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Working knowledge of claims processing, correspondence and CRM platforms and adjudication strategies Demonstrated Experience with claims testing/auditing/QA Extensive knowledge of health care provider audit methods and provider payment methods, clinical aspects of patient care, medical terminology, and medical record/billing documentation Proven ability to apply quantitative and/or qualitative research and data analysis techniques to improve operational processes.
$170,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Position Overview: The Director of Claims Quality has responsibility for the creation, delivery, and ongoing facilitation of a data and metrics-driven Claims Quality Assurance and Performance oversight program, which includes defining frameworks/benchmarks, calibration, and reporting of a program towards set benchmarks while promoting a continuous improvement culture.
$170,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ensure compliance with all regulatory requirements for animal, human issue, human data, clinical and computational research. Coordinate with grantees to present their data at 12 and 24 months at Neurology Grand Rounds / LFF Pilot Grant Research Day.
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Supports the development of complex clinical data through clinical trials, real world evidence generation and investigator studies. MD, DO, PharmD or PhD,) with Oncology, is required; with 10 or more years of medical affairs or clinical research experience within the pharmaceutical industry, or biomedical/clinical experience within academia (or a combination of aforementioned.
$350,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This ecosystem includes high-performance computing and data systems, Data Ark data commons, electronic health records in the Mount Sinai Data Warehouse, RED Cap and other clinical research databases, integration with other technology systems at Mount Sinai, and a software development infrastructure.
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Proficiency in clinical trial management systems (CTMS), electronic data capture (EDC), and research databases. Quality Assurance and Improvement: Implement and monitor quality assurance measures to ensure the integrity and validity of clinical research data.
$160,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Oversee protocol development, amendments, and clinical trial data review, ensuring trials meet ethical and regulatory standards. Experience in academic research or previous clinical practice in oncology is a plus.
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Communicate regularly with key stakeholders, including Regulatory Affairs, Biostatistics, Data Management, Clinical Supply, Clinical Research, Legal, and Finance. Track KPIs for assigned trials, including clinical reviews and data query resolution.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Clinical Support and Collaboration: Support OMH’s Hospital Care and Community Connections work to promote improved coordination of care and care transitions (including homeless, geriatric and rural issues), assist with OMH activities for the Medicaid Managed Care Program and other NYS regulated insurance programs and support mental health parity initiatives initiated by OMH. Support data driven implementation efforts led by the OMH Office of Population Health and Evaluation.
$261,361 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Leading medical monitoring team in review and interpretation of clinical data/medical protocol deviations in collaboration with Clinical Research and Pharmacovigilance. Clinical Scientist that will serve as a key role contributing to the scientific planning and collaborate with both Clinical Research, Pharmacovigilance and Clinical Operations in the execution of multiple global clinical trials.
ExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Outside of the Platform, the colleague will work with assigned franchise & asset leaders from R&D, Portfolio Management, CMAO, Medical Affairs Strategy, Biostatistics & Data Management, Global Regulatory Affairs, Clinical Pharmacology / Pharmacometrics, Market Access, Business Assessment & Development, Digital, Legal/Compliance, and others to achieve research and business objectives.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Leading medical monitoring team in review and interpretation of clinical data/medical protocol deviations in collaboration with Clinical Research and Pharmacovigilance, to effectively implement program development strategy.
$218,500 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Adept ability to Influence opinions and decisions of internal and external customers, across clinical development functional areas (e.g., Pharmacovigilance, Clinical Data Management, Clinical Research, Clinical Operations.
$218,500 a yearFull-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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The Director, TM, should have expertise in one or more of the TM areas early-stage clinical development, biomarker development, precision medicine, and disease biology research. Collaborates with cross functional teams (Biostatistics, Clinical Operations, Data Management, Regulatory, PK/ADME, Pharmacovigilance, Commercial) during design, execution, and reporting of early-stage clinical trials.
$264,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it.
$217,500 a yearFull-timeExpandApply NowActive JobUpdated 20 days ago
clinical research data jobs Title: director in Hoboken, NJ
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