A company is looking for a Clinical Operations Specialist, Medical Stop Loss - Remote.
Key Responsibilities
Receive, track, analyze claims data and clinical information for medical underwriting and cost containment processes
Set up referral and review documents accurately using various platforms and systems
Generate reports for management to monitor department activity and performance
Required Qualifications
Bachelor's degree from an accredited college or university required
Employer Stop Loss Claims / notification experience preferred
Advanced PC skills including Excel, Word, and SharePoint / OneDrive
Experience with medical terminology and claim coding preferred
Ability to prioritize and manage workload effectively
Clinical Operations Specialist • Alexandria, Virginia, United States
A healthcare provider is seeking a Clinical Business Manager to oversee their Neuroscience Program, focusing on patient navigation and budgeting.Ideal candidates will have a Bachelor's in a healthc...Show more
Department: 106750 Clinical Development Location: San Diego, USA- Remote Be a part of a global team that is inspired to make a difference in the lives of people living with rare disease.At Travere ...Show more
Every year, one million businesses shut down, yet the process remains messy, expensive, and underserved.At SimpleClosure, our mission is to make business shutdowns seamless, compliant, and stress f...Show more
Provides supervision and oversight to SUD counseling staff to ensure clinical quality and compliance.Provide individual and group supervision.Review documentation for accuracy and compliance.Suppor...Show more
A health care services provider seeks a Senior Strategy Consultant to provide strategic direction for business opportunities.This role blends strategy development with execution, working across lea...Show more
Location: On-site Princeton, NJ.Should be able to travel to Rockville, MD.CRO with business analyst along with project management.Strong understanding/knowledge on clinical research and development...Show more
RN – Nurse Manager Location: Must reside in MST or PST (Remote) Schedule: Full-Time Pay Rate: $65,000 – $75,000/year Employment Type: Full-Time Overview Chronic Care Staffing is seeking a compassio...Show more
Benefits Health, dental, vision, life, disability insurance Retirement Benefits: 401(k) with company match Paid Time Off: 20 days of vacation per year, accruing at a rate of 6.Sick Time: 40 hours/y...Show more
A leading medical imaging company is seeking a Clinical Applications Specialist to provide clinical and technical expertise during sales for ultrasound systems in Northeast U.This role includes tra...Show more
A leading clinical research organization is looking for a Senior Clinical Trial Manager to oversee all operational aspects of clinical trials.This position involves managing service providers, ensu...Show more
We are looking to hire a dynamic RN Clinical Manager to join our awesome Clinical Management Team! RESPONSIBILITIES: Directs the coordination and delivery of home health services in regional office...Show more
A leading medical device manufacturer is seeking a Field Clinical Representative II in Washington, DC.You will provide expert clinical support for spinal cord stimulation procedures and deliver pat...Show more
At Smith+Neu we design and manufacture technology that takes the limits off living.Bring your clinical expertise into the operating room and make a real impact on patient outcomes.As a Tendon Seam ...Show more
Job Summary: The Senior Manager, Clinical Technical Operations within Clinical Operations is responsible for supporting the implementation, integration, and optimization of technical systems and pr...Show more
Overview The Clinical Documentation Specialist (CDS) facilitates the improvement in the overall quality and completeness of concurrent medical record documentation to help achieve accurate inpatien...Show more
HQ 3500 S Clark Street Arlington, VA 22202 USA.Lidl US is searching for the next Specialist to join our Sales Operations team! The Specialist Sales Operations supports and helps drive the developme...Show more
Avalon Health Care Management is now hiring a Case Manager of Utilization Management and Authorizations to join our team! Avalon Health Care Management is hiring an experienced Case Manager to join...Show more
A leading biotechnology firm in Washington, DC, is hiring a Senior Manager for Patient Voices in Thyroid Eye Disease.You'll play a key role in amplifying patient stories and ensuring their perspect...Show more
