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Centene Corporation
Centene Corporation
KonsaltingSog‘liqni saqlashSug‘urta
Centene Corporation davlat tomonidan qo‘llab-quvvatlanadigan tibbiy sug‘urta va jamoat salomatligiga e’tibor qaratadigan sog‘liqni saqlash va sug‘urta kompaniyasidir. Uning xizmatlari Medicaid, Medicare, Tibbiy sug‘urta bozori rejalari hamda harbiy jamoalar uchun TRICARE ko‘magini o‘z ichiga oladi. Centene o‘zi xizmat ko‘rsatadigan a’zolarning ehtiyojlarini qondirish uchun mahalliy tibbiy yordam ko‘rsatishni notijorat tashkilotlar bilan hamkorlik bilan uyg‘unlashtiradi. Kompaniya, shuningdek, faoliyat yuritish va jamoalarni qo‘llab-quvvatlash yondashuviga ekologik mas’uliyat hamda axloqiy boshqaruvni kiritadi.
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Kompaniyadagi ish o‘rinlari

Remote Director of Utilization Management, Florida — Centene

Lead Florida utilization management teams and long-term care operations at Centene. Guide compliance, service performance, and initiatives that support member outcomes.

USAmerika Qo‘shma ShtatlariFLFlorida
121 500 $ – 224 900 $ / yil
MasofaviyTo‘liq stavkaYetakchiTalab Qilinadigan Til: inglizchaDirektor

Tavsif

  • Lead the utilization management team in applying policies and processes consistently to support strong member outcomes.
  • Run day-to-day utilization management operations, covering timeliness, quality, results, provider relationships, and regulatory compliance.
  • Coach the team on performance, continuous improvement, and career development.
  • Keep utilization management policies and procedures aligned with corporate, state, and NCQA requirements.
  • Examine utilization data, identify trends and patterns, and communicate their effects.
  • Drive operational improvements and share outcomes with senior leaders.
  • Set the policies and procedures that guide effective utilization reviews.
  • Shape utilization management plans and recommend actions that advance organizational goals.
  • Oversee assigned department budget areas and work with senior leadership.
  • Direct hiring, onboarding, and training plans for incoming team members.
  • Manage employees and partners across matrixed, cross-functional teams.
  • Support organizational change and take on other assigned responsibilities.
  • Follow applicable policies and standards.

Talablar

  • Must live in Florida.
  • Bachelor’s degree and at least seven years of relevant experience, including management experience, or equivalent experience demonstrated through applicable knowledge, responsibilities, scope, and skills.
  • At least four years of management experience is preferred.
  • Substantial experience in long-term care utilization management.
  • Experience with Medicaid managed care, LTSS/LTC, prior authorization, and care management operations.
  • Expertise in industry regulations, policies, and standards is preferred.
  • Registered Nurse (RN) license in a state or compact state is preferred.

Imtiyozlar

  • Competitive compensation.
  • Health coverage.
  • 401(k) plan.
  • Employee stock purchase plans.
  • Tuition assistance.
  • Paid leave and holidays.
  • Remote, hybrid, field, or office work arrangements, depending on role needs.
  • Total compensation may include additional incentive programs.
  • Equal opportunity employer with a commitment to diversity.

O‘xshash ish o‘rinlari

Medtronic

Director of Clinical Research, Peripheral Nerve Stimulation

Medtronic
H1B vizasi homiysiIshlab chiqarishSog‘liqni saqlashTibbiy sug‘urta
USAmerika Qo‘shma ShtatlariMNMinnesotaOHOgayo
212 800 $ – 319 200 $ / yil
OfisdaTo‘liq stavkaYetakchiTalab Qilinadigan Til: inglizchaKlinik tadqiqot
Google Cloud Platform

Lead Medtronic’s global clinical evidence strategy for peripheral nerve stimulation therapies throughout the product lifecycle. Oversee premarket and postmarket research supporting scientific, regulatory, reimbursement, and commercial goals.

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IQVIA

Clinical Research Associate, Sponsor Dedicated

IQVIA
H1B vizasi homiysiIshlab chiqarishKonsaltingMarketing
USAmerika Qo‘shma ShtatlariFLFloridaKSKanzasNJNyu-JersiNCShimoliy KarolinaUTYuta
74 500 $ – 197 500 $ / yil
OfisdaTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaKlinik tadqiqot
Google Cloud Platform

Monitor clinical trial sites and support protocol compliance, patient recruitment, and study documentation for IQVIA. Coordinate with site staff and project teams to help trials meet quality standards and milestones.

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Regeneron

Clinical Study Specialist at Regeneron

Regeneron
H1B vizasi homiysiBiotexnologiyaIshlab chiqarishSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariMAMassachusetsNJNyu-JersiNYNyu-York
93 900 $ – 153 300 $ / yil
GibridTo‘liq stavkaJuniorO‘rta darajaTalab Qilinadigan Til: inglizchaKlinik mutaxassisUmumiy
Google Cloud Platform

Support Regeneron clinical trial teams by coordinating study data, sites, reporting, and close-out activities. Help keep studies on track from site activation through completion.

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