NewPayer STARS/Quality Clinical Consultant, Senior Manager PricewaterhouseCoopers LLPPayer STARS/Quality Clinical Consultant, Senior ManagerPittsburgh, PA$124,000–$280,000 / yearp>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Payer STARS/Quality Clinical Consultant, Senior Manager, you will engage with clients in the health services sector, providing strategic guidance and operational consulting to enhance their clinical quality and performance metrics.
NewProvider Clinical Operations Consultant, Senior Associate PricewaterhouseCoopers LLPProvider Clinical Operations Consultant, Senior AssociatePittsburgh, PA$77,000–$202,000 / yearul>Preference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.
NewProvider Clinical Operations Consultant, Manager PricewaterhouseCoopers LLPProvider Clinical Operations Consultant, ManagerPittsburgh, PA$99,000–$232,000 / yearul>Preference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.
Clinical Market Development Consultant Medsurg Sales StaffingClinical Market Development ConsultantPittsburgh, PAQualifications:Must have extensive sales OR clinical background in the plastic surgeon, dermatologist or aesthetic surgeon markets. Rapidly growing laser body shaping company is seeking a Market Development Consultant.
CareLogic Clinical System Consultant enkompas Technology SolutionsCareLogic Clinical System ConsultantSewickley, PARemoteThis role collaborates with clinical, billing, compliance, and operational teams to improve workflows, enhance reporting capabilities, ensure regulatory compliance, and maximize system utilization across behavioral health organizations. A CareLogic Clinical System Consultant provides functional and technical expertise for the implementation, optimization, training, and support of the CareLogic electronic health record (EHR) platform.
Clinical Solutions Delivery Consultant-Pittsburgh, Rochester, or Hershey, Pennsylvania PhilipsClinical Solutions Delivery Consultant-Pittsburgh, Rochester, or Hershey, PennsylvaniaPA$90,000–$143,000 / yearli>You must be able to provide verification for current/active certification through the American Registry of Radiologic Technologists (ARRT) and must have an advanced certification in at least one of the following (or required to obtain within 12 months from beginning of employment): Cardiovascular Interventional Radiology (CV), Cardiac Interventional Radiology (CI), Vascular Interventional Radiology (VI), or Registered Cardiovascular Invasive Specialist (RCIS). The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
Medical Information - Clinical Portfolio Senior Consultant Deloitte Touche Tohmatsu LtdMedical Information - Clinical Portfolio Senior ConsultantPA$131,000–$198,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Behavior Consultant ABA ClarvidaBehavior Consultant ABAButler, Pennsylvaniadiv style="background-repeat:no-repeat;outline:none;font-family:'open sans' , 'helvetica';font-size:14px;font-weight:400;line-height:20px;margin:0pt;color:rgb( 51 , 51 , 51 );font-style:normal;letter-spacing:normal;text-indent:0px;text-transform:none;word-spacing:0px">What we offer: Full Time Employees: Paid vacation days that increase with tenure . Collaborating with clients (ages 2-21), their families, and other service providers, you will develop the Individualized Treatment Plan (ITP) focused on identifying and highlighting child, family, educational, social, and recreational strengths as well as opportunities for improvement through continued development and review of preference assessments, reinforcement, and other rehabilitative strategies and activities prescribed by a licensed psychologist or psychiatrist and in alignment with the ITP.
Hospice Care Consultant Family and Physician Liaison Heartland HospiceHospice Care Consultant Family and Physician LiaisonPittsburgh, Pennsylvaniap style="color:#000000;margin:0px;font-family:'roboto' , 'arial';font-size:13px;font-weight:400">Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Hospice Care Consultant Family and Physician Liaison Gentiva Health Services Inc (Inactive)Hospice Care Consultant Family and Physician LiaisonPittsburgh, PAReporting directly to the AVP of Business Development, you will focus on building strong relationships with physician practices, nurse practitioners, and their support teams to drive early and appropriate hospice referrals. Educate healthcare providers, patients, and families about hospice benefits, clinical outcomes, and care services through presentations, in-services, and one-on-one meetings.
Symbria Rx Services - Consultant Pharmacist - 32 Hours/week SymbriaSymbria Rx Services - Consultant Pharmacist - 32 Hours/weekSharpsburg, PATo perform this job successfully, the ability to perform each essential duty satisfactorily is necessary and the qualifications listed below are representative of the knowledge, skill, and/or ability required: Bachelors of Science degree in Pharmacy from NABP accredited College of Pharmacy or Pharm D degree. As one of the few 100% employee-owned healthcare providers, our focus remains on delivering best-in-class services within our Pharmacy, Rehabilitation and Well-Being operations, which allows our clients to improve the lives and well-being of their patients and residents.
Implementation Consultant tenavistaffingImplementation ConsultantPittsburgh, PAp>We are seeking a hands-on, operationally focused Go-Live Support Specialist with direct experience in dental practice management software to support multi-site dental organizations during Dental Practice Management System (DPMS) conversions. You will work directly with dental practices to stabilize operations, improve workflows, and drive user adoption during system transitions.
Behavior Consultant Individual ClarvidaBehavior Consultant IndividualGreensburg, Pennsylvaniap style="font-size:11pt;line-height:115%;margin:0pt 0pt 0pt 36pt;text-indent:-18pt"> Have a graduate degree in psychology, social work, education, or counseling, and either: One (1) year of full-time experience in mental health direct services with children/youth. See other opportunities: www.clarvida.com/working-at-clarvida.
Behavioral Consultant- ABA ClarvidaBehavioral Consultant- ABAGreensburg, PAPart timea>See other opportunities: www.clarvida.com/working-at-clarvida. Learn more: www.clarvida.com/mission-vision-and-values.
RN Clinical Education Specialist - Emergency, Allegheny General Highmark IncRN Clinical Education Specialist - Emergency, Allegheny GeneralPittsburgh, PAp>Responsible for assessing, planning, implementing and evaluating the educational activities for the assigned service, participating in meeting the educational needs for patient care service and maintains clinical expertise. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Pharmacy Benefit Consultant - Remote/Hybrid Highmark IncPharmacy Benefit Consultant - Remote/HybridPARemotep>Dynamic and results-oriented Pharmacy Benefit Consultant, serving as the client-facing expert, driving growth and retention of Highmark's self-funded clients while ensuring seamless delivery of exceptional pharmacy benefit solutions. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Mental Health Reviewing Consultant (Bid) MaximusMental Health Reviewing Consultant (Bid)Pittsburgh, PAFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.
Clinical Quality Coordinator Southwood Children's Behavioral HealthcareClinical Quality CoordinatorPittsburgh, Pennsylvaniali>Identifying key aspects of care relevant indicators and evaluation of data using formal and informal feedback from consumers of services and other collateral sources is aggregated and used to improve management strategies and service delivery practices. Through routine physical presence in patient care areas, data review and documentation monitoring, and intentional sharing of subject-matter expertise, the Clinical Quality Coordinator will ensure a proactive, multidisciplinary focus on quality and excellence within the facility.
Symbria Rx Services Consultant Pharmacist 32 Hours/week Symbria Rx Services LLCSymbria Rx Services Consultant Pharmacist 32 Hours/weekPAp>To perform this job successfully, the ability to perform each essential duty satisfactorily is necessary and the qualifications listed below are representative of the knowledge, skill, and/or ability required: Bachelors of Science degree in Pharmacy from NABP accredited College of Pharmacy or Pharm D degree. As one of the few 100% employee-owned healthcare providers, our focus remains on delivering best-in-class services within our Pharmacy, Rehabilitation and Well-Being operations, which allows our clients to improve the lives and well-being of their patients and residents.
Clinical Psychologist (In-person) MTC CareClinical Psychologist (In-person)Pittsburgh, PAOur clinical team includes trained psychiatry and psychology providers with a focus on tailored interventions to ensure quality of life for patients, a supportive environment that promotes mental well-being, interdisciplinary collaboration, and compliance with regulatory organizations. MTC Care is the industry leader in providing exceptional behavioral health services to patients residing in skilled nursing and assisted living communities.
Sales Development Consultant Omnicell IncSales Development ConsultantPittsburgh, PAResponsible for expanding current customer business by executing our sales processes and methodology including: business planning, consultative discovery, building a business case to gain executive support, develop deal strategy options, negotiating contracts, and closing sales opportunities that result in profitable business. Our comprehensive portfolio of robotics, smart devices, intelligent software, and expert services is helping healthcare facilities worldwide to improve business and clinical outcomes as they move closer to the industry vision of the Autonomous Pharmacy.
Human Resources Consultant - Physician Services University of Pittsburgh Medical CenterHuman Resources Consultant - Physician ServicesPittsburgh, PADaily job responsibilities may include supporting staff and managers with employee relations matters, handling employee investigations and corrective action, working on retention and engagement initiatives, and partnering with leaders to provide consultation on coaching and mentorship. Licensure, Certifications, and Clearances: PHR, SPHR certification, SHRM-CP, SHRM-SCP certification or UPMC HCI Strategic HR Business Partner Certification preferred.
Sales Consultant, Hospital Solutions (PA) Fresenius Medical Care AG & Co KGaASales Consultant, Hospital Solutions (PA)Pittsburgh, PA$105,000–$110,000 / yearWorks as the clinical/technical expert for Fresenius/NxStage products and therapy and is expected to be able to differentiate the various solutions, convey compelling value propositions, lead opportunities, develop and present solutions to expand products and therapy to a greater degree of market penetration and respond to customers clinical/technical questions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Oncology Portfolio Sales Consultant - Pittsburgh, PA Bayer AGOncology Portfolio Sales Consultant - Pittsburgh, PAPittsburgh, PA$146,426–$219,638 / yearThe Oncology Sales Consultant - Portfolio is responsible for driving clinical demand, education, and sales of Bayer Oncology Portfolio (currently NUBEQA, STIVARGA, VITRAKVI, and XOFIGO) as determined by market dynamics in the assigned geography, to healthcare professionals in both free-standing community clinics, treatment centers and hospitals/IDNs in the assigned geography. Prostate, CRC, Lung, GIST, Sarcoma, Niche Tumors or Rare Disease); Experience in pediatric and adult oncology settings; Background in Oncology or Precision Medicine; Experience selling products with companion diagnostics; Familiarity with diagnostics or genomic testing ; Understanding of buy-and-bill and oral oncology landscapes.
Institutional & Specialty Sales Consultant - Stroke/Thrombosis | Pittsburgh, PA South Bayer AGInstitutional & Specialty Sales Consultant - Stroke/Thrombosis | Pittsburgh, PA SouthPittsburgh, PA$124,320–$186,480 / yearp>As an Institutional & Specialty Pharmaceutical Sales Consultant, you will: Drive clinical demand, education, and sales by communicating the value of Asundexian in stroke prevention; Lead formulary access by navigating P&T committees and influencing protocol adoption across health systems; Build strategic relationships with priority institutions, including key stakeholders at the institutions (i.e., C and D Suite and Head of Pharmacy, Head of Quality), and neurologists; Develop territory business plans based on local market insights and collaborate with internal teams to support a successful launch; Demonstrate expertise and knowledge of disease state, the marketplace, competitors, industry, and cross-functional activities/plans, as well as possessing the analytical rigor to anticipate and identify business opportunities and challenges; Analyze competitive landscape and proactively identify opportunities and risks. Advanced degree (Life Sciences, Pharmacy, Business, or related field); Proven success in biotech, medical, or pharmaceutical sales in competitive environments, including experience launching new products and product indications; Deep understanding and significant experience working in stroke, anti-coagulation, neurology, and cardiovascular therapeutic areas; Experience selling in institutional and clinical settings, and navigating the P&T committee process; Experience in establishing and pulling-through in-patient to out-patient protocols.
Institutional & Specialty Sales Consultant - Stroke/Thrombosis | Erie, PA Bayer AGInstitutional & Specialty Sales Consultant - Stroke/Thrombosis | Erie, PAPA$124,320–$186,480 / yearp>As an Institutional & Specialty Pharmaceutical Sales Consultant, you will: Drive clinical demand, education, and sales by communicating the value of Asundexian in stroke prevention; Lead formulary access by navigating P&T committees and influencing protocol adoption across health systems; Build strategic relationships with priority institutions, including key stakeholders at the institutions (i.e., C and D Suite and Head of Pharmacy, Head of Quality), and neurologists; Develop territory business plans based on local market insights and collaborate with internal teams to support a successful launch; Demonstrate expertise and knowledge of disease state, the marketplace, competitors, industry, and cross-functional activities/plans, as well as possessing the analytical rigor to anticipate and identify business opportunities and challenges; Analyze competitive landscape and proactively identify opportunities and risks. Advanced degree (Life Sciences, Pharmacy, Business, or related field); Proven success in biotech, medical, or pharmaceutical sales in competitive environments, including experience launching new products and product indications; Deep understanding and significant experience working in stroke, anti-coagulation, neurology, and cardiovascular therapeutic areas; Experience selling in institutional and clinical settings, and navigating the P&T committee process; Experience in establishing and pulling-through in-patient to out-patient protocols.
Institutional & Specialty Sales Consultant - Stroke/Thrombosis | Youngstown, OH Bayer AGInstitutional & Specialty Sales Consultant - Stroke/Thrombosis | Youngstown, OHPittsburgh, PA$124,320–$186,480 / yearp>As an Institutional & Specialty Pharmaceutical Sales Consultant, you will: Drive clinical demand, education, and sales by communicating the value of Asundexian in stroke prevention; Lead formulary access by navigating P&T committees and influencing protocol adoption across health systems; Build strategic relationships with priority institutions, including key stakeholders at the institutions (i.e., C and D Suite and Head of Pharmacy, Head of Quality), and neurologists; Develop territory business plans based on local market insights and collaborate with internal teams to support a successful launch; Demonstrate expertise and knowledge of disease state, the marketplace, competitors, industry, and cross-functional activities/plans, as well as possessing the analytical rigor to anticipate and identify business opportunities and challenges; Analyze competitive landscape and proactively identify opportunities and risks. Advanced degree (Life Sciences, Pharmacy, Business, or related field); Proven success in biotech, medical, or pharmaceutical sales in competitive environments, including experience launching new products and product indications; Deep understanding and significant experience working in stroke, anti-coagulation, neurology, and cardiovascular therapeutic areas; Experience selling in institutional and clinical settings, and navigating the P&T committee process; Experience in establishing and pulling-through in-patient to out-patient protocols.
Clinical Quality Coordinator Acadia Healthcare Co IncClinical Quality CoordinatorPittsburgh, PAIdentifying key aspects of care relevant indicators and evaluation of data using formal and informal feedback from consumers of services and other collateral sources is aggregated and used to improve management strategies and service delivery practices. Through routine physical presence in patient care areas, data review and documentation monitoring, and intentional sharing of subject-matter expertise, the Clinical Quality Coordinator will ensure a proactive, multidisciplinary focus on quality and excellence within the facility.
Lead Reviewing Physician Consultant (Bid) MaximusLead Reviewing Physician Consultant (Bid)Pittsburgh, PAFull timeAfter completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Behavior Consultant (BC) / Board Certified Behavior Analyst (BCBA) Achieving True SelfBehavior Consultant (BC) / Board Certified Behavior Analyst (BCBA)Butler, Pennsylvaniali style="list-style-type:disc">Comprehensive Benefits: Medical coverage, dental and vision insurance options, ATS contribution to your premiums, Employee Assistance Program (EAP): Free, confidential access to mental health, financial health, wellness, legal services, and discounts (including pet insurance!). Achieving True Self is passionately cultivating and inspiring growth through the delivery of evidenced based treatment to assist individuals, families, organizations and their surrounding communities to achieve their self-defined goals.
Behavior Consultants (BC)/Board Certified Behavior Analyst (BCBA) Achieving True SelfBehavior Consultants (BC)/Board Certified Behavior Analyst (BCBA)Plum, Pennsylvaniali style="list-style-type:disc">Comprehensive Benefits: Medical coverage, dental and vision insurance options, ATS contribution to your premiums, Employee Assistance Program (EAP): Free, confidential access to mental health, financial health, wellness, legal services, and discounts (including pet insurance!). Achieving True Self is passionately cultivating and inspiring growth through the delivery of evidenced based treatment to assist individuals, families, organizations and their surrounding communities to achieve their self-defined goals.
NewEpic Certified Beacon Consultant 6304718 Accenture PlcEpic Certified Beacon Consultant 6304718Pittsburgh, PAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: The Epic Certified Beacon Consultant will bring experience with the Epic Beacon application, with a strong background in managing day-to-day operations, client stakeholder relationships, and complex oncology workflows.
Behavior Consultants (BC) / Board Certified Behavior Analyst (BCBA) Achieving True SelfBehavior Consultants (BC) / Board Certified Behavior Analyst (BCBA)Squirrel Hill, PAli style="list-style-type:disc">Comprehensive Benefits: Medical coverage, dental and vision insurance options, ATS contribution to your premiums, Employee Assistance Program (EAP): Free, confidential access to mental health, financial health, wellness, legal services, and discounts (including pet insurance!). Achieving True Self is passionately cultivating and inspiring growth through the delivery of evidenced based treatment to assist individuals, families, organizations and their surrounding communities to achieve their self-defined goals.
Qualifacts EHR Consultant enkompas Technology SolutionsQualifacts EHR ConsultantSewickley, PARemotediv align="center"> Revenue Cycle Management (RCM) Skills: Understanding of end-to-end revenue cycle workflows (intake charge capture claims payment posting A/R). The Qualifacts EHR Consultant will be accountable for multiple modules to provide consulting and project activity related to assigned areas, including both clinical and revenue cycle operations.
Hospice Care Consultant Heartland HospiceHospice Care ConsultantWexford, Pennsylvaniap style="color:#000000;margin:0px;font-family:'roboto' , 'arial';font-size:13px;font-weight:400">Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Hospice Care Consultant Gentiva Health Services Inc (Inactive)Hospice Care ConsultantIrwin, PAJoin our growing team as a Hospice Care Consultant (HCC) - a strategic sales representative who champions our mission while developing strong, lasting relationships with key referral partners in the healthcare community. Identify new referral opportunities by calling on hospitals, home health agencies, skilled nursing facilities, assisted living communities, clinics, and physician offices.
Infusion Managing Consultant Cencora IncInfusion Managing ConsultantPA$124,000–$190,850 / yearThis role is ideal for candidates with a strong background in the alternate site infusion market, a structured problem-solving mindset, strong communication skills, and strategic thinking who are ready to tackle complex challenges and deliver measurable value to clients. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
Netsmart Bells AI Consultant enkompas Technology SolutionsNetsmart Bells AI ConsultantSewickley, PARemoteThe Bells AI Consultant serves as a subject matter expert for Netsmart's Bells AI platform, supporting healthcare providers in implementing, optimizing, and utilizing AI-powered clinical documentation solutions. This role combines clinical knowledge, healthcare technology expertise, training, workflow analysis, and client relationship management to improve documentation quality, clinician efficiency, and patient outcomes.
Licensed Behavior Consultant MerakeyLicensed Behavior ConsultantMcMurray, PAWhen questions or conflict around behavioral paradigms arise in other systems, such as school, (e.g., a review of a behavior paradigm to help the child remain in school), the BC may participate as a consultant in a special child-centered, family focused meetings along with the therapist. Access to Care.com for backup childcare, elder care, and household services (for FFS employees working at least 170 hours per quarter).
Behavior Consultant MerakeyBehavior ConsultantGreensburg, PA$31–$40 / hourWhen questions or conflict around behavioral paradigms arise in other systems, such as school, (e.g., a review of a behavior paradigm to help the child remain in school), the Behavior Consultant may participate as a consultant in a special child-centered, family focused meetings along with the therapist. Access to Care.com for backup childcare, elder care, and household services (for FFS employees working at least 170 hours per quarter).
Clinical Professional Development Specialist Emergency Department & ICU University of Pittsburgh Medical CenterClinical Professional Development Specialist Emergency Department & ICUPittsburgh, PAYou will utilize research and evidence-based practice to support improvement in clinical care: identify research issues or articles related to clinical specialty or areas of interest as well as facilitate/mentor staff for projects/EBP/research activities and promote best practice dissemination (presentations, publications, etc. • Bachelor's degree required Master's degree preferred • Minimum of 2 years of clinical experience required • Relevant teaching experience preferred • Emergency Department and Intensive Care Unit area expertise preferred.
Clinical Appeals Coordinator University of Pittsburgh Medical CenterClinical Appeals CoordinatorPittsburgh, PAli>Work closely with Special Investigations Unit (SIU, Network Development, Claims, Community Care Behavioral Health, Provider Services, Member Services, Medical Management, Benefit Configuration, Compliance, Enrollment, Pharmacy Services, Reimbursement and Coding departments to ensure review processes are understood and meet Health Plan strategy for appropriateness of provider reimbursement as well as quality of care and services. Prepare comprehensive Independent Review Entity Packets, including clinical justification of the Medical Director's decision which includes all applicable points from the specific policy, Evidence of Coverage statement and/or documentation submitted to which the decision pertains.
Sales Consultant, Hospital Solutions (PA) Fresenius Medical CareSales Consultant, Hospital Solutions (PA)Pittsburgh, Pennsylvania$105,000–$110,000 / yearp>Works as the clinical/technical expert for Fresenius/NxStage products and therapy and is expected to be able to differentiate the various solutions, convey compellingvalue propositions, lead opportunities, develop and present solutions to expand products and therapy to a greater degree of market penetration and respond to customers clinical/technical questions. Work with sales leaders and account teams to increase prospects and drive closure ofopportunities to meet sales, orders, and margin targets.
Clinical Professional Development Specialist Postpartum & Antepartum University of Pittsburgh Medical CenterClinical Professional Development Specialist Postpartum & AntepartumPittsburgh, PAp>Postpartum (2700 is a 20-bed Postpartum unit providing service and care to mother-baby couplets who are well, but additionally treating mothers with pre-eclampsia, newborns whose mothers are diagnosed with chorioamnionitis, high risk postpartum conditions such as Neonatal Abstinence Syndrome, and surgical patients who have undergone C-section, post-partum tubal ligation, and/or hysterectomy during childbirth. Our work includes non-stress tests, stent and cerclage placements, and wound debridement; we partner closely with the physician team to care for high risk pregnancies, preterm labor, C-sections, and methadone conversions, as well as delivered patients with infants admitted to the NICU and fetal demise mothers.
Senior Consultant, Dental Practice ProspHireSenior Consultant, Dental PracticePittsburgh, Pennsylvaniap>Senior consultants perform a variety of tasks to assist clients in our dental practice including: Establish professional relationships with clients, vendor partners and internal ProspHire stakeholders through project delivery, clear communication and project management . Partner with the PM/PMO to develop and update project plans including all sub-plans, preparing status reports, assisting in deliverable creation/editing, and escalating issues/risks as appropriate to the PM/PMO, Company staff, and/or clients.
Sr. Clinical Professional Development Specialist (Transplant/Surgery) UPMC Presbyterian University of Pittsburgh Medical CenterSr. Clinical Professional Development Specialist (Transplant/Surgery) UPMC Presbyterianpittsburgh, PAMinimum of 3 years of clinical experience required2 years of teaching experience required Licensure, Certifications, and Clearances:Registered Nurse (RN Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.
Clinical Professional Development Specialist (3 West & 4 Main UPMC Shadyside University of Pittsburgh Medical CenterClinical Professional Development Specialist (3 West & 4 Main UPMC ShadysidePittsburgh, PAResponsibilities: Develops and maintains productive working relationships internally and externally by building teams and relationships through mentoring and modeling uplifting and positive communication. UPMC Shadyside, a four-time Magnet-designated hospital, is looking to hire a full-time Clinical Professional Development Specialist (CPDS to join their exceptional Nursing Education team!
Clinical Professional Development Specialist (OR UPMC Shadyside University of Pittsburgh Medical CenterClinical Professional Development Specialist (OR UPMC ShadysidePittsburgh, PAp>Responsibilities: Develops and maintains productive working relationships internally and externally by building teams and relationships through mentoring and modeling uplifting and positive communication. UPMC Shadyside, a four-time Magnet-designated hospital, is looking to hire a full-time Clinical Professional Development Specialist (CPDS to join their exceptional Nursing Education team!
Clinical Professional Development Specialist (ED UPMC Shadyside University of Pittsburgh Medical CenterClinical Professional Development Specialist (ED UPMC ShadysidePittsburgh, PAp>Responsibilities: Develops and maintains productive working relationships internally and externally by building teams and relationships through mentoring and modeling uplifting and positive communication. UPMC Shadyside, a four-time Magnet-designated hospital, is looking to hire a full-time Clinical Professional Development Specialist (CPDS to join their exceptional Nursing Education team!
Technical Commerce & AI Consultant | Agentic Commerce Accenture PlcTechnical Commerce & AI Consultant | Agentic CommercePittsburgh, PAWithin Song, the Customer Technology - Commerce practice helps organizations design, build, and scale modern digital commerce ecosystems that deliver personalized, seamless, and intelligent customer experiences. By embedding Generative AI and Agentic AI into commerce operations, we enable real-time personalization, autonomous merchandising, dynamic pricing, campaign orchestration, and revenue growth at scale.