbal communication

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 - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation. - Reviews potential prior authorization denial language to ensure NCQA requirements are met. - Follows prior authorization workflow, policies, and procedures during the course of the workday. - Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or decisions. - Maintains a balance of productivity, quality and timeliness of work. - Participates in training and continuing education as required. - Participates in team/departmental meetings as required. - Excellent attendance is a must. - Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization decisions. - Successful pharmacy technicians will possess good written and verbal communication

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. Company: Oak Street Health Title: Medical Assistant Location: 2301 N 29th St Ste 500, Philadelphia, PA 19132 Role Description: At Oak Street Health, Medical Assistants (MAs) are essential Care Team members who report to the Practice Manager or Center Operations Specialist. Your primary role is to collect accurate patient data — through screenings, collecting vitals and diagnostic testing — to support informed clinical decision-making. Success in this role requires flexibility, attention to detail, and a commitment to building strong relationships with our patients. By collaborating closely with your team, you will drive clinical results while ensuring an unmatched patient experience. Check out this pamphlet for a sneak peek into the life of an Oak Street Medical Assistant! Responsibilities: Ensure an efficient patient flow: room patients in a timely manner, complete vital signs, complete required screenings and complete medication reviews Stock exam rooms and manage inventory of supplies. Respond to patien

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 - Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. - Promotes and supports quality effectiveness of healthcare and Pharmacy Services. - Evaluates, authorizes approval, and communicates decisions for pharmacy requests according to clinical guidelines. - Evaluates and authorizes approval of pharmacy requests received by telephone, facsimile, and/or other means using client clinical criteria. - Determines appropriateness for medications. Communicates decision to physicians, physician’s office staff, medical management staff, members, and/or pharmacists. - Will perform clinical research to support request. - Performs non-medical research including eligibility verification, COB, and benefits verification. - Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. - Process requests in compliance with various laws and CMS regulations and company policies and procedures. - May communicate with Aetna Case Managers, Health Plan Staff, External Pharmacies and Health Care Providers. - Promotes communication, both internally and externally, to enhance effectiveness of medication therapy management services. - Sedentary work involving significant periods of sitting, tal

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. Registered Nurse (RN) - Utilization Management Location: Remote (Preference for candidates in Central or Eastern Time Zones) Schedule: 24/7 operation; includes evenings, weekends, and holidays Are you an experienced Registered Nurse looking to leverage your clinical expertise in a collaborative, fast-paced environment? Join our Utilization Management team and play a critical role in ensuring members receive appropriate, high-quality healthcare services across the continuum of care. What You'll Do Review and assess clinical information to support coverage determinations and care recommendations. Apply clinical guidelines, policies, and professional judgment to utilization management decisions. Collaborate with providers and interdisciplinary teams to coordinate care and treatment plans. Identify opportunities for care management referrals and enhanced member support services. Promote quality outcomes, effective healthcare utilization, and member-centered care. Serve as a clinical resource for internal and external stakeholders. Required Qualifications Active, unrestricted RN license in your state of residence. 2+ years of RN experience in adult acute care or critical care settings. Associate Degree in Nursing (ADN). Strong communication, critica

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. Registered Nurse (RN) – Utilization Management Remote | Work from Home | Eastern Time Zone Preferred Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive the right care at the right time through evidence-based clinical review, care coordination, and healthcare advocacy. What You'll Do Review clinical information and apply established guidelines, policies, and clinical judgment to support coverage determinations Assess, coordinate, monitor, and evaluate healthcare services and benefits across the continuum of care Collaborate with providers and care teams to facilitate appropriate treatment and care planning Identify opportunities to improve quality of care, member outcomes, and healthcare utilization Connect members with additional programs and resources that support their healthcare needs Serve as a clinical resource for internal and external stakeholders WHAT YOU BRING - REQUIRED Active, unrestricted RN license in your state of residence 2+ years of adult acute care and/or critical care nursing experience Strong clinical assessment, critical thinking, and decision-making skills Excellent verbal and written communication skills Ability to multitask and

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. Registered Nurse (RN) – Utilization Management Remote | Work from Home | Eastern Time Zone Preferred Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive the right care at the right time through evidence-based clinical review, care coordination, and healthcare advocacy. What You'll Do Review clinical information and apply established guidelines, policies, and clinical judgment to support coverage determinations Assess, coordinate, monitor, and evaluate healthcare services and benefits across the continuum of care Collaborate with providers and care teams to facilitate appropriate treatment and care planning Identify opportunities to improve quality of care, member outcomes, and healthcare utilization Connect members with additional programs and resources that support their healthcare needs Serve as a clinical resource for internal and external stakeholders WHAT YOU BRING - REQUIRED Active, unrestricted RN license in your state of residence 2+ years of adult acute care and/or critical care nursing experience Strong clinical assessment, critical thinking, and decision-making skills Excellent verbal and written communication skills Ability to multitask and

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. FT Weekend Leesville Church Rd/surrounding Raleigh areas float. FTW is 30-35hrs/week including EVERY Sat and Sun. The float would cover a 50mi radius of clinics. 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 with support, guidance, collaboration, and a “one store, one team” mindset. MinuteClinic has been awarded the American Nurses Credentialing Center (ANCC) Pathway to Excellence® designation, recognizing organizations committed to healthy work environments through Transformational Leadership, Quality, Safety, Shared Governance, Well‑being, and Professional Development. Our Providers Enjoy: Autonomy to run your own practice with dedicated collaborator and organizational support Flexible scheduling Strong work–life balance Exceptional tools, training, and clinical resources Evidence‑based guidelines and access to assessment and treatment planning tools Ability to practice at the top of your clinical license with support from the clinical care team Significant car

Founded in 1849, Pfizer Inc. began as a small chemistry enterprise built on the belief that scientific ingenuity can improve—and protect—human life. Today, as one of the world’s leading biopharmaceutical companies, Pfizer’s purpose is Breakthroughs that change patients’ lives : discovering, developing, and delivering medicines and vaccines that address unmet need, earn trust through quality and integrity, and reach patients through strong partnerships across the healthcare system. In a complex and rapidly evolving pharmaceutical landscape, our work is measured by one outcome - helping patients live longer, healthier lives . Rare Disease Hemophilia Sales Organization Mission & Impact Pfizer’s Rare Disease – Hemophilia Sales organization exists to help improve the lives of people living with hemophilia by connecting scientific innovation to the clinicians and systems that deliver care. We lead with integrity and patient need—promoting Pfizer Hemophilia therapies compliantly, helping customers understand appropriate use, and reducing access and care coordination barriers so more patients can start and stay on the right therapy. Our impact is better, more consistent outcomes for patients and a higher standard of care across the hemophilia community. Patient impact in rare disease: Support appropriate diagnosis, referral to Hemophilia Treatment Centers (HTCs) where applicable, initiation, and persistence by engaging hematologists, HTC multidisciplinary teams, and allied care partners involved in bleeding disorder management. Disease education grounded in evidence: Reinforce evidence-based value narratives using approved materials to support informed clinical decision-making in hemophilia. Coordinated care pathways & access: Partner across the matrix and with HTCs, specialty pharmacies, payers, and ancillary sites to simplify starts, reimbursement navigation, and continuity

Founded in 1849, Pfizer Inc. began as a small chemistry enterprise built on the belief that scientific ingenuity can improve—and protect—human life. Today, as one of the world’s leading biopharmaceutical companies, Pfizer’s purpose is Breakthroughs that change patients’ lives : discovering, developing, and delivering medicines and vaccines that address unmet need, earn trust through quality and integrity, and reach patients through strong partnerships across the healthcare system. In a complex and rapidly evolving pharmaceutical landscape, our work is measured by one outcome - helping patients live longer, healthier lives . Rare Disease Hemophilia Sales Organization Mission & Impact Pfizer’s Rare Disease – Hemophilia Sales organization exists to help improve the lives of people living with hemophilia by connecting scientific innovation to the clinicians and systems that deliver care. We lead with integrity and patient need—promoting Pfizer Hemophilia therapies compliantly, helping customers understand appropriate use, and reducing access and care coordination barriers so more patients can start and stay on the right therapy. Our impact is better, more consistent outcomes for patients and a higher standard of care across the hemophilia community. Patient impact in rare disease: Support appropriate diagnosis, referral to Hemophilia Treatment Centers (HTCs) where applicable, initiation, and persistence by engaging hematologists, HTC multidisciplinary teams, and allied care partners involved in bleeding disorder management. Disease education grounded in evidence: Reinforce evidence-based value narratives using approved materials to support informed clinical decision-making in hemophilia. Coordinated care pathways & access: Partner across the matrix and with HTCs, specialty pharmacies, payers, and ancillary sites to simplify starts, reimbursement navigation, and continuity

Founded in 1849, Pfizer Inc. began as a small chemistry enterprise built on the belief that scientific ingenuity can improve—and protect—human life. Today, as one of the world’s leading biopharmaceutical companies, Pfizer’s purpose is Breakthroughs that change patients’ lives : discovering, developing, and delivering medicines and vaccines that address unmet need, earn trust through quality and integrity, and reach patients through strong partnerships across the healthcare system. In a complex and rapidly evolving pharmaceutical landscape, our work is measured by one outcome - helping patients live longer, healthier lives . Rare Disease Hemophilia Sales Organization Mission & Impact Pfizer’s Rare Disease – Hemophilia Sales organization exists to help improve the lives of people living with hemophilia by connecting scientific innovation to the clinicians and systems that deliver care. We lead with integrity and patient need—promoting Pfizer Hemophilia therapies compliantly, helping customers understand appropriate use, and reducing access and care coordination barriers so more patients can start and stay on the right therapy. Our impact is better, more consistent outcomes for patients and a higher standard of care across the hemophilia community. Patient impact in rare disease: Support appropriate diagnosis, referral to Hemophilia Treatment Centers (HTCs) where applicable, initiation, and persistence by engaging hematologists, HTC multidisciplinary teams, and allied care partners involved in bleeding disorder management. Disease education grounded in evidence: Reinforce evidence-based value narratives using approved materials to support informed clinical decision-making in hemophilia. Coordinated care pathways & access: Partner across the matrix and with HTCs, specialty pharmacies, payers, and ancillary sites to simplify starts, reimbursement navigation, and continuity

Sales Support, Clinical Specialist VeriSight ICE (Intracardiac Echo) - Denver CO — Denver, Colorado, United States. Apply via Workday.

Sales Support, Clinical Specialist – VeriSight 3D ICE (Intracardiac Echo) (Birmingham, AL) — Birmingham (US), Alabama, United States. Apply via Workday.

Job Title Sales Support, Clinical Specialist - Image-Guided Therapy Devices, Coronary (West Virginia) Job Description Sales Support, Clinical Specialist – Image-Guided Therapy Devices, Coronary (West Virginia) We are the industry leader in image-guided therapy, helping to improve treatment for every patient. Working together to realize this vision, we can save and improve lives and reduce the total cost of care by making therapy more efficient, more appropriate, and more personalized! Your role: Supports Territory Manager(s) and the Regional Sales Manager with sales activities that include procedure coverage, uncovering new opportunities for IGTD product penetration into assigned territory, and maintaining existing customers. Works independently to achieve business objectives and sales metrics set forth by the Philips IGTD division. Builds solid customer relations by interfacing directly with customers including hospital physicians, catheter laboratory, operating room personnel and business office staff, training/education, research, and supporting equipment and software. Interfaces with Marketing, R&D and other internal groups to quantify needs and to provide intelligence to management on competitive products and company product enhancements Provides ongoing support for company-sponsored clinical/marketing trials and registries You're the right fit if: You’ve acquired 3+ years direct experience in a hospital/medical setting Your skills include a license as a Cardiovascular Radiologic Technologist (CRT), Cardiovascular Technologist (CVT), or Registered Nurse (RN) or CVIS, RCIS You have a High School diploma required; Bachelor’s degree is a plus You must be able to successfully perform the fol