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Clinical analyst • newark nj

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Clinical Pharmacist

Careers Integrated Resources IncNewark, NJ, United States
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Job Title: Clinical Pharmacist.Job Duration: 6 Months (possibility of extension).This position serves as internal and outward-facing, dedicated clinical resource responsible for quality measures su...[internal_linking.show_more]

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Clinical Assistant

RWJBarnabas HealthLivingston, NJ, United States
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Cooperman Barnabas Medical Center.South Orange Avenue, Livingston, NJ 07039.Location: Ambulatory Care Center.Department Name: ACC - Physical Therapy.The above reflects the anticipated hourly wage r...[internal_linking.show_more]

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Clinical Supervisor

The Jewish BoardNew York, NY, United States
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The Jewish Boards licensed outpatient mental health Counseling Centers located throughout NYC provides services to all New Yorkers and age groups from young children to adolescents and adults.The c...[internal_linking.show_more]

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Clinical Psychologist

SENIOR CARE THERAPYEast Orange, New Jersey, United States, 07017
[job_card.full_time] +1
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Are you passionate about working with an underserved and rewarding population? Looking for a clinical role without the administrative burden, and one that offers real work-life balance? If so, read...[internal_linking.show_more]

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Remote Clinical Review Pharmacy Analyst | Audits & Billing

Strategic Staffing SolutionsNew York, NY, United States
[job_card.temporary]

A healthcare staffing firm is seeking a Clinical Review Pharmacy Analyst to conduct post-service audits and ensure billing accuracy.The role requires remote work within specific states, and the ide...[internal_linking.show_more]

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Clinical Manager

WPS Health SolutionsNewark, NJ, United States
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This includes developing Centers for Medicare & Medicaid Services (CMS) reports as well as managing activities to ensure accurate rendering of claim decisions.They collaborate with other business a...[internal_linking.show_more]

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Clinical Psychologist

Achieve BeyondNew York, NY, United States
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Department: Early Intervention.Clinical Psychologist-NYC, NY Job-Achieve Beyond.Description: Apply to Achieve Beyond as a Clinical Psychologist in NYC, NY and help children with special needs reach...[internal_linking.show_more]

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Senior Analyst - Clinical Integration and Network Development- New York, NY

NewYork-Presbyterian HospitalNew York, NY, United States
[job_card.full_time]

Day (United States of America).NYP is seeking an experienced Senior Analyst in Physician Services to join a world class academic health system.The Senior Analyst will be part of a team of healthcar...[internal_linking.show_more]

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Clinical Counselor

Odyssey HouseNew York, NY, United States
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Bronx Outpatient Program/ 822 - 953 Southern Blvd.Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with sub...[internal_linking.show_more]

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Clinical Supervisor

Fedcap Rehabilitation ServicesNew York, NY, United States
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The Clinical Supervisor works closely with Clinical Services Department staff and is responsible for managing the overall process, successful implementation and ongoing operation of all Clinical Se...[internal_linking.show_more]

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Clinical Psychologist

Senior Care TherapyWood-Ridge, NJ, United States
[job_card.full_time] +1

Are you passionate about working with an underserved and rewarding population? Looking for a clinical role without the administrative burden, and one that offers real work-life balance? If so, read...[internal_linking.show_more]

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CLINICAL COORDINATOR

Hamilton-Madison House IncNew York, NY, United States
[job_card.full_time]

The Clinical Coordinator will be a key contact for patients entering HMH's behavioral health programs, managing the pre-admission and admission process.This is a key new leadership role involving c...[internal_linking.show_more]

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Clinical Analyst

MomentumrsNew York City, NY
[job_card.temporary]

Principal Duties and Responsibilities.Senior Epic Certified Analyst must have previous Epic implementation and support experience for a 6‐month contract.Epic Certification must be current or within...[internal_linking.show_more]

Clinical Business Analyst

Network Temp IncNew York, NY, United States
[job_card.full_time]

The Business Analyst will serve as a key member of the CHS IT Department, responsible for managing critical business processes, supporting end-users, ensuring high-quality application performance, ...[internal_linking.show_more]

Clinical Assistant

Essen Medical AssociatesNew York, NY, United States
[job_card.full_time]

At Essen Health Care, we care for that!.As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the m...[internal_linking.show_more]

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Clinical Director

Project RenewalNew York, NY, United States
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Fort Washington Men’s Shelter is a 200 bed 24/7 emergency shelter for homeless men diagnosed with mental illness and/or substance use disorders.Our comprehensive services include case management, i...[internal_linking.show_more]

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Clinical Specialist

CosignMedNew York, NY, United States
[job_card.full_time]

Clinical Specialist New York, NY.The PRN/1099 Clinical Specialist is a focused individual who has a passion for patient care and physician and staff education.This person will proctor cases to exce...[internal_linking.show_more]

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Clinical Psychologist

SENIOR CARE THERAPY CareersNew York, NY, United States
[job_card.full_time] +1

Are you passionate about working with an underserved and rewarding population? Looking for a clinical role without the administrative burden, and one that offers real work-life balance? If so, read...[internal_linking.show_more]

 • [job_card.promoted]

Clinical Educator

Schwarzman Animal Medical CenterNew York, NY, United States
[job_card.full_time]

The Clinical educator is part of the clinical education team with a primary focus on training LVTs in all departments.The clinical educator will focus on mentorship, curriculum development, lecturi...[internal_linking.show_more]

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Clinical Pharmacist

Clinical Pharmacist

Careers Integrated Resources IncNewark, NJ, United States
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  • [job_card.full_time]
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Job Title: Clinical Pharmacist
Job Location: Newark, NJ
Job Duration: 6 Months (possibility of extension)
Payrate: $35 - $40/ hr. on W2

Job Summary:

  • This position serves as internal and outward-facing, dedicated clinical resource responsible for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expectations, and developing and managing initiatives to achieve 5 stars.
  • The position has oversight responsibilities driven by metrics to manage vendors, retail pharmacy , prime, Client and health systems to deliver outcomes as outlined in different programs as well as reporting to internal stake holders.
Major Responsibilities (4 to 8 in total):
  • The information above is intended to describe the general nature of the work being performed by each incumbent assigned to this position. This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.
  • Clinical pharmacist will be responsible for managing outreach efforts and pull-through for Star/HEDIS clinical programs. Coordinate between the pharmacy department, health systems, and Client. Clinical pharmacist will be responsible for driving results to obtain 5-Stars for Medicare Part D Star clinical programs including Adherence (DM, RAS, Statins), SUPD, and CMRs for MTM.
  • Oversee the daily clinical activities related to Star/HEDIS measure goals for various health systems. Ensure clinical goals and objectives are met.
  • Identify problems related to Star/HEDIS measures that require a clinical solution, implement and monitor clinical pharmacy solutions in support of Client's Star/HEDIS goals to save money and improve care. Major responsibility is to serve as clinical liaison between Client pharmacy department and health systems, assisting with managing overall relationship and driving adoption of recommended clinical solutions.
  • Develop, review and monitor clinical programs, therapeutic initiatives, pathways of care and other drug use policies and practices in support of Star/HEDIS initiatives. Works closely with the pharmacy department managers, vendors, and health systems to ensure execution of programs.
  • Maintain continuity among health systems by communicating and documenting program design and execution in accordance with pharmacy department expectations. Track, analyze and report on patient interventions, interactions and findings of disease management activities..
  • With support of the Client data team, develop and track the appropriate metrics to monitor the quality, care, and cost impact of the Star/HEDIS program and monitor overall healthcare trends within the Medicare populations.
  • Conduct member, provider, and pharmacy outreach/interventions and Comprehensive Medication Reviews as needed to achieve Stars goals.
  • The position requires communication across all departments; an understanding of the strategic impact of the programs; and extensive knowledge of how the Star/HEDIS programs integrate with other clinical initiatives.
  • Understand the financial impact of all clinical recommendations: Programs must address the impact on customers, operations, program integrity, pricing, quality and satisfaction.
Education/Experience:
  • BA/BS in Pharmacy or PharmD.
  • Field(s) of study: Pharmacy.
Experience:
  • 2-5years.
Experience:
  • Health plan or Medicare clinical customer service or Retail management position .
  • Project management experience and knowledge of health plans or Medicare industry. CMS Star/HEDIS measure quality improvement metrics.
Industry:
  • Healthcare; preferably with retail or health insurance provider.
Additional licensing, certifications, registrations:
  • A current Pharmacist license in the state of New Jersey.
Knowledge:
  • CMS Star/HEDIS measures.
Skills and Abilities:
  • Able to receive assignments in the form of high level objectives and independently establish detailed goals to meet objectives.
  • Strong interpersonal skills.
  • Excellent oral and written communication skills.
  • Ability to function independently and as a team member.
  • Good organization and time management, with the ability to manage multiple tasks.
  • Proven ability to plan, organize, schedule, direct, control and monitor project activities.
  • Able to perform basic financial analysis.
  • Ability to interact at a high level with external contacts.
  • Develop reporting and tracking documents with visuals.
Computer Skills:
  • Microsoft Office Suite, access, excel, project management, power point.