Medical Resume Samples

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HR
H Rutherford
Hailee
Rutherford
76981 Burdette Path
Phoenix
AZ
+1 (555) 960 2035
76981 Burdette Path
Phoenix
AZ
Phone
p +1 (555) 960 2035
Experience Experience
New York, NY
Medical
New York, NY
Murray, Tillman and Kuvalis
New York, NY
Medical
  • Provide information to internal persons to assist with internal customer service
  • Manage team member continuity. Retain and develop talents
  • Manage team members, regional performance, investment, and all analysis by leverage relevant tools, systems, and technology efficiently
  • Develop short and long-term regional business plan and execute effectively within budget to achieve national business objective
  • Maintains and promotes positive and professional working relationships with associates and management
  • Assists with the maintenance of supplies and equipment. May assist with keeping patient rooms clean and orderly
  • Performs related duties as assigned
New York, NY
Medical Informaticist
New York, NY
Pouros Group
New York, NY
Medical Informaticist
  • Identify clinical data elements within the clinical databases of our partners
  • Curate, validate, and manage clinical content
  • Assist in developing clinically-relevant quality tests
  • Standardize clinical data to common controlled vocabularies and classifications, including RxNorm, and LOINC
  • Expand and adapt ontologies when existing standards fall short
  • Work with a team of informaticists, clinicians, and software engineers to map data between databases and implement ETL processes
  • Perform mapping of clinical data to standard reference terminologies
present
Phoenix, AZ
VP of Mercy Medical Group
Phoenix, AZ
Weimann-Wunsch
present
Phoenix, AZ
VP of Mercy Medical Group
present
  • Participates in the governing body, management, medical staff, and clinical leaders in the organization's decision-making structures and processes
  • Responsible for supporting system efforts in ensuring practice management and electronic medical information systems are optimized
  • Prioritizes participation in commercial, State and Federal quality programs, developing and executing on work plan in accordance with this prioritization
  • Participates in developing and maintaining processes to ensure that Mercy's Catholic Identity visibly reflected in all aspects of organizational life
  • Participates in the development and implementation of Mercy's strategic planning
  • Communicates with the leaders of other healthcare delivery organizations corporately or functionally regarding issues related to Mercy
  • Participates with other executive staff in policy development and strategic planning for Mercy
Education Education
Bachelor’s Degree in Integrity Within Compliance Guidelines
Bachelor’s Degree in Integrity Within Compliance Guidelines
The University of Kansas
Bachelor’s Degree in Integrity Within Compliance Guidelines
Skills Skills
  • Strong ability to communicate both orally and in writing
  • Strong clinical skills and knowledge
  • Excellent clinical skills and knowledge
  • Knowledgeable in caring for Bariatric patients
  • Demonstrated strong teaching and communication skills with patients, family members, and multidisciplinary medical professionals
  • Strong organizational skills; attention to detail
  • Ability to resolve associate issues quickly and efficiently
  • Ability to represent a positive and professional image
  • Strong attention to detail
  • Strong knowledge of Microsoft Word, Excel, Power Point and Outlook
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15 Medical resume templates

1

Medical Resume Examples & Samples

  • 2+ years of Medical-Surgical experience
  • Previous experience in an Acute Care setting
  • Experience drawing blood and with EKGs
2

Orthopedic / Medical Resume Examples & Samples

  • BSN / MSN or enrolled in a Master's program
  • NYS Registered Nurse (RN) experience
  • Strong Orthopedic background
  • Previous Medical-Surgical experience
  • Able to multitask efficiently and effectively $
3

Oncology Medical Development VP Resume Examples & Samples

  • 8-10+ years of experience in the field of oncology
  • Active participation in industry associations with the ability to present, interview and participate in live events and recorded media events
  • Prior healthcare communications or pharmaceutical clinical affairs or medical development experience
4

Medical Director of the Diabetes Program Maryland Resume Examples & Samples

  • Promoting diabetes self-management by patients
  • Promoting diabetes management skills of all medical center clinicians
  • Supervising Certified Diabetes Educators in inpatient and outpatient settings
  • Providing CME events for physicians and mid-levels
5

Medical Resume Examples & Samples

  • Advising patients on health maintenance and disease prevention
  • Monitoring, recording and reporting symptoms and changes in patients' conditions
  • Consulting and coordinating with health care team members to assess, plan, implement and evaluate patient care plans
  • Directing and supervising less skilled nursing or health care personnel or supervising a particular unit
  • Providing health care, first aid, immunizations and assistance in convalescence and rehabilitation in locations such as schools, hospitals, and industry
  • Performing physical examinations, making tentative diagnoses, and treating patients en route to hospitals or at disaster site triage centers
6

Medical Resume Examples & Samples

  • Examine, underwrite and evaluate new proposals in accordance with policies and procedures
  • Undertake calculations of risk, liability and financial implications under the guidance of experts
  • Provide information to internal persons to assist with internal customer service
  • Plan and prioritise your work on a daily/weekly basis to ensure deadlines are achieved
  • Train and mentor junior members of staff
  • 2-3 years Medical underwriting experience
  • Possess or have made significant progress towards a life and disability underwriting qualification, preferably Diploma in Medical Underwriting (Assurance Medical Society) - DMU (AMS)
  • Detailed knowledge of medical terms, phraseology and abbreviations
  • Detailed knowledge and experience offinancial underwriting
  • Detailed knowledge of new business processes
  • Up to date knowledge of current medical underwriting developments/ trends/issues
7

Global Brand Medical Director Resume Examples & Samples

  • MD Required
  • More than 4 years advanced knowledge in medical/scientific area (Oncology, Hematology, Endocrinology) preferred
  • Have expert operational knowledge and experience in clinical trial design and all stages of clinical trial conduct (Trial design, Start-up, Execution, Analysis, Reporting)
  • Have an excellent knowledge of current clinical practice in Oncology / Hematology / Endocrinology or other relevant disease area
  • Have strong knowledge in and understanding of medical activities, relating to the commercialization of oncology products
  • 5 years' experience in pharma at local, regional and/or Global level
8

Medical Publication Associate Resume Examples & Samples

  • Experience in biopharmaceutical industry or publication/communication agency preferred
  • Highly proficient in Datavision with minimum of 3 years of experience
  • Must have strong business analytical knowledge with the ability to express opinions and conclusions in a clear, concise, and understandable format
  • Possesses excellent verbal and written communication skills and ability to communicate relevant and important information across departments and outside of the Client
  • Demonstrates strong interpersonal skills in dealing with all levels of management
  • Possess excellent problem solving skills and demonstrates diplomacy in dealing with difficult situations; works effectively as a team member, utilizing contributions of other team members to complete projects
  • Minimum of 3 years project management experience in a fast paced professional environment
9

Medical Review Contractor Resume Examples & Samples

  • 2+ years of Pharmaceutical industry experience providing medical support to promotional / non-promotional review committees
  • Medical professional (RPh, PharmD, MD)
  • Clear understanding of standards for Medical Affairs support of promotional activities
  • Microsoft Office/Suite proficient (Word, Outlook, etc.)
10

Medical Review Contractor Resume Examples & Samples

  • Medical professional (RPh, PharmD, MD) with two to four years of pharmaceutical industry experience providing medical support to promotional / non-promotional review committees
  • Capable with Microsoft suite of programs including Word and Outlook, literature searching expertise, and the ability to utilize database software
  • Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional situations
11

East Region Medical Director Resume Examples & Samples

  • Board Certified
  • Excllent communication skills
  • Health Plan Experience
  • Prior experience as Associate Medical Director (or equivalent) or physician reviewer in a Managed Care Plan
12

Southeast Medical Director Resume Examples & Samples

  • Board Certified MD/DO in a ABMS Medical Specialty
  • Active unrestricted license and the willingness to obtain additional licenses as required
  • 5 years of established clinical experience
  • Experience with MSO specific concurrent reviews
  • Medicare, Medicaid, and/or Commercial utilization review experience
13

MSO Medical Director Resume Examples & Samples

  • Establishes strong, positive collaborative relationships with client IPA physicians
  • Provides leadership to enhance management strategies and interventions designed to produce optimal quality outcomes with efficent use of clinical resources
  • Develops and implements strategic initiatives to achieve system goals and objectives
  • Plans and implement continuous improvement initiatives to achieve clinical care that demonstrates an overall standard of high quality clinical outcomes as characterized by best practices and objectively measured against regional and national benchmarks. Build consensus around the appropriate tools and methodologies to achieve this
  • Monitor and remediate when necessary the outcomes of utilization review and effectiveness of clinical programs to meet the quality and cost goals and objectives
  • Board Certified MD/DO in an approved ABMS Medical Specialty (Primary Care Provider highly preferred)
  • Current and unrestricted license in at least one jurisdiction and willing to obtain license, as required, for various states in region of assignment
  • Medical staff leadership experience for a large multi-specialty group practice, physician practice management organization, hospital/hospital system, or an MCO (preferably with a physician group practice component)
  • Proven track record leading physician groups, including group facilitation, leadership development, team-building, performance management, and driving cultural change
  • Experience working with physicians to strategize and develop measurable improvements the quality of clinical care and patient satisfaction
14

East Region Medical Director Resume Examples & Samples

  • Comply with medical records and risk assessment documentation policies/procedures, quality initiatives and electronic medical record usage
  • Review reports regarding utilization and high-risk patients, and utilize the information in the delivery of quality, cost effective health care services
  • Active, unrestricted MD or DO medical license in the state indicated as the “Location” above
  • Possess analysis and interpretation skills with prior experience leading teams focusing on utilization management, discharge planning and/or home health or rehab
  • Board Certified in Family Medicine, Internal Medicine or Geriatrics
15

Medical Simulation Technician Resume Examples & Samples

  • Serve as the technical liaison and complete designated tasks to ensure the successful operation of all technical aspects of the Simulation Center (SC) while maintaining the center at the highest possible readiness level. In addition, the contractor will be responsible for coordination of all Simulation training programs within the SC. Work consists of various duties that involve applying a series of different and unrelated processes and methods in responding to customer requests
  • Complete assignments as set forth by the SC Manager based on an analyses of the subject and issues related to the assignment and selects appropriate course of action from many acceptable alternatives. Exercises judgment to identify, determine the nature and potential sources of problems and select appropriate course of action in response to problems and customers’ needs for information and assistance
  • Report, respond to and resolve customer requests pertaining to the Navy Trauma Training Center (NTTC) Medical SC training, equipment, and scenarios
  • Deliver simulation equipment to users when needed
  • Troubleshoots, repair, and build training scenarios using Laerdal and METI simulation software and equipment
  • Maintain relations with medical modeling and simulation companies’ Technical Support
  • Demonstrate and maintain broad knowledge of simulation related companies and equipment
  • Demonstrate and maintain advanced knowledge of the Simbionix LapMentor 3D trainer
  • Demonstrates and maintains knowledge of Pelco related surveillance cameras and DX8000/DX8001 computer software
  • Demonstrates and maintains advanced knowledge of Immersion Medical Endoscopy Simulator
  • Two years of trade/technical/military school education or other training in electronics/computer technology with at least one year of recent experience. Equivalent combination of related experience and education may be substituted
  • 1-2 years’ experience in operating mannequin-based simulators (adult & pediatric), part-task trainers, 3D virtual/surgical simulators
  • 1-2 years’ experience in operating computer hardware equipment and software applications relevant to simulator functions; digital and audio/video equipment and software; and troubleshooting methods
  • Experience/exposure to medical operational training: Civilian or military formal medical training (i.e. US Navy Corpsman, Civilian Emergency Medical Technician (EMT), Nurse, etc.)
  • Experience in a health-related field
  • 1-2 years’ experience as any technical course instructor/teacher
  • Knowledge of and skills in applying customer service and customer support principles and methods to advise, guide and consult throughout the organization on matters pertaining to technical information for the SC and its equipment
  • Knowledge of training methodologies and educational strategies to create training materials consistent with the SC and data retrieval to command personnel, NTTC Staff, and simulation center management
16

California Region Lead Medical Director Resume Examples & Samples

  • Prior experience supervising/leading staff
  • Internal Medicine, Family Practice, Geriatrics, Hospitalist clinical specialists
  • Previous Medicare, Medicaid, and/or Commercial utilization review experience
17

Medical Resume Examples & Samples

  • 1+ year of previous Medical-Surgical experience in a Clinical setting
  • Exceptional nursing skills
  • Able to prioritize and handle multiple tasks
18

Executive Medical Director Resume Examples & Samples

  • 3+ years of experience in Biopharmaceutical industry with direct Medical Affairs work
  • Board Certified in Oncology/Hematology or Infectious Disease or significant Biopharmaceutical experience in Oncology or Infectious Disease
  • Proficient in clinical trial design and data interpretation
  • In-depth knowledge of GCP and regulatory issues
  • Solid analytical skills
  • Microsoft Office/Suite proficient (Word, Excel, PowerPoint and Project)
19

Clinic Medical Director Resume Examples & Samples

  • Work in conjunction with the medical directors, quality improvement, utilization management, and risk management
  • Maintain patient satisfaction standards
  • Adhere to center schedules and hours of operation
20

Teller Medical Resume Examples & Samples

  • Minimum 6 months cash-handling experience is required, unless post-high school degree program is completed or currently being pursued
  • Ability to work well in a team environment to service customers
  • Problem solving skills
  • Ability to follow procedures
  • Strong listening and verbal communication skills
  • High school degree, GED or foreign equivalent required
21

VP, Medical Director Resume Examples & Samples

  • MD or DO License in one state
  • Current Board Certification in Neurology
  • At least 5 years of clinical experience, excluding residency
  • Disability experience determining impairment, limitations (L), restrictions (R) is highly desired
  • Familiarity with workplace accommodations is highly desired
  • Proficient in Microsoft Word, Excel, and PowerPoint
  • Ability to perform comprehensive file reviews, assessing risk, determining capacity to work, L & R, and strategic direction on resolving the claims
  • Comfortable with Doctor to Doctor calls
22

Global Medical Team Lead GI / IM Resume Examples & Samples

  • Develop in-year medical tactical plan and budget for the global initiatives and the United States
  • Lead the collaboration with commercial to ensure aligned and medically appropriate commercial strategy, planning and execution
  • Collaborate with Legal, Compliance and Regulatory and Medical Training to ensure understanding and adherence of global medical team to Shire and external policies and regulations
  • Coordinate with Head of Global Medical Affairs and Global Medical Training to define and address global medical team training and professional development needs and training needs related to the products and disease areas
  • Monitor team performance in terms of goals and delivery of medical plans and identify areas for development
  • 25% Oversee and manage in-year implementation of global medical strategy
23

Branch Associate / Teller / Harlingen Medical Resume Examples & Samples

  • (BA) Some customer service and cash handling experience / (Sr. BA) 6 months branch associate experience / (Sr. BA II) 1 years of branch associate experience
  • Retail sales experience preferred
  • Must display a friendly and helpful attitude and have the ability to interact positively with customers and co-workers
  • Must be able to perform basic mathematical calculations
  • Must be able to exhibit attention to detail
24

Medical Resume Examples & Samples

  • Massachusetts State Registered Nurse license
  • 1+ year of experience working in a Medical-Surgical or Telemetry Unit
  • Knowledge of medical and clinical principles and procedures
25

Medical Resume Examples & Samples

  • 2+ years of medical-surgical experience
  • Prior experience with blood draws
  • Prior experience with EKGs
26

Medical Waste Technician Resume Examples & Samples

  • Travel to customer facilities to collect waste containers (sharps, hazardous materials, etc.)
  • Safe pick-up of all regulated medical waste and materials from client sites, also including Sharps, lab platics, and pathalogical waste
  • Preparation of all necessary documentation for the pick-up and drop-off of waste
  • Interact with coworkers in a team environmen
  • Completion of 40 Hour OSHA, CPR and First Aid Training
27

Director of Medical Annual Giving Resume Examples & Samples

  • Serves as the primary liaison with client development offices (Norris,Keck/SOM, Hospital) on behalf of the Office of MedicalAnnualGiving,Alumni Relations and Special Events
  • Follow institutionalnews and developments and communicate with clients to create
  • Conduct regular communication;head-up twice annualclient-wide meetings,meet with each client liaison quarterly,or as preferred by client to provide information and field questions via phone and email as necessary. Respond to all inquires within 24 hours. Hold clients responsible for meeting deadlines on providing copy and data feedback; notify of consequences if deadlines are missed.Be flexible when possible yet firm when necessary
  • Participate and present in appropriate departmental and client-based meetings
  • Oversee the strategic and carefulmanipulation and preparation of data to ensure proper solicitation is made in terms of both designation and amount
  • Develop a strong working knowledge of USC Advancement and Health Sciences Development by taking advantage of internal training opportunities building relationships with colleagues and reviewing institutionalpublications and websites
  • Adhere to ethical and confidentiality guidelines of USC,to include HIPPA compliance standards
  • Participate in office and divisional staff meetings
28

Global Medical Team Lead, Dry Eye Disease Resume Examples & Samples

  • 25% Definition of global medical strategy and plans
  • Lead development of medical strategy, including medical launch plans, in-line LCM strategy, publications strategy, congress strategy, customer interaction strategy, and the scientific communication platform aligned with overall product strategy
  • Develop in-year medical tactical plan and budget for the Global/US initiatives
  • 25% Lead the Global Medical Team
  • Collaborate with Legal, Compliance, Regulatory and other R&D colleagues to ensure understanding and adherence of global medical team to Shire and external policies and regulations
  • Coordinate with TAMH and Global Medical Training to define and address Global Medical Team training and professional development needs and training needs related to the products and disease areas
  • Mentor and develop global medical team
  • Develop and maintain knowledge of global pharmaceutical regulations, guidelines, codes of practices and Shire policies related to all medical activities
29

Medical Payments Representative Resume Examples & Samples

  • Investigate, assess, negotiate and settle automobile first party medical claims
  • Review initial claim assignment, confirm coverages, deny claims when appropriate, initiate first contact with injured parties, verify and investigate facts, set and maintain claim reserves, establish follow-up on claims, and document claim files
  • Achieve timely and fair negotiations and settlements
  • Adhere to state specific and compliance requirements
  • Refer files to subrogation or special investigation unit as needed
  • A Bachelor's degree or equivalent relevant work experience
  • This would include client contact, injury and medical knowledge, and/or work loss investigation
  • Must possess proven negotiation skills and strong organizational skills
  • Must possess the ability to multi-task and manage workflow in a high volume, fast paced environment. Must also have the ability to work with a high degree of accuracy and attention to detail, work independently and also contribute to a team environment
  • Must be a self-starter with willingness to accept change, and demonstrate a strong work ethic
  • The work schedule involves daytime hours, but must be flexible to some schedule variance as dictated by claim volume and customer need
  • Prior Personal Injury Protection (PIP), Medical Pay, Workers Compensation, Nursing, and/or Bodily Injury/Casualty adjusting experience
  • Medical coursework or relevant training
30

Medical Resume Examples & Samples

  • 2+ years of experience in an acute care medical-surgical unit
  • Compassionate and patient-oriented
  • Strong understanding of clinical policies and procedures
  • Demonstrated patience and professionalism
31

Medical Technology Resume Examples & Samples

  • Lead coverage of European Medical Technology companies
  • Generating formal client and corporate recognition for Citi’s analysis in the industry
  • Enabling commercialisation of the team’s research product by Citi’s equity sales and trading platform globally
  • Extensive years of Medical Technology industry experience in a strategic/MandA role or a broad range of relevant financial services experience across a number of Capital Markets, including membership of a ranked research team and an ability to provide client references
  • Clear knowledge of the equity research model
  • Sound grasp of financial analysis, financial modeling and valuation techniques
  • A proven track record of rigorous analysis
  • An interest and understanding of stock markets
  • Experience in developing client relationships
  • An ability to work calmly and with accuracy under pressure
  • An ability to meet difficult deadlines
  • A team player
  • Understands the client base and meets their requirements
  • Typically MBA/CFA
  • Exceptional candidates who do not meet these criteria may be considered for the role provided they have the necessary skills and experience
32

Global Brand Medical Director Resume Examples & Samples

  • Expert operational knowledge and experience in clinical trial design and all stages of clinical trial conduct
  • Excellent knowledge of current clinical practice in Oncology / Hematology / Endocrinology or other relevant disease area
  • Strong knowledge in and understanding of medical activities (including scientific communications, medical information, MSLs, and HEOR), relating to the commercialization of oncology products
  • 5 years' experience in pharmaceutical industry at local, regional and/or Global level
  • 4+ years of advanced knowledge in medical/scientific area (Oncology, Hematology, Endocrinology)
33

Medical Resume Examples & Samples

  • 2+ years in a hospital setting
  • Telemetry certification
  • PCCN certification
34

Medical Site Reviewer Resume Examples & Samples

  • Bachelor's Degree (in science-related discipline preferred) or Registered Nurse (RN)
  • 4-6 years of clinical trial experience within a pharmaceutical, biotechnology, CRO, and/or healthcare setting
  • Demonstrated computer skills (MS Office, MS Project, MS PowerPoint, MS Excel)
  • Demonstrated core understanding of medical terminology and clinical trial activities in relation to execution of a clinical development plan
  • General understanding of the importance of insulin titration and local treatment culture
  • Knowledge of GCP as relates to clinical trial management
  • Some experience in area of specialty
35

Medical Resume Examples & Samples

  • 5+ years of recent Hospital Nursing experience
  • Previous Oncology experience
  • Medical-Surgical experience
  • Previous leadership experience
36

Medical Resume Examples & Samples

  • BSN and MSN
  • Strong education experience in Medical-Surgical and/or Oncology/Chemotherapy
  • Ability to delegate responsibilities
  • Level 1 Trauma Hospital experience
37

Medical Resume Examples & Samples

  • 2+ years of prior experience working on a Medical-Surgical and/or Critical Care floor
  • Active NYS Registered Nurse (RN) license
  • T-CAR certification
38

Inbound CSR Medical Surveys Resume Examples & Samples

  • Recent college graduates with a Bachelor’s degree welcome to apply
  • Previous customer service, customer care, contact center and call center highly preferred
  • Must demonstrate the ability to multitask and focused attention to detail required
  • Strong verbal, written communication, and listening skills required
  • Ability to meet established customer service requirements
  • Strong computer and keyboard ability with proficiency in Microsoft Office Suite including Word, Excel, and Outlook
39

Medical Resume Examples & Samples

  • Able to interpret EKG strip
  • Able to start IVs and do Phlebotomy
  • Familiar with Cardiac drips (no titrating)
40

Medical Director Central Region Resume Examples & Samples

  • Manage network participation, care with specialty networks, care with DME providers and transfers to alternative levels of care using your knowledge of benefit plan design
  • Attend all mandatory meetings
  • Advanced work experience in a hospital setting or private practice
41

Medical Resume Examples & Samples

  • 2+ years of recent Clinical experience in Oncology
  • ONS certification/Chemo certification
  • Superb telephone triage and assessment skill
42

Per Diem / PRN Medical Resume Examples & Samples

  • Assisting in development, implementation, and evaluation of standards of care and professional practice in collaboration with members of the health care team
  • Assessing and evaluating patient needs for, and responses to, care rendered and applies sound nursing judgment in patient care management decisions
  • Communicating effectively and professionally with patients, significant others, and members of the health care team about the patient's plan of care
  • Demonstrating responsibility and accountability for nursing practice and the delivery of safe, competent patient care
  • FL - RN License
  • Acute care experience
43

Medical Malpractice Associate Resume Examples & Samples

  • Manage medical malpractice litigation caseload from initial pleadings
  • At least two years of relevant experience
  • Experience in medial malpractice or other complex litigation cases from inception to trial
  • Top academic credentials
  • Admitted to practice in Tennessee or eligible for TN bar
44

Medical Svc Senior Specialist Resume Examples & Samples

  • Licensed Nurse (active )
  • Behavioral Health experience desirable
  • Claims/authorization review experience desirable
45

Medical Director, VP-heas Resume Examples & Samples

  • Build and maintain awareness of current industry trends and the competitive marketplace, and be able to proactively identify organization and technological strengths, weaknesses, opportunities, and risks
  • Perform comprehensive file reviews, assess risk, claims resolution & underwriting
  • Conduct doctor to doctor calls working closely with operations staff
  • Lead skills training of clinical staff, claim teams and management
  • Understand and address trends, disruptors and technology opportunities across lines of business
  • Administer compliance related activities including ADA accommodations and Wellness ERISA
  • Understand and consult on executive health and absence situations
  • Exposure to the enterprise through consultation with global health emergency planning
  • 8-10 years clinical experience; prior corporate experience is desirable
  • Current MD or DO License, in good standing, in at least one state
  • New Jersey license or ability to obtain preferred
  • Board certification in relevant specialty
  • Awareness of latest trends in healthcare technology, science, and policy
  • Aptitude for learning in a fast paced environment
  • Detail oriented with ability to multi task
  • Comfortable working on a team and in a corporate setting
  • Excellent communication skills (strong written & verbal)
  • Demonstrated leadership skills and experience
46

Medical Svc Senior Specialist Resume Examples & Samples

  • Works with providers to assist them with their authorization requests
  • Assists other staff members understand the requests and medical need, interpreting medical documentation for other staff as needed
  • Makes recommendations to add or improve processes and procedures
  • Ensures company compliance with federal and state laws
47

Medical Resume Examples & Samples

  • 1+ year of Medical-Surgical and/or Oncology experience
  • Exceptional Oncology knowledge
  • Superb telephone triage and assessment skills
48

Medical Resume Examples & Samples

  • 2+ years of Medical-Surgical and/or Telemetry experience
  • Valid NJ Registered Nurse (RN) license
  • Experience with Allscripts Clinical Documentation
49

VP, Medical Director Resume Examples & Samples

  • Partner with the claims operation to conduct file reviews and claim discussions, which is approximately 75% of the job
  • Provide assistance and strategic direction for complex Life Claims
  • Provide ongoing training, education, support and feedback to clinicians, claim managers and leadership
  • Responsible for on boarding, development and maintenance of rotating Medical Directors identified to support Group Life claim work
  • Participate in the medical community of practice meetings as well as project work streams to identify workflow efficiencies
  • MD or DO License in good standing in at least one state
  • Current Board Certification in Internal Medicine, Occupational Medicine or Family Practice
  • Broad knowledge of medicine
  • Workers Compensation Experience, Forensic Medicine, Disability Experience or Toxicology is highly desired
  • Ability to perform comprehensive medical file reviews, summarizing the pertinent information, analyzing and assessing causation
  • Teaching skills for training of clinical staff, claim teams and management
  • Willingness to travel quarterly to conduct on-site client training
50

Medical Resume Examples & Samples

  • 2+ years of experience as a Case Manager in an Inpatient setting
  • Experience with EMR, Funding and Levels of Care
  • Previous Travel experience
  • Rehab experience
51

Medical Policy Specialist Resume Examples & Samples

  • Screen PA for all documentation and enter it into the MMIS system within 2 business days
  • Communicates with providers if documentation received is incomplete or missing
  • Sends PA approval or denial letters to providers within 2 business days after review
  • Sends completed PA to QA and then to Scan
  • Receive, open and review cases for SURS according to contractual requirements
  • Maintains a phone line for providers. Documents all calls
  • Receives and processes PDD requests from the state within 2 business days
  • Meet internal quality standards
  • Mail merge EOMBs, send, review and log returns
  • Complete recoveries at the State’s request
  • Order medical records as necessary
  • Review EFADS filters on a quarterly basis and present to CURT
  • Attend the CURT bi-monthly meeting and present cases
  • Work medical policy edits accurately
  • Strong communication skills both written and oral
  • Be able to maintain confidentiality and security
  • Strong analytical, comprehension, and problem solving skills
  • Be able to work under pressure and with little supervision
  • Must be able to work overtime when required
  • Ability to follow oral and written instructions and directions
  • Personal computer experience
  • Must have good organizational skills and decision-making ability
  • Must be able to work independently and as a team member
  • Excellent attendance required
  • Medical background of some kind
  • Knowledge of durable medical equipment
52

Global Brand Medical Director Resume Examples & Samples

  • 5+ years of experience in Pharmaceutical at Local, Regional and/or Global level
  • Expert Operational knowledge and experience in Clinical Trial Design and all stages of Clinical Trial conduct (Trial design, Start-up, Execution, Analysis, Reporting)
  • 4+ years of advanced knowledge in Medical / Scientific area (Oncology, Hematology, Endocrinology)
53

Medical Resume Examples & Samples

  • Successful completion of a Nursing program from an accredited School of Nursing
  • Excellent communication skills (written and oral)
  • Able to multitask and effectively
  • 3+ years of previous experience in an Acute Care setting
  • Knowledgeable in caring for Bariatric patients
54

Medical Resume Examples & Samples

  • Previous Managerial experience
  • Experience with IV care
  • Prior Oncology experience
55

Medical Svc Senior Specialist Resume Examples & Samples

  • Certified Coder, RHIT, RHIA, CCS-P, CPC-H, CPC
  • At least 3 recent years of coding experience in a healthcare facility
  • Knowledge of CMS NCCI guidelines
  • Knowledge and experience with ICD-9-CM and ICD-9-PCS
  • Basic knowledge of ICD-10-CM and ICD-10-PCS
  • Basic computer skills and experience with information systems
  • Excellent work ethics with a commitment to complete tasks timely and effectively
56

Center Medical Director Resume Examples & Samples

  • Interacts and consults with each member of the Center Leadership Team (CLT) regarding the center activities such as
  • Participation in the periodic CLT and center staff meetings
  • Determine best recruiting requirements necessary to meet job/position requirements and center objectives
  • Possess the required qualifications/skills and behavioral competencies
  • Will meet company/center service standards and position expectations; and
  • Empower center colleagues to assess center processes and work flows to continuously improve the patient experience
  • Work schedule management
  • Minimum of two to five years directly applicable experience
  • Excellent communication skills; written and verbal
  • Demonstrate a high level of skill with interpersonal relationships and communications
  • Agrees with, supports and commits to Partners in Primary Care’s core practice standards and Policies and Procedures
  • Ability to supervise, evaluates, coach and develops staff
  • Willingness to learn ad continuously improve, to be audited, observed, and reviewed; is positively responsive for feedback
  • Preferred experience with electronic medical record
  • Familiarity with corporate human resource policy and practice
  • Demonstrated ability to coach, instruct, and teach
  • Knowledge of HEDIS quality indicators
  • Maintain licensure and skills
  • Attain and/or maintain board certification
57

VP of Medical Resume Examples & Samples

  • BC MD/DO with an active unrestricted South Carolina license
  • Utilization review experience
  • Good understanding of best practice coding and documentation in value based environment
58

Telemetry / Medical Resume Examples & Samples

  • 2+ years of current Telemetry and/or Medical-Surgical experience
  • Strong Arrhythmia Interpretation skills
  • Experience with Cardiac Meds / Drips
59

Utilization Management Medical Reviewer Resume Examples & Samples

  • Consults with licensed and non-licensed reviewers on clinical issues related to authorization requests
  • Conducts medical necessity review on cases that may not meet criteria, and issues adverse determinations as needed
  • Accepts and conducts peer-to-peer consultations when requested by an ordering physician after an adverse determination has been issued, adhering to required timelines
  • Participates in the CCX Utilization Management and Quality Improvement committees, and other related activities, as requested
60

Medical Resume Examples & Samples

  • 2 years of experience working on a medical-surgical floor
  • Strong phlebotomty skills
  • Experience with EKGs
61

Medical Claims Team Lead Resume Examples & Samples

  • Apply technical expertise in solving complex problems
  • Monitor and recommend improvements to increase team productivity by providing expert advice and assistance to other associates, as needed
  • Monitor and update associate and productivity metrics information for leadership
  • Act as representative during conference meetings with other departments and markets
  • Identify training needs for team members
  • Working knowledge of Microsoft Office programs including Word, PowerPoint, Excel and Access
  • Demonstrated capability with coaching and developing associates formally and informally
  • Strong time management and organizational skills
  • Must have previous experience processing medical claims, not just knowledge of
  • Knowledgeable of CarePlus CSC platform
  • Previous experience with coordinating and leading projects and tasks
62

Pediatric Medical Resume Examples & Samples

  • 1+ year of recent Pediatric experience
  • Registered Nurse (RN) license
  • Previous experience working within a Acute Care, Clinical, and Critical Care setting
63

Medical Resume Examples & Samples

  • Active registered Nurse license
  • Demonstrable leadership and teaching skills
  • 5+ years of Medical-Surgical Nursing experience
64

Northeast Medical Director Resume Examples & Samples

  • Participate in Quality Operations including chair Quality Management Committee, complete initial peer review on quality of care complaints, complete peer-to-peer written and verbal communications
  • Oversee administrative budget for regional HSO & Quality Improvement including approve/deny expense reports & requisition requests for department members
  • Participate in regional level committees and meetings setting medical necessity strategies
  • Serve as clinical liaison with inpatient facilities and joint operating committees to maintainfacility relationship and problem solve; especially reviewing contracts as to clinical services
  • Experience in community based and chronic disease management
  • Visibility and involvement in medical community
  • Ability to go to the office once or twice every other week for mandatory leadership meetings
65

Reviewing Medical Director Resume Examples & Samples

  • Five years clinical experience
  • Technical ability with Microsoft Applications and other computer based programs
  • Health Plan experience
  • Process-oriented, evidence-based and scientifically-inclined, consistent, enjoys being a part of a team, thoughtful and has a thirst for continuous education and development
66

Reviewing Medical Director Resume Examples & Samples

  • Provide physician review services for utilization management, case management, quality management, and conduct peer to peer reviews
  • Support collaborative relationships with physicians, large provider groups, hospitals, other facilities and ancillary providers
  • Conduct admission review, post-discharge and discharge planning with clinical staff and peers
  • A minimum of 5 years patience facing experience (post residency)
67

Medical Resume Examples & Samples

  • 1+ year of previous experience in an Emergency Department setting
  • ACLS, PALS or ENPC IV and Dysrhythmia Certifications
  • Medical-Surgical background
  • Solid documentation, assessment, and clinical skills
68

Senior Manager of LT Medical Resume Examples & Samples

  • Ability to handle and resolve conflicts in a professional, tactful manner
  • Ability to operate a personal computer
  • Strong project management and analytical skills
  • Knowledge of standard office procedures and computer software
  • Ability to effectively multi-task with tight deadlines independently and within a team environment
  • Proficient in Microsoft Office Suite applications
  • Talk and hear
  • Use hands to finger, handle or feel
  • Read, write, type and comprehend text
  • View objects up close and at a distance
  • Effectively communicate and interact with others
  • Use reasoning and solve problems through deduction
  • 4 year college degree in related field
  • 5 years experience in the medical services field
69

Northeast Reviewing Medical Director Resume Examples & Samples

  • 5+ years clinical practice experience with strong knowledge of the managed care industry
  • Previous experience leading teams focusing on utilization management, discharge planning and/or home health or rehab
  • Board Certification in Internal Medicine, Family Practice or Geriatrics
  • MBA/MHA/MPH
70

German & Spanish Medical Rep Resume Examples & Samples

  • Fluency in English AND German AND Spanish
  • Ideally Educated to 3rd level (Bachelors or Masters Degree or higher
  • Work experience in the areas of clinical research, medical information, medical secretary, nurse, care assistance, medical sale representative pharmacy or other related industry
71

Float Medical Resume Examples & Samples

  • 2+ years of Medical-Surgical and Telemetry experience
  • Experience with Pre and Post Cardiac Cath patients
  • Experience with Cardiac Medication / Drips
72

VP-medical Director Resume Examples & Samples

  • Provide direction and leadership to Underwriting & Claims
  • Prioritize the workload of the department, oversee all functions of the department
  • Serve as primary liaison to underwriting management, legal, product development, compliance, technology, marketing and vendors
  • Manage resources of MUCC, both internal and external
  • Responsible for performance management of department and routine audits for quality
  • Assess qualifications of any new hire
  • Provide risk assessment (mortality and morbidity) opinions on Underwriter files
  • Provide second opinion on complicated files, including those with escalated service issues
  • Handle home office employee life and disability insurance files referred to MUCC
  • Stay current with clinical and insurance medicine trends
  • Oversee changes to medical underwriting guidelines and procedures
  • Provide coaching, mentoring, training to Underwriting staff
  • Back up to Sr. Medical Director or Vendor Medical staff for claims
  • Provide second opinion and guidance to other medical directors/vendor medical staff on claims of a more complex nature
  • Review contestable death claims as needed
  • Minimum weekly benchmark of cases with all Medical Directors to ensure alignment
  • Graduate - Medical Doctor with 10+ years Experience
  • Excellent communication skills and the ability to translate complex information
  • Background in Insurance/Underwriting is preferred
73

Medical Resume Examples & Samples

  • To increase distribution in existing business and develop the distribution for a new business by providing excellent service and support
  • To ensure all admin related tasks and internal/external communication are carried out proficiently, professionally and accurately and that all reports are submitted timeously
  • To maintain a comprehensive knowledge of our competitors
  • To ensure active involvement in the planning, management and execution of all clients’ events and promotions and to report on results
  • To represent La Roche Posay at all times and demonstrate accountability and creativity with a results oriented approach to business
  • Sales related administration and capturing of data/orders on respective spread sheet
  • Continuous customer relationship maintenance through scheduling of meetings and quality service delivery
  • Continuous training on the brand and application techniques to both doctors and beauticians
  • To perform a target driven selling, marketing and relationship building function and grow allocated area through prospecting and new accounts
  • Attendance and organisation of events and congresses when required. Hands on practical treatments (Facials/ Peels) are a requirement and if candidates cannot perform facial treatments they will be trained
  • Constantly identifying areas of potential growth
74

Spanish Medical Translator Resume Examples & Samples

  • Translate cancer information summaries for health professionals and patients, glossary of cancer terms and definitions, labels, captions and content descriptions for illustrations
  • Edit/Proofread peers translations
  • Use of complex XML database (training will be provided)
  • Use of Trados Studio (training will be provided)
  • Bachelors/Masters in Health related sciences or MA in translation
  • 2 years of oncology/medical terminology
  • 5 years of translation experience
  • 5 years of MS Office Software
  • American Translator's Association (ATA) certification
  • Ability to learn a custom XML database
  • Willingness to meet production deadlines
  • Ability to research complex medical terminology
75

Senior Medical Editior Resume Examples & Samples

  • 2+ years of related Editing experience
  • Previous Digital Editing experience
  • Previous experience working for a related agency and/or in the Pharmaceutical industry
  • Scientific background, such as journal editing experience
  • 5+ years of related Editing experience
  • Degree in a Science related field
76

German Role Medical Company Resume Examples & Samples

  • Dealing with nurses, doctors, medical staff and patients and provide them medical information about products
  • Working in an office based role
  • Working in a multilingual and multicultural atmosphere
  • Trained up and have the opportunity to become the matter expert within oncology, mental health, biomedicine etc
  • Given the opportunity to advance your career in this global organization
  • Fluency in English AND German
  • Ideally educated to 3rd level (Bachelors or Masters Degree or higher
77

Senior Spanish Medical Translator Resume Examples & Samples

  • Translate Physician Data Query (PDQ) cancer content (health professional and patient summaries, Dictionary of cancer terms and definitions, labels, captions and content descriptions of Spanish images)
  • Edit/Proofread/Quality Control all translations including those of other translators
  • Always ensure translation precision, clarity, correctness, accuracy and cultural appropriateness
  • Research and document complex medical terminology
  • Use complex XML database
  • Use SDL Trados Studio, Multiterm and SDL WorldServer Translation Management System
  • Use Translation Memory Software
  • Masters in Health related sciences or Translation or Medical Doctor
  • Native Spanish speaker
  • 5+ years of oncology/medical terminology expertise
  • 5+ years of English into Spanish translation experience
  • 5+ English into Spanish editing/grammar expertise
  • 3+ years of SDL Trados Studio, Multiterm and 1+ years of SDL WorldServer Translation Management System experience
  • Experience with Translation Memory software
  • Ability to achieve a satisfactory score in a translation assessment
  • Extensive knowledge of Latin American Cultures
  • Capacity to meet production deadlines
  • Display a high degree of initiative and ability to work independently under minimum supervision in a fast-paced environment
  • Strong communication, organizational, and interpersonal skills
  • Possess the aptitude for understanding the “big picture” while focusing on accuracy and details
  • Display a strong commitment to working in a team environment
78

Global Medical Team Lead-hereditary Angioedema Resume Examples & Samples

  • Leads development and execution of multi-year global medical strategy for the specified Product/Disease Area, appropriately aligned with overall strategy and incorporating R&D functional strategies (clinical, regulatory, HEOR, PV, compliance)
  • Serves as the global expert within Shire in support of the product/disease area including the respective charitable strategy
  • Leads the global medical team for the product/disease area
  • Responsible for development and in-year implementation of medical plan in the US and global and oversight of in-year implementation by International Medical Affairs
  • Oversee strategic definition and implementation of in-year plans by International Medical Affairs Develop and management of the Global and US medical budget
  • Establishes appropriate strategic partnerships with centers of excellence and KOLs in areas of scientific interest
  • Collaborates with Legal, Compliance and Regulatory to ensure proper and ethical interactions between GMA personnel and external stakeholders
  • Develop, conduct, or participate in therapeutic training programs for Shire internal departments
79

Puerto Rico Medical Director Resume Examples & Samples

  • Board Certified/Board Eligible MD/DO in a ABMS Medical Specialty with an active unrestricted license (must be licensed) and the willingness to obtain additional licenses as requested (Puerto Rico included)
  • Fluent English communication skills (written and verbal)
  • Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products (strongly preferred)
  • Internal Medicine, Family Practice, Geriatrics, Hospitalist clinical specialists, Pediatrics
80

Medical Data Entry Specialist Resume Examples & Samples

  • Experience using the Internet, Lotus Notes, MS Excel, and MS Word
  • Ability to solve problems independently after completion of training sessions
  • High degree of accuracy and professionalism
  • Strong working knowledge of systems applications
  • Excellent customer services skills including an ability to follow through, take ownership and drive all assigned tasks to completion
81

Universal Associate Medical Lake Resume Examples & Samples

  • 2+ years banking or comparable experience that includes cash handling, and a track record of outstanding customer service
  • Strong attention to detail and the ability to proficiently preform a wide variety of tasks
  • Proficiency with Microsoft Word, 10-key, and a variety of office equipment, knowledge of Excel software applications
  • Demonstrated sales skills
  • High school diploma, vocational training, or equivalent
82

Medical Relation Manager Resume Examples & Samples

  • Contribute in the implementation of the brand strategy
  • Control and follow up of best practices: targeting
  • Manage and develop the Medical Representatives skills
  • Propose strategic actions : budgets investments, ROI analysis through KPI
  • Partner with Marketing teams to develop and suggest services / activities adapted to physicians’ needs and expectations
  • 6 to 8 years of relevant experience
83

Overnight Medical Secterary Resume Examples & Samples

  • 1+ year of related work experience within a Healthcare facility
  • Prior experience in an Administrative position
  • Exceptional communication skills (written and verbal)
84

Inpatient Rehabilitation / Medical Resume Examples & Samples

  • 2+ years of medical-surgical or inpatient rehabilitation experience
  • Ability to multitask
  • Professional attitude
85

Scientific Medical Associate Resume Examples & Samples

  • Understanding GE medical devices general technologies, clinical features, and intended of uses, and clinical indications
  • Serves as a member of STO/medical, closely works with regulatory teams, and deeply understanding China relevant regulations, policies, guidelines, product standards, and submission requirement
  • Well communicating with both China and global research, engineering, clinical application, and program teams to recognize devices/instrument application in clinical practices
  • Through library systems, websites and other pathways to do literature/publication study, both English and Chinese. Sharing and aligning the above information with regulatory, engineering, research
  • With medical teams, contribute literature/publication reviewing, data collection, summarized medical materials to CFDA registration related forms
  • With medical teams, complete medical relevant writing work
  • Bachelor, bio-engineering preferred
  • 1 year medical device industry or CRO working experience
  • Well English communication, including speaking, listening comprehension, and writing
  • Familiar with library systems, medical literature retrieval skill
  • PC MS application
  • Master of science degree or above
  • Medical device industry working experience
  • Strong English skills, particularly on medical professional reading, and writing
86

Medical Director Radiology Resume Examples & Samples

  • To be responsible that project activities and milestones are planned, agreed and achieved according to the overall clinical development plan (it includes pre and post marketing activities)
  • Working with the Quality Assurance, Regulatory Affairs and Pharmacovigilance teams to establish and maintain strong risk assessment and management processes for decision-making
  • At least 3 years’ experience in GCP Clinical trials
  • Excellent interpersonal, organization, communication, & influencing skills
  • Good team player with global mindset
  • Customer savvy and understanding of Clinical and Industry environment
  • Technically savvy with experience in risk management
  • Prior experience working with Microsoft office products (Word, Excel, PowerPoint, Outlook)
  • Post graduate training / specialization in one of the following areas is desirable: Radiology (preferred), Nuclear Medicine, Neurology, Cardiology, or Oncology, with industry experience
87

Medical Director Radiology Resume Examples & Samples

  • Advise and council one or more strategic business groups in truly understanding the value of shrewdly designed and executed clinical development plans across the global businesses
  • Collaborating with multiple functions to ensure patient safety, minimize risk, select products for development with the greatest clinical unmet needs, work with teams and outside experts to design robust devices and to support clinical research strategies for regulatory approval, reimbursement and adoption
  • Provision of scientific support and leadership of the Medical Affaires activities across Europe to contribute to the life-cycle management of the Radiology portfolio
  • Responsible to define and execute the Radiology Medical Strategy within Medical Affairs including Publications Plans, KOL plans and research strategy for investigator initiated studies
  • Provide high quality medical expertise and strategic support to the commercial and marketing team and other functions within GE Healthcare Core Imaging (Regulatory, Pharmacovigilance, R&D, etc.)
  • Responsible to assess and support all activities related to investigator initiated trials and Post marketing surveillance studies. Collaboration with Clinical development providing feedback to the development plans
  • Participation at scientific meetings and conferences with active role in presenting key clinical evidence to referral groups and KOL
  • Single medical point of contact and relationship development with key medical opinion leaders, including Radiologist and referring physicians
  • Act as the medical liaison for medical societies, government agencies, ministries of health and advocacy groups
  • Review and approval of promotional and other materials for scientific content
  • Medically qualified in Radiology or another field or equivalent
  • Experience in industry or commercial business
  • Business knowledge and experience in a commercial environment
  • Ability to travel 30% of the time (domestic and international)
  • Experience working with high level senior stakeholders
  • Post graduate work experience in Radiology in any of the relevant sub specialties or a related medical/scientific area
88

Medical Application Developer Resume Examples & Samples

  • Your responsibilities include the specification of requirements, design of input masks and reports as well as the implementation and maintenance of medical content in Viewpoint
  • In close cooperation with your colleagues you are responsible for implementation, testing and documentation of reporting components
  • You establish a close cooperation and communication with medical experts, physicians and key opinion leaders to improve and further develop ViewPoint
  • You work according to quality and regulatory guidelines for medical products
  • You have a medical education or a degree as medical doctor and huge interest in software development and tools. Alternatively you have a technical degree with medical focus (e.g. biomedical engineering)
  • You already gained experience in clinical environment and in collaboration with physicians. Expertise in ultrasound (e.g. obstetrics, gynecology, echocardiography) or endoscopy based exams would be a huge plus
  • Furthermore you have experience in professional software development and tools
  • You have profound knowledge in JavaScript, XML technology and SQL databases as well as experience in user interface design
  • Due to our international environment you speak fluently English and preferably German. Further language skills would be highly desirable
  • You are a team player, flexible and customer focused
89

Medical Claims Specialist Resume Examples & Samples

  • Review Explanation of Benefits to ensure appropriate payment and the ability to resubmit claims to obtain correct payment
  • Obtain all necessary information from clinics required for billing
  • Identify accounts that require follow-up
  • Review and mail or electronically submit all claims
  • Create month end reports using Microsoft Excel
  • 2 years experience in Medical Billing or medical claims processing is preferred
  • Possess strong organizational and follow up skills
  • Ability to work under deadlines
  • Familiarity with ICD-10, HCPCS, CPT coding, HCFA 1500 & UB-04 required
  • Strong oral and written communication and interpersonal skills
90

Medical Excellence Manager Resume Examples & Samples

  • 1) Ensure effective implementation of medical affairs plans at country level, including identification of critical paths, and tracking of all MAF projects
  • 2) Manages and delegates work of direct reports related to field based activities (MSLs)
  • 3) Establishes accountability for assignments
  • 4) Contribute to creation of educational and promotional materials providing insights collected through internal and external interaction
  • 5) Provide support to manage publication planning, preparation and review in close collaboration with the TAs Medical Managers
  • 6) Ensures that trials/registries are conducted according to all applicable guidelines, regulations, company procedures and high ethical/quality standards
  • 7) Ensure implementation of policies and procedures for development and provision of medical information pertaining to the company's products for internal use by customer and by government
  • 8) Manages budget, contract negotiation and oversight of vendor activities related with Medical Affairs activities at country level
  • 9) Maintains collaborative working relationship between medical affairs and internal stakeholders to deliver timely and expert support to product development
  • 10)Function as a medical and scientific expert to internal and external customers at country level
  • 11)Build relationships with key medical societies and healthcare providers in Chile
  • 12)Provide scientific support to key opinion and thought leaders, community physicians, investigators and other healthcare providers
  • 13)Planning, oversight, approval and set up of educational activities at cluster level in close colaboration with the Medical Director for LA South
  • 14)Develop sinergy with the cluster medical affairs team to design and deliver regional educational activities
  • 1) Education level required: Physician degree is required for this role
  • 2) Years of Experience: requires at least 6 years of experience in the pharmaceutical industry
  • 3) Language: english advance is required
  • 4) 10 % of international Travel
  • 5) Location of the role: Santiago de Chile, Chile.Medical Affairs
91

Global Medical Affair Leader Resume Examples & Samples

  • Develop global medical affairs strategy and plans for the assigned compounds based on data gaps and prioritized regional needs and supported by Real World Evidence
  • Working with the CDT as well as the Global Clinical, Commercial, and Market Access Teams to ensure integration with the overall global compound strategy, resulting in one global R&D and Medical Affairs compound development plan, to support a differentiated Target Product Profile and compelling value proposition
  • Provide consolidated regional input with a single Medical Affairs voice into the creation of compound development and LCM strategies, that support a strong value proposition for optimizing reimbursement and utilization
  • Responsible for pre-launch medical activities including product/disease area global advisory boards, medical symposia and congress activities, in collaboration with functional leads of regional activity in these areas
  • The GMAL will be an active member of the core product CDTs and will lead a global Medical Affairs TA Team consisting of regionally designated Therapeutic Area Medical Affairs Leaders to create one medical affairs perspective and one "unified" voice on the CDT
  • Collaborate closely with the regional medical affairs representatives to develop integrated global medical affairs strategies and plans and maintain open, two-way communication to ensure the regional medical affairs teams are up to date on disease knowledge and emerging data (including data on competitive programs), as well as progress on milestones and key decisions
  • Synchronize input and output of the Med Affairs plan with the strategic and business plan calendars. Lead global publications planning process oversight (with vendor support) including manuscripts, abstracts, posters and papers as well as pre-launch global KOL communications & speaker development
  • Review of manuscripts to ensure alignment with strategy and effective communication/presentation in internal and external audiences (eg. Symposia)
  • The GMAL is responsible for review and approval of proposed data generation activities within Medical Affairs for Oncology products. Responsible to ensure all global activities follow J&J Compliance principles, eg. Health Care Compliance, etc
  • This position requires a minimum of an MD or PhD degree, with a specialty in Oncology Clinical Research
  • A minimum of 6 or more years of combined relevant experience in a clinical research environment, scientific function in the pharmaceutical industry is required
  • Prior experience in an oncology medical affairs role is preferred
  • Knowledge of oncology products, both J&J and competitors, is required
  • A demonstrated track record leading highly matrixed, cross-functional work teams comprised of high-level managers and executives is required
  • A demonstrated track record of success within Medical Affairs and/or clinical R&D required
  • Global mindset and direct experience in multiple markets, proven ability to partner cross culturally/regionally is preferred as well as in-depth knowledge of study methodology, data reviews and analysis
  • In this position a successful candidate should have excellent knowledge of study execution, benefit risk management and lifecycle management
  • Highly innovative with the ability to drive a complex and changing environment and effectively manage and resolve issues within the TA
  • Proven ability to act as a medical spokesperson with strong communication skills for external audiences is required
  • Also required is strong experience developing and managing strategic relationships with medical experts/opinion leaders
  • A minimum of 30% international travel is required
92

Medical Director, Infectious Diseases Resume Examples & Samples

  • Clinical protocol design and study implementation and management of phase IIIb and IV studies
  • Review and approval process for investigator-initiated study proposals
  • Major role in developing the research agenda for infectious diseases franchise compounds
  • Active contributor to the Janssen Scientific Affairs-ID integrated business plan
  • Work closely with the sales and marketing group to provide clinical input for marketing initiatives, sales materials, and education and training
  • Represent the company externally at congresses, advisory boards, and similar to provide information as requested, and establish and maintain strong relationships in the therapeutic area(s) of work
  • Collaborate with Global Medical Affairs and R&D to shape the development of products in the Infectious Diseases pipeline
  • An MD/DO is required
  • Board certification is preferred
  • Infectious disease training/ experience is required
  • Extensive HIV/AIDS and/ or ID respiratory disease clinical experience is strongly preferred
  • Also preferred is an extensive provider network and credibility with Infectious Diseases opinion leaders in academic and clinical areas
  • Clinical trials and protocol development and implementation experience is required
  • One to three years pharmaceutical experience is strongly preferred
  • This position may require up to 30% annual travel (will include overnight travel).Medical Affairs
93

Medical Operation Lead Resume Examples & Samples

  • Lead the operational aspect of wide range of medical activities, focus on pharma sector (medical education, adboard meeting etc.), including the consolidation and tracking of the medical education budget and tactical plan,
  • Develop and maintain strong network and engage with key medical society and key teaching hospitals for the flawless execution and continuous improvement of J&J medical education activity
  • Back up for head of medical affairs in the review and approval of scientific events and HCP sponsorship
  • Internal subject matter expert for medical affairs systems, processes and procedures. Perform the impact assessment for global/regional procedural documents in timely manner, and develop local procedural documents accordingly
  • Monitoring of training completeness of medical affairs team as per training curriculum, and lead the process compliance related training for relevant member of other departments (example: copy review process, commercial clinical activity)
  • Coaching or direct management of team member (optional)
  • Medical affairs copy reviewer and basic scientific support for consumer sector (optional additional role, only applicable for medical doctor background)
94

Medical Service Representative Resume Examples & Samples

  • Builds effective customer relationships while adhering to company’s compliance standards
  • Builds sustainable, long term relationships with Key Opinion Leaders in assigned territory by involving them in scientific engagements at regular intervals and through effective coverage at right frequency
  • Executes and plans for conducting scientific activities such as CMEs and executes marketing campaigns from time to time in order to service listed HCPs in prescribed territory
  • Achieves daily call average of 10 (doctors) and 4 (chemists)
  • Collects and submits stocks and sales statements and other required documents in timely and accurate manner
  • Follows up with customers for resolving issues and maintaining satisfaction
  • Follows safety and compliance policies of organization
95

Head of Medical Switzerland Resume Examples & Samples

  • Lead the regulatory affairs function to obtain and maintain local licenses for the company’s products
  • Ensure a successful cooperation with national health authorities (Swissmedic, BAG etc.)
  • Lead the medical affairs function and act as a medical advisor for the business units
  • Support new product launches, new indications or repositioning Provide scientific input in claim generation and lead medical claim validation for the products in the therapeutic area
  • Medical training: maintain current files on product relevant medical literature, deliver training to employees on medical and compliance matters
  • Medical information: answer questions and document according to the SOP
  • Claim review of promotional material for all units according to the SOP
  • Responsible for developing and implementing the necessary SOPs at local level to comply with company and country regulations
  • Management of the medical team
96

Medical Delegate Resume Examples & Samples

  • The Medical Delegate must be a reliable source of information on infant nutrition and infant feeding practices for his / her contacts in areas that interest or affect them in their regular practice. Any questions / problems not handled by the Medical Delegate should be reported to the Field Supervisor – Nutrition
  • The Medical Delegate should adhere strictly to the WHO Code / Nestlé instructions and / or national code as well as local regulations in this regard. No violations will be tolerated and complaints received will be investigated leading to appropriate action
  • The Medical Delegate should follow cycle detailing guidelines ensuring that scientific factual information reach the contacts and communication objectives achieved
  • The Medical Delegate should also provide feedback to the Field Supervisor on his medical visits and acceptance of the communication by his contacts
  • The Medical Delegate should actively participate in company organized training courses, seminars, etc
  • The Medical Delegate should organize medical / scientific group meetings and presentations to his contacts to enhance their knowledge on Infant Nutrition
  • The Medical Delegate should be fully knowledgeable on the WHO Code Management System Policies and Procedures and his practices should be fully compliant with these Policies and Procedures
  • The Medical Delegate should file all territorial records and correspondence in an organized matter
  • The Medical Delegate should send to the Field Supervisor an accurate inventory of all detailing materials availabe as well as all professional items on a quarterly basis
  • The Medical Delegate should ensure that he / she has adequate stock of detailing material needed as per cycle plan
  • The Medical Delegate should keep company properties in good working order / condition
  • The Medical Delegate should ensure that his / her car is kept clean at all times, maitained and repaired if necessary
  • The Medical Delegate should maintain a good working relationship with other personnel in the company and in the field (sales counterparts) and show a positive attitude towards the job, work, company colleagues, contacts, supervisors, subordinates, etc
  • The Medical Delegate is expected to take a personal interest in further self development which besides work related topics should include sports, hobbies and community / social activities
  • The Medical Delegate is expected to show initiative / enthusiasm in his / her work
  • The Medical Delegate is expected to show persevereance and drive in his / her work
97

Medical Delegate Resume Examples & Samples

  • Active recommendation by HCPs (Health Care Professionals) of the company’s Infant Nutrition Products and services where and when appropriate and when exclusive breastfeeding is not possible
  • Develop long-term mutually beneficial professional relationships with HCPs and relevant medical decision makers
  • Optimum territory coverage and management including prospection and insights gathering and sharing
  • To ensure quality service to HCPs through proper monitoring of product availability, visibility, freshness and pricing within the territory
98

Medical Delegate Resume Examples & Samples

  • Promote Nestlé’s belief that Breastfeeding is Best for Babies and that Breastfeeding is recommendable over all other feeding alternatives for infants
  • Provide reliable information on infant nutrition and infant feeding practices for medical/ paramedical contacts in areas that interest or affect them in their regular practice, according to current cycle detailing objectives and materials, becoming a reference advisor on these topics
  • Participate in the organization and running of on Product Knowledge, Nutrition or related topics medical / paramedical scientific meetings including their sponsorship meeting, guest lecturer invitation
  • § Identify and maintain relevant information on all contacts in assigned territory via master list, including classification on interest and importance, and by regular call cards completion
  • Monitor and report to the Medical Field Manager on activities of our competitors including new competitor products, communication strategies, etc
  • Maintain proper records and registers of all correspondence and actions undertaken in daily activities
  • § Ensure strict adherence and compliance on all activities undertaken to the WHO International Code of Marketing of Breast-Milk substitutes and Nestle Instructions and local country codes
  • Comply with Nestlé’s strictest requirements that they will not seek contact with, or give advice to pregnant women, or mothers of infants and young children regarding Infant Formula in their business capacity
  • In-depth knowledge of WHO International Code of Marketing of Breast-Milk substitutes and Nestle Instructions and local country codes
  • Excellent Interpersonal skills
  • Ability to build engagement & commitment (via Influencing)
  • Fluency in Arabic and English
99

Medical Director s Resume Examples & Samples

  • Drives efforts to strengthen and build Occupational Medicine support services within the Americas region (North and South America). Including the selection, on boarding and on-going development, mentoring, monitoring and support of appropriate Occupational Medicine Support
  • Provide Occupational Medicine subject matter expertise to all North America and LATAM operations
  • Promotes and drives occupational health as a core Credo value within all of Johnson & Johnson’s Americas operations
  • Supports the development of an Americas strategy for occupational health that is integrated into Regional GHS, EHS and business strategies
  • In conjunction with the Regional Directors and Wellness & Health Promotion Manager for Americas develops systems to ensure clinical excellence in occupational health and wellness activities
  • Support the development and implementation of occupational health policies, standards, procedures, guidelines and strategies to ensure the protection of J&J employees
  • Support GHS Americas Operations in meeting regulatory and J&J requirements, including closure of action items from assessment and audit processes
  • Encourages and drives appropriate corrective action is taken where workplace health risks are identified
  • Interfaces with local and national government regulatory compliance agencies for workplace safety and global Health; vendors for global health in region; regional OH and EHS, External and internal technical, professional and business experts
  • Leads an aggressive effort to fully integrate workplace health processes into the business processes and strategic plans of partners in Americas franchises and locations
  • Support the EHS audit process as a subject matter expert on an as needs basis (approximately 2 audits per year)
  • Coaches and advises the health services staff and management on ways to improve outcomes and programs in their areas/sites within the region
  • Supports the development and delivery of training programs relating to GHS programs
  • Supports collection and validation of key Global Health data and metrics
  • Provides upper management with ongoing consultation pertaining to health related matters
  • Active member of the Global Health Services Americas Operations leadership team
  • Support joint EHS-GHS cross functional teams on an as needs basis
  • Support the creation of the business cases for funding Occupational health initiatives
  • Assures regular and vigorous communication with regional global health services staff
  • Focus efforts on developing robust, repeatable and sustainable processes within Global Health Services
  • Support the induction and development of Occupational Health Services staff in the Americas region
  • Global process owner for selected programs or processes
  • Medical Degree and Occupational Medicine training/certification required
  • Licensed and Board certified in Occupational Medicine required with a preference of licensed in New Jersey
  • A minimum of 8 years in Occupational Medicine required
  • Fluent in Spanish and/or Portuguese is preferred
  • Patient care experience in industrial environment required
  • Consultancy experience preferred
  • Experience in highly diversified, decentralize and/or shared services organization preferred
  • Broad based technical experience in occupational health, employee assistance, health promotion, wellness and health care related fields preferred
  • Strong compliance orientation preferred
  • Ability to work in a matrix, team oriented environment required
  • Highly developed interpersonal skills required
  • This position requires up to 25% domestic and international travel.Occupational Health
100

Credit Balance Specialist / Medical Resume Examples & Samples

  • Research, audit and process refunds to patients, insurance companies, and business partners
  • Document and resolve outstanding unidentified credit balances
  • Works credit balances in ETM views, from automated work queues
  • Receive incoming refund requests or correspondence and works to resolve and return credit balances to the appropriate payee
  • Identify trends in credit balances and work directly with supervising staff to resolve overpayments
  • 1-2 years experience with healthcare claims processing, billing, follow up, insurance and refunds
  • Demonstrates the ability to work independently and prioritize a heavy workload in a fast paced environment. Strong emotional maturity. Excellent time management, organizational and written/verbal communication skills
  • Must have excellent problem solving, attention to detail, and accuracy skills. Knowledge of Excel and Word
  • Ability to maintain highly sensitive and confidential information
  • Bookkeeping or math training
  • Proven Insurance Billing Specialist or Refund Specialist Skills
  • Working knowledge of Flowcast or other healthcare accounts receivable billing systems
  • Knowledge of payer and coding billing requirements and guidelines, insurance websites, insurance paper and electronic remittance
101

Medical Engineering Team Leader Resume Examples & Samples

  • Responsible for making sure that each employee has a clear understanding of his/her responsibilities
  • Responsible for hiring, training, performance reviews, and holding regular meetings with all employees within their area of supervision
  • Shall be responsible for meeting all quality requirements as stated in the laboratory Quality Manual
  • Responsible for manpower requirements, projections, and utilization and employee
  • Bachelors Degree in a related science or engineering field
  • Working knowledge of the principles and practices of manufacturing systems
  • At least three (3) years laboratory type work experience
  • Two (2) years project management experience
  • Ability to communicate and interact effectively in both verbal and written format
  • Physical dexterity to operate equipment and perform other functions necessary to effectively and efficiently perform the duties of the job. This may include: bending/stooping, turning/twisting, reaching, balancing, and mobility to travel to other work sites
102

Medical Group CSC Resume Examples & Samples

  • Drive utilization of IDD testing (allergy and autoimmune) within targeted accounts to exceed territory goals
  • Achieve Most Valued Partner status and drive targeted customers to Sustained Clinical Adoption (SCA)
  • Utilize Strategic Selling platform to develop comprehensive strategies to drive IDD testing use within targeted accounts
  • Support district business plan through the intentional focus on high growth/business development target accounts
  • Minimum of two years medical and/or strong B2B sales experience with demonstrated track record of success
103

Medical Claims Adjudicator Resume Examples & Samples

  • Ability to use the desktop computer system
  • Typing skills (at least 8000 KPH or 35 WPM)
  • Basic internet skills and knowledge of MS Word and Excel
  • Excellent comprehension, analytical and decision making skills
  • Good understanding of benefit/s trained on
  • Good understanding of contractual limitations and standard operating procedures within the agreed service level through the aid of published claims manual
  • Must score at least 80% rating on Post-training Skills Verification Assessment Test
  • Must score at least 80% rating on the Post-training Skills Verification Assessment Test
104

Mandarin Medical Claims Adjudicator Resume Examples & Samples

  • Bachelor’s Degree/Master’s Degree in related field
  • Should have at least 1-year work experience
  • Chinese-literate; Able to read and understand basic business terms and learn/improve on it
  • Able to type Chinese characters using the Cang-Jie method
  • Good computer skills and with fast and accurate typing
  • Adherence to quality service
  • Excellent organizational skills and good numeric sense
  • Ability to express ideas clearly and concisely in writing
  • Careful and attentive to details even when under time-constraints
  • Team-oriented yet able to work independently
  • Willing to render overtime work as needed
  • Flexible and adaptable to change
  • Proven ability to balance approach in different levels of transactions
  • Effective communication and problem solving skills
  • Willingness to experiment and take risks
  • Can handle multiple tasks in a fast-paced environment
  • With background/experience in insurance firm is an advantage
  • Willing to work on Saturdays or Holidays whenever a business need calls for
105

Medical Informaticist Resume Examples & Samples

  • Identify clinical data elements within the clinical databases of our partners
  • Curate, validate, and manage clinical content
  • Assist in developing clinically-relevant quality tests
  • Standardize clinical data to common controlled vocabularies and classifications, including RxNorm, and LOINC
  • Expand and adapt ontologies when existing standards fall short
  • Work with a team of informaticists, clinicians, and software engineers to map data between databases and implement ETL processes
  • Perform mapping of clinical data to standard reference terminologies
  • Be a clinical data expert on our team
106

Medical Resume Examples & Samples

  • Provides intake services and setup for all new patients
  • Verify benefits on both pharmacy and major medical plan
  • Review clinical documents for prior authorization/ pre-certification submission purposes
  • Initiate, complete (when allowable) and tirelessly pursue Prior Authorization approval from insurance carriers and offer to go above and beyond to assist and support our MDO practices whenever possible
  • Coordinates the patient's care with physician offices, nurses, pharmacists and patients
  • Performs accurate and timely insurance verification, both major medical and pharmacy benefits
  • Coordinates prescription deliveries and refills for patients
  • Works with home health nursing visits and maintenance of a patient census throughout the course of their therapy
  • Supports other team members in the healthcare team
  • Maintains current documentation related to the patients drug therapy and pharmacy care plan. Flag issues that need to be addressed
  • Coordinates responses and resolutions to issues with appropriate internal and external parties
  • Nurture/foster strong supporting relationship with every physician’s offices
  • Actively participates in roundtable discussions with Pharmacists, Nursing Services and Pharmacy Care Coordinators to review cases and related drug therapy and pharmacy care plan issues
  • Strong analytical skills
  • Ability to resolve associate issues quickly and efficiently
  • Ability to represent a positive and professional image
  • Ability to resolve PBM claim rejection
107

Account Management Medical Director Resume Examples & Samples

  • Proven experience as the clinical First Point of Contact for Sales and Account Management Organization
  • Client Facing Clinical Subject Matter Expertise
  • Health and Wellness Expertise
  • Data Driven Client Specific Clinical Strategy Development and Execution
108

Team Lead-medical Resume Examples & Samples

  • Attention to detail quick study self-motivated proactive and the ability to work independently
  • Pharmacy management system experience
  • Strong knowledge of Microsoft Word Excel Power Point and Outlook
109

Chro / Senior Hrbp Banner Medical Group Resume Examples & Samples

  • Proactively interacts with facility staff to anticipate employee relations issues and respond appropriately. Provides counsel, guidance and education to administrative and management team members in all areas of human resources management, ensuring consideration of Human Resources policies and applicable employment laws and the creation of an environment of choice and employee engagement. Maintains a work environment free of third party influence by coaching, educating and ensuring that managers have the tools they need to create an environment where third parties are unnecessary. Participates with regional and system resource teams to develop solutions to critical situations faced in a complex healthcare market to include manpower shortages, service and financial implications
  • Leads management in a proactive manpower planning process to ensure the appropriate numbers and quality of staff are available to support the facilitys current needs and growth plans; also identifies recruitment and retention strategies to support core staff. Develops and implements innovative strategies to eliminate casual labor at the facility. Monitors department specific turnover and identifies trends, leading discussions with the department and operational administrator to develop strategies for improvement. As a member of the Human Resources Leadership team, provides recommendations and direction for recruitment and retention program planning and implementation for the region. This often includes making compensation recommendations related to the recruitment and retention of staff
  • Conducts needs assessments to determine developmental needs. In concert with facility learning, facilitates and presents educational programs to management staff to promote leadership development. Programs include compliance, regulatory, orientation and leadership development. Ensures that these programs link into other leadership initiatives for the facility
  • Provides leadership, supervision, guidance and development for staff, articulating and demonstrating an expectation for continuous quality improvement, as well as continually supporting and exhibiting company values and service standards. Identifies and provides growth opportunities for staff
  • Strategizes and drives process improvements focused on innovative care delivery and/or operational models designed to improve clinical services, outcomes, patient throughput, and patient safety. Promotes a patient-centered, healing environment. Promotes the use and implementation of technology in the workplace in order to streamline operations, facilitate communications, and optimize work processes
  • Ensures and fosters a high level of collaboration within a highly matrixed team environment in order to coordinate activities, review work, exchange information, and resolve problems. Champions, models, and promotes service excellence philosophies and behaviors at the facility, regional, and system levels to enhance the overall patient experience
  • Functions as an integral member of the hospital operations and system leadership teams, serving in an advisory capacity to applicable staff. In collaboration with leadership team members, directs and provides oversight regarding the strategic development, implementation, and maintenance of strong, comprehensive clinical and/or operational services and programs that meet system-wide organizational growth initiatives and the needs of patient populations in the community. Fosters the development and implementation of workforce initiatives effectively. Leads and influences change at the facility, regional, and system levels
  • Along with other members of the team, promotes financial stewardship and clinical excellence for the facility in both operational and capital acquisition processes. Allocates financial, information, and human capital for improvement activities, ensuring the efficient delivery of cost effective services to patients, physicians, and hospital departments. Establishes performance measures, assesses and evaluates operations, and works with department management to assure efficient and effective delivery of services
110

Medical Physics Assistant Resume Examples & Samples

  • Bachelor's degree is required or matriculating and obtained within 3 years
  • Must be a graduate of an accredited school of Radiation Therapy
  • ARRT and Florida license in Radiation Therapy required
111

Behavioral Medical Director Resume Examples & Samples

  • Provides overall clinical leadership in behavioral health for the assigned market. This person will be responsible for overseeing all clinical aspects of behavioral health, including care and utilization management, network and provider relations, quality improvement, health IT, and overall administration including legal and finance
  • Responsible for overseeing and ensuring integration of behavioral heath into all functional areas of the health plan, and working collaboratively with corporate behavioral health and medical staff to implement integrated policies and procedures. Provides reliable assistance to the assigned market medical director and clinical staff to assure effective integration of behavioral services into health plan medical management activities
  • Works closely with the assigned market's senior leadership to assure clinical compliance with all company, customer and regulatory requirements for behavioral services
  • Helps establish policy and procedures for behavioral health, including its integration with medical care and pharmacy. This person will be the thought leader for behavioral health, and will provide teaching, training, coaching, and supervision of internal staff
  • Leads behavioral health medical management initiatives for assigned market to include utilization management, concurrent review, pharmacy management, and case management through a matrix partnership with the market president regional medical director, director of behavioral health operations, case management field director and field case management staff
  • Shared responsibility for Quality Improvement & accreditation initiatives in the assigned market
  • Reviews provider and member complaints, assists in resolution, and makes recommendations for changes
  • Responsible for provider education regarding best clinical practices, pharmacy utilization, quality improvement and responsible health care expenditure to improve clinical outcomes
  • Provides leadership for various corporate and local initiatives as assigned
  • Assists in the interpretation of medical policy for associates to facilitate the healthcare and behavioral health needs of our members
  • Works closely with P&L owners to develop strategies to change member and provider behavior to improve quality of care and clinical outcomes
  • Helps lead a continuing improvement and evolution of the delivery system in the assigned market, including working collaboratively with providers to encourage development of new and more community based types of care and better integrating BH with physical health and social services
  • Makes recommendations (based on daily activities of evaluating members' care) about medical policy, clinical criteria and administrative process
  • Participates on medical policy, credentialing and related health plan committees as required or assigned. Chairs behavioral health Clinical Advisory Committee in assigned market
  • Works with the local behavioral health and medical community to assist in the development and maintenance of a strong, quality network of providers
  • Visits targeted providers for recruitment, as well as performing proactive provider visits on a regular basis
  • Manages and develops direct reports who include directors and/or managers
  • Provides subject matter expertise to support operations, product development, and growth initiatives
  • Works collaboratively with matrix partners, business development, and market leadership to deliver clinical programs that support the business objectives of the market
  • Works collaboratively with the team based in the assigned market as well as the corporate staff in Tampa FL
  • Develops value propositions for clinical programs through quantitative analytics, ROI, and evidence-based data
  • Participates in the identification and analysis of medical information from multiple sources in order to develop interventions to improve the quality of care and outcomes
  • Creates a motivated customer-service driven environment
  • Provide leadership, oversight, direction and guidance of behavioral health operations in Health Services clinical management. Ensures that activities are carried out in a timely manner
  • Develop and manage activities to ensure compliance with Federal, State, and NCQA accreditation standards
  • Oversees and participates in Performance Improvement Activities
  • Represent WellCare Health Services at various meetings and conferences on an ongoing basis
  • Recognizes and observes all company and departmental policies and procedures
  • Focuses on achieving market, departmental and organizational objectives
  • Maintains professional appearance and executive presence by complying with dress code in an appropriate manner
  • Complies with company policies and procedures
  • Performs additional duties and responsibilities as assigned by management
  • A MD or DO degree from an accredited medical school and board certification; Psychology or Psychiatry is required
  • Current license without restrictions in working state or the ability to obtain that license if necessary and ability to acquire license in multiple states
  • At least three (3) years experience and knowledge of the managed behavioral healthcare industry, Medicare and Medicaid experience preferred
  • Demonstrated expertise in Behavioral Health Services, such as prior authorization, intake, concurrent review, case management, discharge planning including development and management
  • Experience or familiarity with NCQA accreditation
  • Negotiation and conflict resolution skills as needed
  • At least five years of clinical practical experience
  • Excellent oral and written communication skills to multiple audience levels, including senior management, external customers, and members
  • Strong analytic, financial, and budget planning skills
  • Knowledge of Word and/or Excel sufficient to enter data, copy or cut and paste data and print results as required
112

Medical Accounts Receivable Team Lead Resume Examples & Samples

  • Working knowledge of the Healthcare AR process
  • Experience training others and recognizing areas of opportunity within a team
  • High level of computer literacy with command of office software including excel spreadsheets, pivot tables and PowerPoint presentation
113

Medical Resume Examples & Samples

  • Client facing
  • Travel - 50 %
  • Knowledge of the fundamentals of AR Metrics
  • Experience presenting to and working with physicians and hospital administration
  • Self- aware; ability to handle challenging situations effectively with professionalism
  • Ability to travel locally between the McKesson office in Somerset,NJ and the client location in Elmhurst, NY
  • Solid knowledge of Microsoft Office as well as data processing and analysis skills
  • Ability to develop and maintain client relationships. Good communication and presentation skills, both written and oral
  • Manage projects
114

Medical Refund Resume Examples & Samples

  • Mangament of offsight resources indirect reports
  • Cash management refunds, credits and payment posting or Accounts Receivable experience
  • Demonstrated supervisory experience - mentoring and coaching a team (both offshore and local)
  • Excel - advanced functions
  • Medical claims understanding
  • Prior work with Quality Assurance
  • Knowledge of insurance company practices regarding refunds and healthcare credits. Strong communication/problem solving skills
  • Able to motivate others and work under pressure.Education
115

Medical Accounts Receivable Supervisor Resume Examples & Samples

  • Strong analytical skills are required including the ability to analyze AR and overall metrics for the client using advanced knowledge of Excel (v-lookups, pivot tables: ability to manipulate, navigate, and build pivots)
  • 3+ years of strong accounts receivable management experience
  • 3+ years of strong accounts receivable follow-up experience in the above specialties
116

Data Analyst / CHS Medical Group Resume Examples & Samples

  • Collects, mines and analyzes the diverse data elements and sources to support various initiatives throughout the System
  • Maintains and supports various databases, spreadsheets and dash boarding reports
  • Collects, evaluates, analyzes and coordinates the review of financial and clinical information
  • Ensures the integrity of project data by monitoring and validating the extraction, processing, storage and manipulation of the information
  • Develops or customizes programs, methodologies, models and files for analysis, presentation and illustration of data
  • Serves as a resource for data analysis, report content, report design, etc. as needed
117

Accountant, CHS Medical Group Finance Resume Examples & Samples

  • Prepare assigned recurring and non-recurring journal entries for the month end closing process
  • Review data received from other departments or facilities for completeness and accuracy
  • Answer questions to the appropriate individual(s)
  • Perform reviews, reconciliations, analyses, research and other related duties independently, or as requested by the department manager
  • Evaluate accounting systems and procedures and suggest ways to improve output and efficiency
  • Communicate timely with various CHS personnel and external customers
  • Participate in other accounting and financial reporting responsibilities as required
  • Explains accounting information to non-accountants in an effective manner and interacts with team members
  • Works accurately and efficiently in a fast-paced environment with many assignments subject to critical deadlines that must be achieved
  • Works independently or with teammates with minimal supervision. Possesses the ability to seek out ways to improve processes and measure inefficiencies
118

Appeals & Grievances Medical Director Resume Examples & Samples

  • Perform individual case review for appeals and grievances for various healthplan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies
  • Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses
  • Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations
  • Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues
  • Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills
119

Medical Claims Business Process Manager Resume Examples & Samples

  • Direct management of 4 individuals and indirect management of 3 others, including staff hiring, training, coaching, and evaluating performance
  • Manages multiple levels of staff responsible for documenting, quality control, and analysis of claim data across one or more products
  • Sets team goals that align with departmental plan and priorities to address business and operational challenges
  • Accountable for pipeline management and meeting all target deliverable dates for each process supported by team
  • Influences or provides input to forecasting and resource planning activities
  • Project manage strategic initiatives
  • Creates ad hoc analysis and reporting when necessary
  • Uses business writing skills to create clear and concise business documents and training materials for team
  • Identifies, communicates and drives organizational changes to improve process, workflow and quality
  • 4+ years of experience managing a team in business or healthcare environment
  • 4+ years of experience managing processes which support a product or deliverable
  • 1+ Demonstrated proficiency in MS Excel (formulas, sorting, filtering, formatting, v-lookups etc.) and other MS Office software
  • Knowledge of UNET/NDB, IDRS/EDSS or ppoONE
  • Lean/Six Sigma or process improvement certification
  • Knowledge of claims payment, coordination of benefits and interpreting explanations of claim benefits
  • Well organized with ability to multitask in a fast-paced environment
  • Experience managing to deadlines
  • Self-driven, ability to work independently and facilitate change
120

Product Director, Complex Medical Conditions Resume Examples & Samples

  • Work closely with the VP, Complex Medical Conditions - Transplant Solutions to develop a strategic vision for the product portfolio and effectively manage all portfolio assets to meet the organization’s goals and market needs
  • Develop, drive and execute a product strategy with respect to value proposition, positioning, product portfolio(s), distribution and product features / function
  • Perform appropriate analysis to help drive product strategies (eg: SWOT analysis, competitive positioning map, key buying criteria, and portfolio analysis)
  • Synthesize competitive analysis and market assessments to inform the product strategy, prioritize investments and establish go-to-market strategies that capitalize on market trends, customer needs and competitive positioning
  • Evaluate market feedback, interests and needs to ensure product advancement and lifecycle will continue to maximize opportunities and deliver the desired customer experience
  • Segment markets, identify target customers and champion Market Intimacy to uncover market needs
  • Understand and document macro / micro market trends and competitive threats
  • Engage key clients for strategic discussions on market trend impact, current issues and new product concepts
  • Review product performance against expectations; formulate and recommend changes to achieve optimal performance
  • Monitor performance metrics, management data and accurate revenue targets within product plan, responding to revenue and profit budget variances
  • Collaborate across Optum and UHG on new product development initiatives and integration
  • 3 years of product management experience
  • Strong project management skills, including risk and contingency management, ability to manage competing demands and set priorities, and achieve deliverables
  • Experience working in and leading teams in a matrix organization
  • Experience with business case development, basic product accounting, financial modeling, and P&L management
  • Proven ability to build relationships cross-functionally and lead toward common goals
  • Ability to effectively deal with moderate levels of ambiguity - can effectively cope with change, can shift gears comfortably, can decide and act without having the total picture, comfortably handles risk and uncertainty
  • Excellent written, verbal and interpersonal communication skills
  • Effective formal presentation and facilitation skills in a variety of settings
  • Clearly understands the competitive landscape - competitor strategies, positioning, strengths and weaknesses
121

Psychiatric Medical Director Concurrent & Retro Appeals Resume Examples & Samples

  • Collaborate with EHR’s Clinical Research, Regulatory, and Operations teams
  • Develop the Psychiatric portion of EHR Logic. EHR Logic is a unique body of knowledge specifically designed to address risk stratification of patients. EHR Logic is strictly evidence-based and supported by several thousand published articles hand-picked from the medical literature for their quality and high grade research. The Logic is designed in a manner such that all recommendations are highly defensible and are based on high grade medical evidence and solid medical research as well as applicable regulatory guidelines. The Logic has guided our physicians in their decision-making process in the review of medical necessity determinations and appeals
  • Review a sample of IPF cases including denials submitted by clients to develop and refine the approach to crafting written appeals for Medicare, Medicaid, and Commercial payors
  • Develop recommendations for best practice documentation guidelines for IPF cases to assist Optum EHR clients with compliance efforts and documentation improvement
  • Develop and refine the approach to providing expert witness services, when appropriate, during the appeal of selected IPF cases to the Medicare Appeals Council along with during hearings before the Administrative Law Judges of the Office of Medicare Hearings and Appeals
  • Serves as a resource and provides guidance for clinicians and staff in the department
  • Board Certified Psychiatrist
  • Medical Licensure mandatory
  • 5 + years of post-residency clinical experience
  • 3 + years of leadership experience
  • Ability to synthesize and present information
  • Good problem solver
  • Ability to build consensus and work in a team setting
  • Ability to follow projects through to completion
  • Excellent writing and speaking communication skills
  • Familiar with critically reviewing complex medical charts
  • Strong fundamental knowledge of inpatient psychiatric hospital medicine
122

Product Director, Complex Medical Conditions Resume Examples & Samples

  • Collaborate with product, clinical and operations teams to translate strategies and opportunities into specific initiatives supported with a business case
  • Drive the implementation and go-to-market strategy for new products or solutions
  • Anticipates customer needs and proactively develops solutions to meet them
  • Detailed project management efforts required and with appropriate stakeholder meetings
  • Forecasts and partners with operations for resource requirements; accountable for monthly forecasts and P&L
  • Demonstrate ROI and building of business cases for product development and capital needs
  • Understanding of consumer experience for product, including ability to drive and influence value creation through the health care system
  • Directs operations, marketing, and other key functional areas on how to operationalize including reporting and key operational metrics
  • Ensures that implementation and post-implementation activities inclusive of on-going management and maintenance of product
  • Actively contributing new ideas and/or identifying opportunities to improve penetration in existing channels and/or new channels
  • Support ad hoc projects including time-sensitive corporate requests
  • Proficiency with MS Office applications (min of 3 years exp)
  • Ability to utilize MS Visio to create process flows, editing process flows
  • Ability to utilize MS Excel to perform data entry, sorting / filtering, creating basic tables and basic formulas
  • 5-7 years of experience with Product Development and/or Management with products that have a clinical focus
  • 5+ years previous experience in healthcare
  • 3+ years Previous healthcare product project management experience
  • Superior conceptual, analytical and financial modeling skills, with ability to succinctly interpret data and strategic frameworks for executives
  • Live within a commutable distance to Eden Prairie
  • Ability to travel 20% of the time
  • Medicaid or Medicare experience
  • Financial background
123

UM Medical Director Resume Examples & Samples

  • Develops and maintains an efficient UM program to meet the needs of the health plan members and commensurate with company values
  • Educates primary care physicians regarding systems, structures, processes and outcomes necessary for assurance of regulatory compliance related to UM activities
  • Develops strategies for improving performance in medical management
  • Participates in case review and medical necessity determination
  • Oversees the development of UM policies and procedures
  • Analyzes aggregate data and reports to primary care physician
  • Liaises between physicians and health plan Medical Directors
  • Reviews specialty provider credentialing applications according to federal and state regulatory standards
  • Assesses the effectiveness of the specialty network to ensure members have access to multi-specialties within their demographic area
  • Represents the providers as an influence to the credentialing committee
  • Reviews policies and procedures of credentialing department and offers guidance for revision and implementation of process
  • Seeks ways to improve job efficiency and makes suggestions to improve operations that meet national standards as well as company needs
  • Takes ownership of the UM plan and provides constructive information to minimize problems and increase customer satisfaction
  • M.D or D.O from an accredited institution
  • Active, unrestricted medical license in Texas
  • Five or more years of clinical practice experience
  • Solid organizational, conflict resolution, negotiating and interpersonal skills
  • Strong independent problem identification/resolution and decision making skills
  • Ability to interact effectively with individuals, multidisciplinary teams and provide leadership in assisting with complex cases requiring intervention, experienced counsel
  • Ability and willingness to obtain FL Licensure
  • Medicare Advantage experience
  • Board Certification general/family practice or internal medicine
124

Associate Behavioral Medical Director Resume Examples & Samples

  • Responsible for Level of Care guidelines and utilization management protocols
  • Provide clinical oversight to the clinical staff, oversee the provision of both inpatient and outpatient services; and keep current regarding prevalent treatment protocols and philosophies including those that address consumer cultural preferences
  • Licensed Physician in the state of Nebraska required
  • Board Certified in Psychiatry required, sub specialty in child & adolescent or addictions preferred
  • Minimum of 3 years of experience as a practicing psychiatrist post residency strongly preferred
  • Experience working with community based programs and resources designed to aid the Nebraska Medicaid population
  • Minimal local travel required
  • Experience in public sector delivery systems and experience in Nebraska public sector services
125

Physician, Hematology & Medical Oncology Resume Examples & Samples

  • Diagnosing, treating, and managing patients with hematology and oncology diseases according to standard, usual and acceptable or customary methods and techniques in the outpatient and inpatient settings
  • Completion of accredited ACGME or AOA Internal Medicine Residency & Hematology and Oncology Fellowship
  • Board Certified in Hematology and/or Medical Oncology
  • Must have a minimum of 3+ years post-fellowship clinical experience as a Hematology and Medical Oncology physician
126

Market Medical Director Resume Examples & Samples

  • Relationship Equity—This medical director maintains a strong working knowledge of all government mandates and provisions, working across the enterprise to implement and maintain compliant clinical programs and procedures. S/he also is committed to being effectively engaged with our external constituents such as consumers/members, physicians, medical and specialty societies, hospitals and hospital associations, federal/state regulators, and market-based collaborative. This commitment to regular, proactive dialogue will lead to collaboration around programs focused on improving health care to enrollees and better products for our customers
  • Execute with discipline and urgency: Drive exceptional performance; deliver value to the customer; closely monitor execution; drive operational excellence; get directly involved when needed; actively manage financial performance; balance speed with analysis; ensure accountability for results
  • Model and demand integrity and compliance
  • Ability to develop relationships with network and community physicians and other providers
  • 5+ years clinical practice experience; strong knowledge of managed care industry
  • 2 – 3 years Quality management experience
  • Superior presentation skills for both clinical and non-clinical audiences
127

Medical Director, Per-diem Colorado Springs Resume Examples & Samples

  • Provides medical care interventions targeting unmet general medical needs
  • Attends IDG and collaborates with the Hospice Team to ensure that the medical needs of the patient are met and providing oversight of the plan of care
  • Collaborates with the patient’s attending physician to develop and update the patient’s plan of care, to identify needs not met by the attending physician, and to ensure pain and symptom management and control
  • Ensures provision of direct medical services to patients either directly or through arrangements, as appropriate in the absence of the patient’s attending physician
  • Demonstrates knowledge in communications and counseling patient and family in dealing with end of life issues
  • Documents care provided in the medical record providing evidence of progression of the end-stage disease process
  • Reviews patient’s clinical information before certifying and recertifying terminal illness and provides written certification at appropriate levels of care as per standards
  • Completes all job duties in a manner that meets the accepted standards of practice and the Evercare Hospice & Palliative Care Policies and Procedures
  • Significant experience with adults facing complex and advanced illnesses
  • Current and unrestricted license in the state of Colorado
  • Current and unrestricted DEA
  • Ability to pass background and credentialing process
  • Board Certification in a direct patient care medical specialty (Hospice and Palliative Medicine) preferred
128

New Jersey Market Medical Director Resume Examples & Samples

  • Focused Improvement – This medical director is responsible for identifying opportunities through participation in regional and local Medical Cost Operating Teams or Market reviews. S/he actively participates in Joint Operating Committees. S/he also provides local feedback on and oversight of the performance Optum Behavioral Solutions, and OptumHealth as needed. Additional responsibilities include the timely collection and entry of information into Online Engagement Survey tools and scorecards; developing action plans for sub-optimal results; and taking a leadership role in United Clinical Services and Quality Affordability Programs initiatives
  • Ability to build a team that values organizational success over personal success; provide ongoing coaching and feedback to ensure peak performance; identify and invest in high-potentials; actively manage underperformance
  • Licensed physician; Board Certified in an ABMS or AOBMS specialty
  • Proven ability to develop relationships with network and community physicians and other providers
129

Associate Behavioral Medical Director Resume Examples & Samples

  • Engagement with providers through telephonic peer review and discussion, shares information related to cost effective health care delivery and quality of care, conducts denials and appeals
  • Provides consultation to and support of Care Advocates through demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation and recovery
  • Interfaces with Health Plan customer, Professional Groups and Network Providers
  • Provides leadership to and is accountable for development and implementation of innovative solutions to health care system delivery challenges impacting special populations and/or emerging issues
  • Works closely with the health plan Medical Directors
  • Board certified in psychiatry, child/adolescent experience preferred
  • Current, unrestricted medical licensure in state of residence
  • Minimum of 18 months post-residency experience
  • Demonstrated ability to lead and teach others
  • Demonstrated ability to proactively engage colleagues and manage adversarial situations
  • Ability to perform a highly diverse level of tasks and deliver quality outcomes in alignment with Optum mission
  • Direct experience working with Medicaid/Medicare patients preferred, preferably in a leadership role and some managed care experience
130

Associate Behavioral Medical Director Resume Examples & Samples

  • Licensed Physician in the state of Louisiana required
  • Experience working with community based programs and resources designed to aid the LA Medicaid population
  • Board Certified in Psychiatry required, sub specialty in addiction
  • Experience in public sector delivery systems and experience in Louisiana public sector services
131

Medical Director National Accounts Resume Examples & Samples

  • Support case and disease management teams to achieve optimal clinical outcomes for high risk populations
  • Be involved in telephonic outreach for collaboration with treating providers. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
  • Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
  • Effectively engage and articulate the Optum and UHC value story to our external constituents such as physicians and our customers. There may also be opportunities to engage medical and specialty societies, hospitals and hospital associations, and state regulators
  • Deliver the clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting Broker/Client presentations and participating in customer consultations
  • By providing 70 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals
  • At Optum, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined
  • Current Board Certification in an ABMS or AOBMS specialty
  • 5+ years clinical practice experience
  • 2+ years managed care, Quality Management experience and/or administrative leadership experience
132

Southwest Medical Geriatrician Resume Examples & Samples

  • Direct clinical care of SNF patients
  • Provide education to other SM physicians regarding the role of the SNF in the continuum
  • Educate and interact with case management staff regarding the proper utilization of the SNF network
  • Participate on SM committees
  • Participate in problem solving, improving interdepartmental communication and staff training
  • Provide clinical and strategic leadership on national committees and task forces
  • Internal Medicine with Geriatric experience preferred, board certified or board eligible (required); ability to obtain Nevada license, DEA, Pharmacy license
  • Practice-based learning and improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence and improvements in patient care
133

Associate Behavioral Medical Director Resume Examples & Samples

  • Consults with Care Advocate staff
  • Conducts provider telephonic review and discussion, shares information related to cost effective health care delivery and quality of care
  • Conducts Peer Reviews
  • Conducts appeals
  • Interfaces with Professional Groups and Network Providers
  • Provides leadership to and is accountable for the performance of managers and/or senior level professional staff
  • Works closely with the health plan Medical Director
134

Medical Bill Repricing Specialist Resume Examples & Samples

  • Key claim data into the claims repricing system and produces an Explanation of Reimbursement (EOR); the system prices the claim based on reported medical procedures, diagnosis and location of provider. Utilizing StoneRiver software; integrated Medicare edits consistent with Medicare Rules and National Correct Coding Initiative. For some claims, manual processing is required by using simple tables and lists. The Repricer is responsible for verifying data for accuracy of entry and reasonableness of results, and printing and EOR for specific claims. The
  • Repricer must select multiple possible statements to appear on the EOR
  • Responds to telephone inquiries from providers, claimants and customers, as needed. The Repricer answers question as to why reimbursement was made a particular level (level of reimbursement made by the system)
  • Performs miscellaneous recording functions
  • Advises management of recurring problems
  • Identifies systems problems and reports them to management
  • Recommends improvements in processes, systems, etc
  • Performs other duties and assignments, as required
  • Bill payment & data entry knowledge preferred
  • Medical reprising & workman compensation experience strongly preferred
  • Knowledge and comprehension of medical terminology codes, CPT, HCPC ICD9 and ICD 10
  • Bill Certification a plus
135

Medical Director Columbia Heights Resume Examples & Samples

  • Clinical quality improvement
  • Medical staff development
  • Clinic/specialty performance
  • Provider engagement
  • System performance
  • Represents unit in pertinent internal and external meetings
  • Coordinates with site administrative team on related matters
  • Works closely with Clinic Administrators and assures that systems and processes that support the patient / physician and clinical encounters and the overall patient experience are performing at a high level of proficiency
  • Partners with clinic providers and through Site and Network operating committees to ensure that community and Fairview Group Practice standards/guidelines of medical practice are maintained
  • Actively promotes the provision of quality health care and excellent patient service, to implement and execute system strategies within appropriate clinic units
  • Oversees practitioners and physicians at Fairview Clinics – Columbia Heights, New Brighton and Children’s Clinic with clinic administrator is jointly accountable for day to day operational performance of clinical area
  • Manages a combination of clinical practice and leadership role. Expected to maintain an active clinical practice at one of the three clinic locations. 40-50% time will be spent in administrative and 50-60% of time will be clinical
  • Licensed to practice in Minnesota with Board Certification in medical specialty
  • Holds current credentialed status in good standing
  • Board eligible/certified by appropriate board
  • Experience in clinical or hospital practice
  • Prior clinical leadership experience preferred
  • Demonstrated leadership and objectivity
  • Collaborative work style
  • Strong communication skills, including verbal, written and listening
136

Medical Director Columbia Heights Resume Examples & Samples

  • Current Minnesota RN license and approved or eligible by MN board of nursing for prescription writing privilages
  • Be eligible or certified through or ANCC/ANPP and meet threshold criteria/qualifications for Credentialing and Privileges
  • Ability to obtain and/or maintain DEA certification for the State of Minnesota
  • Experienced in clinical or hospital practice
  • Prior clinical leadership experience preferred
  • Active in medical and patient communities
  • Collaborative work style
  • Ability to serve as diplomat; mentor and motivator
  • Strong communication skills, including verbal, written and listening
  • Ability to lead by example
137

VP of Mercy Medical Group Resume Examples & Samples

  • Mission Support – Establishes and communicates the organizational goals which are consistent with the mission of the hospital and the Sisters of Mercy
  • Translates organizational mission and goals into written divisional operating goals and objectives
  • Actively participates in developing, maintaining and creating an organization united by a commitment to the mission and values of Mercy and characterized by open, honest communications and respect for the dignity of the person
  • Carries on the mission of Mercy; ensures that values guide the use of human, financial and material resources and shape plans for future services to those served
  • Participates in developing and maintaining processes to ensure that Mercy's Catholic Identity visibly reflected in all aspects of organizational life
  • Acts to secure the human right to healthcare, especially for poor and underserved; addresses issues of social justice; promotes conditions in society that contribute to health rather than illness
  • Provides direction and support related to Practice Management and Network Development
  • Provides analyses, information, and forecasts pertaining to financial and operational aspects of new physician practices or network services. If approved for implementation, facilitates incorporation of business plan into existing financial goals/metrics
  • Utilizes strategic planning models, revenue and cash flow projections, cost management structures, contingency analyses, and other relevant approaches in preparing and presenting business plans and financial analyses
  • Collaborates with the SVP, Mercy Medical Group
  • Works closely with SVP, MMG or designee regarding physician employment and compensation structures to align physicians with business goals. Administratively supports Physician Compensation Committee
  • Works closely with the VP, MMG and Executive Council to plan and define the primary care and specialty practices, including locations, mix of services, development plans, growth and scope of services provided
  • Provides overall Administrative management of physician practices
  • Responsible for ensuring operating plan goals and metrics of physician practices are aligned with the Mercy Hospital operating plan initiatives and the strategic planning goals
  • Responsible for ensuring easy patient access to practices and appointments. Ensure that a strong referral management process is in place
  • Responsible for ensuring payor mix management processes are in place consistent with the mission and values of Mercy Hospital to ensure that access for vulnerable persons is maintained
  • Responsible for supporting system efforts in ensuring practice management and electronic medical information systems are optimized
  • Creates systems and metrics to monitor and achieve performance goals across all pillars
  • Provides qualitative oversight to the physician practices
  • Prioritizes participation in commercial, State and Federal quality programs, developing and executing on work plan in accordance with this prioritization
  • Builds infrastructure and processes (both IT and otherwise) to participate in such quality programs, creating full integration with the operating structure of the practice
  • Leads efforts to participate in emerging practice initiatives based upon the results of business plans, such as Patient Centered Medical Homes or other similar efforts
  • Ensures that all functions and activities are accurate, timely, and compliant with all legal, professional, accreditation, and regulatory requirements that pertain to assigned areas
  • Leadership – Demonstrates individual skills to motivate and lead staff to achieve the goals of the system. Leads by example and serves as positive role model to others
  • Monitors areas impacted by Corporate Compliance, JCAHO, State and other regulatory agencies
  • Leads change to more effectively achieve the strategic initiatives of the organization; serves as a role model of the change expected from others
  • After collaborative input with leadership, establishes meaningful achievable and stretch goals in alignment with system priorities to assure MMG's collective success; assign responsibilities and accountabilities; efforts in others through personal example
  • Actively seeks opportunities to further own professional growth
  • Maintains knowledge of advancements in the area of technology and supports the division in updating those areas as appropriate
  • Exercises patience and control, especially in difficult or stressful situations; resolves conflict appropriately
  • Identifies, encourages, and provides mechanisms for participation of staff in self- governance
  • Provides leadership regarding bio-ethical in accordance with the Ethical and Religious Directives for Health Care Services and legal issues
  • Exercises leadership style that fosters collaboration and achieves consensus and cooperation by involving employees at all levels within the organization
  • Human Resources – Demonstrates the skills necessary to effectively manage, motivate and encourage staff in a consistent manner
  • Completes and administers employee performance and compensation reviews in a timely, fair, and consistent manner and conducts performance evaluation conferences that are constructive and informative, encouraging employee communication and participation
  • Evaluates and ensures competency of staff as defined based by department standards
  • Assists in the development of programs for recruitment, retention, development, and continuing education of all staff members
  • Consistently and fairly interprets and enforces Human Resources, hospital and department policies and procedures reflective of Mercy's Catholic identity
  • Provides training and development opportunities for staff to support an optimal level of practice and professional and personal career growth to enhance job performance and improved operational effectiveness
  • Fosters communication and coordination among individuals and departments
  • Supports the planning, coordination, implementation and evaluation of educational activities including orientation, in-service education and continuing education to meet regulatory requirements
  • Planning and Development – Demonstrates the ability to plan, develop, implement, monitor and update division's goals and objectives consistent with the system strategic initiatives
  • Defines and communicates the mission, vision, and values for Mercy and creates the strategic, operational, programmatic and other plans and policies to achieve the mission and vision
  • Participates in the development and implementation of Mercy's strategic planning
  • Communicates with the leaders of other healthcare delivery organizations corporately or functionally regarding issues related to Mercy
  • Identifies unmet programmatic needs of population and provides assistance in the development of business plans for new programs/services, or expansion of existing ones
  • Participates with other executive staff in policy development and strategic planning for Mercy
  • Participates in the governing body, management, medical staff, and clinical leaders in the organization's decision-making structures and processes
  • Participates as required in all Board, hospital and /or medical staff committees as requested
  • Participates as the physician practice representative on multidisciplinary committees internal and external to the organization
  • Supports and integrates the role of the Division in the planning and development of strategic initiatives and direction of the organization
  • Develops collaborative relationships with colleges, universities, organizations and individuals in the community
  • Establishes and maintains professional networks
  • Networks with physician practice executives from other healthcare organizations locally, statewide, regionally, and nationally to determine strategic intelligence, trends, and strategies for problem-solving and optimizing the growth profile of the hospital. Personally exemplifies financial responsibility, stability, and integrity
  • Corporate Compliance
  • Communicates and enforces the system-wide Corporate Compliance program. Reports any potential or real ethical, legal or regulatory violations to the Corporate Compliance Officer
  • Encourages staff to report Corporate Compliance issues either directly or through the Mercy Compliance Line (may be anonymous)
  • Assists with investigations into alleged violations, and the development and implementation of disciplinary and/or corrective action as indicated
  • Continually assesses the department for compliance with all federal, state, local and other regulatory (JCAHO, OSHA, CMS etc.) requirements
  • Completes annual staff training, ensuring staff understanding of participation in the above
138

Emergency Medical Responder Sign-on Bonus Starting at Resume Examples & Samples

  • Deliver exceptional internal and external guest service
  • Render medical care within the EMT scope of training to sick or injured patrons and employees during critical incidents
  • Maintain security related MGC standards and immediately report all MGC violations
  • Ability to check identification to ensure a guest is over the age of 21
  • Conduct and clearly document investigations when necessary
  • Must currently hold a National Registry Missouri Certified first responder certification or above
139

Venipuncture Tech-rock Hill Medical Plaza Resume Examples & Samples

  • Uses laboratory information system to remove, assess and collect laboratory specimens according to test requisition
  • Delivers specimens to the appropriate laboratory department
  • Seeks assistance from supervisor on duty or procedures with which not totally familiar
140

Medical Resume Examples & Samples

  • 3+ years of Nursing experience
  • Solid Medical-Surgical and/or Orthopedic background
  • Joint replacement experience
141

Medical Editors Resume Examples & Samples

  • Performs research; analysis; development; and evaluation of systems; procedures; and models in assigned functional area
  • Analyzes and defines problems and researches possible solutions that afford maximum probability for profit or effectiveness in relation to cost or risk
  • Prepares models of problems using multiple equations that relate constants and variables; restrictions; alternatives; conflicting objectives; and their numerical parameters
  • Defines data requirements and gathers and validates information; applying judgment and statistical tests
  • Analyzes and organizes technical data and reports into summaries for management review; defining problem; evaluation; and possible solution(s)
  • Performs validation and testing of models to ensure adequacy; and determines need for reformulation
  • Utilizes complex systems and applications in the problem-solving process
  • May design; conduct; and evaluate experimental operational models where insufficient data exists to formulate model
  • Prepares technical manuals; reports; and other documentation reflecting knowledge in assigned functional area
  • May provide guidance and work leadership to less-experienced analysts
  • Maintains current knowledge of relevant technologies as assigned
  • 5-8 years of related experience in scientific research and analysis
142

Midlevel Medical Practitioner Resume Examples & Samples

  • Obtains medical histories, organizes relevant data, performs physical examinations, and suggests pertinent laboratory, radiographic or other studies that are needed to establish or support a diagnosis
  • Performs preliminary reviews of radiographs, laboratory data, ECG’s (when such equipment is available) and other relevant clinical information; formulates and orders (within license) therapeutic regimens for treatment of pathologic states or disabling entities
  • Documents histories, physical examinations, and relevant clinical information, ensuring adequate documentation of existing medical conditions; medically classifies patients according to physical, functional, and emotional capabilities
  • Provides consultation services to all medical personnel/platforms within the USAP
  • Monitors treatment progress and protocols of patients in remote clinical settings; counsels patients on preventative medicine regimens; reviews medical records or therapeutic regimens to insure proper content and appropriateness of medical regimen
  • Provides patient counseling and health instruction about medical problems, nutrition, medication and principles of health promotion and maintenance
  • Serves as representative and emissary of the physician in delegated matters of related duties as required. Interdisciplinary coordination and clinical care responsibilities
  • Documents all health care encounters and relevant clinical information in the medical records
  • Identifies appropriate internal controls for department; provides mechanisms to monitor and enforce compliance
  • Acts as a first responder in a remote field camp with limited medical equipment
  • Perform community duties such as shoveling snow, cooking, cleaning, and handling/loading cargo as necessary
143

Senior Medical Policy Analyst Resume Examples & Samples

  • In collaboration with Chief Medical Officer, Medical Director and/or other agency staff, develop medical policy, standards and criteria to be used as parameters of delivery of health care by AHCCCS contractors and providers. Includes collaboration with committees, internal and external persons. Work includes research, data gathering and analysis of data from data warehouse, drafting of policy, facilitation of workgroups and presentation of final document to various internal and/or external entities as appropriate
  • Oversee medical policy additions, revisions and/or deletions that are prepared by peers/others to ensure that documents are prepared properly and are consistent with CFR, state statute and rule, state plan, other Agency policy and contract, as well as other involved agencies as appropriate. Facilitates consensus on areas for change when needed
  • Oversee the research and analysis related to medical policy as requested by the CMO and/or Medical Director, regarding clinical, technology and other appropriate sources within or outside of the agency with requests for varied topics
  • Represents AHCCCS at internal and external meetings as requested and in the preparation of correspondence and analytical reports related to medical policy and related decision making
  • Proficient in writing medical policy and interpreting medical terminology into policy language understandable to both medical professionals and general public
  • Knowledge of managed care concepts, practices and health care delivery systems to include, knowledge of health care provider roles, functions, the expertise to determine appropriate standards and requirements related to health care services and providers
  • Demonstrated experience in planning and administrative principles, management and supervision for managing complex workload
  • Demonstrate experience with interpreting and applying Federal and State laws and Agency rules, regulations, policy and procedures
  • Excellent interpersonal/oral skills with all levels of management and staff; public relations skills and the ability to communicate effectively via telephone, correspondence and reports as well as teaching, training, presenting
  • Master's degree in a related field
  • Professional experience related to health programs appropriate to the assignment
  • 3 years of work experience
144

Associate Behavioral Medical Director Resume Examples & Samples

  • Ensuring delivery of cost effective quality care that incorporates recovery, resiliency and person - centered services
  • Responsible for oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, management and care coordination activities
  • Provide clinical oversight to the clinical staff, oversee the management of services at all levels of care in the benefit plan
  • Keep current regarding Evidence Based Practices and treatment philosophies including those that address Recovery and Resilience
  • Doctor of Medicine or Osteopathy
  • Current license to practice as a physician without restrictions
  • 3+ years of experience as a practicing psychiatrist post residency
  • Sub specialty in Child & Adolescent
  • Experience in public sector delivery systems and experience in state specific public sector services
  • Experience working with community based programs and resources designed to aid the State Medicaid population
  • Computer and typing proficiency, data analysis and strong organizational skills necessary
145

Voluntary Medical Male Circumcision Director Resume Examples & Samples

  • Overall responsibility for ensuring that PSM technical assistance builds country capacity to ensure access to quality VMMC commodities
  • Participate in the USAID VMMC TWG and other working groups, as appropriate
  • Represent PSM at international meetings and on expert committees
  • As needed, provide technical assistance to country office staff and governments and other country stakeholders, in the following PSM VMMC-related activities
  • Minimum 10 years’ experience in systems design, implementation, and monitoring and evaluation of VMMC supply chain systems at the country level and Master’s Degree or a minimum of 12 years’ experience in the design and development of systems design, implementation, and monitoring and evaluation of VMMC supply chain systems at the country level, and Bachelor’s Degree
  • Experience working with global partners and countries in assessing and designing improvements and technical guidance regarding VMMC or similar public health service delivery efforts
  • Experience with VMMC laboratory network programs desirable
  • Current knowledge of existing developments in the field of VMMC procedures and related equipment and supplies at the country level, strongly desired
  • Working proficiency in French, Spanish and/or Portuguese, desired
  • Demonstrated leadership, versatility, and integrity
146

Voluntary Medical Male Circumcision Manager Resume Examples & Samples

  • Provide technical assistance to country office staff and governments and other country stakeholders, in the following PSM VMMC-related activities
  • Minimum 6 years’ experience in systems design, implementation, and monitoring and evaluation of VMMC supply chain systems at the country level and Master’s Degree or
  • Minimum of 8 years’ experience in the design and development of systems systems design, implementation, and monitoring and evaluation of VMMC supply chain systems at the country level, and Bachelor’s Degree
  • Experience with quantification or supply chain management tasks related to medical equipment and other consumables required
  • Experience working in resource constrained countries
  • Excellent written and oral communication skills
  • A proven ability to work as part of a team and to be self-managing
  • Available to travel internationally to resource limited countries (up to 40%)
  • Experience with statistic software (SAS, Epi Info, SPSS)
147

Market Medical Director Resume Examples & Samples

  • Educate primary care physicians on systems, structure, processes and outcomes that are necessary for assurance of regulatory compliance related to market activities
  • Develop strategies for improving all aspects of market performance including coding, documentation, membership and medical management
  • Analyze aggregate data and reports to primary care physicians
  • Approximately 70% daily travel within market
  • Supervise functions of Care Coordination
  • Assess the effectiveness of the specialty network to ensure members have access to multi-specialties within their demographic area
  • Educate primary care network and assists in problem resolution
  • Evaluate performance of physicians with regard to goals and objectives
  • Interface with physicians/medical group staff professionally developing credibility
  • Delivery timely response/communications to physicians on all needed follow up issues
  • Provide quality assurance and education of current medical technologies, review criteria, accepted practice of medicine guidelines
  • Other related duties as assigned/needed
  • Current, unrestricted Florida Medical License
  • MD or DO
  • Board certification in a specialty
  • Proficiency with Microsoft Excel, Word, PowerPoint, Outlook
  • This position requires AHCA level II background checks (fingerprinting) by the state of FL for all clinicians that have face to face contact with members or employees who have access to confidential patient data and
  • Physician network development and/or provider relationship experience
  • Two years of experience working in a managed care health plan environment
  • Board Certified Family Practitioner or Internal Medical Specialist
148

Medical IT SME Resume Examples & Samples

  • Provide strategic input for collapsing legacy healthcare applications into an enterprise platform
  • Provide input for creating a governance program across the medical campus that postures Medical Center for compliance across all survey and inspection agencies both within and external to the Air Force
  • Master’s degree or 10 years of Air Force Medical IT experience, in lieu of
  • Recommended Information Technology Infrastructure Library (ITIL) v3 or higher
  • All contractor personnel working on this effort shall have a minimum of ADP-II level of access, as described in DoD 5200.2-R. All contractor personnel must provide proof that they possess the required level of access, or that they have submitted the required application, prior to commencing work under the contract
149

Medical Specialist Resume Examples & Samples

  • Travel in the field with sales reps, which includes customer meetings, presentations, etc., attend industry meetings, conferences, local and national exhibitions, conduct product seminars, etc
  • Works with Sales Management to develop strategies designed to increase sales of Leica products in assigned territories. Specifically, recommends product, pricing, distribution, advertising and sales promotion strategies
  • Knowledge and experience in Neurosurgery and / or Ophtalmology
  • A minimum of two years related microscopy and/or Neuro / Ophthalmology experience
  • Must have valid credit card and be able to pay for reimbursable expenses
  • Must be willing to travel significantly
150

Global Brand Medical Director Resume Examples & Samples

  • ≥ 3 years of involvement in clinical research or drug development in an academic or industry environment spanning clinical activities in Phases I through IV
  • ≥ 1 year of contribution to and accomplishment in all aspects of conducting clinical trials (e.g., planning, executing, reporting and publishing), or section of clinical programs in a global/matrix environment (including remote) in pharmaceutical industry
  • Strong management, interpersonal, communication, negotiation and problem solving skills
  • Understanding of global regulatory environment including key regulatory agencies and approval processes
  • Strong understanding of operational aspects of all phases of clinical trial conduct (Start up, Conduct, Close out
151

Medical REP Hematology Resume Examples & Samples

  • Champion knowledge of disease management & treatment and patient’s pathway at hospital level or cluster of hospitals in the assigned territory
  • Develop & demonstrate scientific knowledge to be recognized as trusted advisor internally and externally
  • Achieve territory sales/market share targets at the hospital level or cluster of hospitals in the assigned territory
  • Participate in development of tactical plan in collaboration with other internal stakeholders to optimize team’s performance
  • Achieve QTQ objectives (both quantity and quality)
  • Develop and implement different projects : meetings, local symposia, exhibitions etc. according to integrated hospital management
  • Continuously analyze sales performance & develop / implement action plans in collaboration with other internal stakeholders
  • Be able to identify key stakeholders and customers (mapping) and how they interact in the decision making process within a hospital
  • Check, maintain and update information on doctors/ hospitals and report all visits into our Novartis reporting system according to instructions of field force management while using efficiently different IT tools
  • Provide & maintain updated competitive information ( e.g. market tactics and activities)
  • Ensure compliance with all internal and external rules and regulations
  • Report adverse events within 24 hours to the Novartis Pharma Safety team
  • Inform health care practitioners about the safety profile of the promoted Novartis drugs via the product leaflet at hand during all doctor visits
152

Senior Medical Product / Market Manager Resume Examples & Samples

  • Responsible for the development of a comprehensive product roadmap and life cycle for assigned products
  • Develops and implements marketing initiatives and programs
  • Coordinates product introduction and commercialization with cross-organizational teams to ensure maximum penetration of market segments
  • Plans, organizes, coordinates and executes assigned programs to ensure accomplishment of financial/budgetary goals and optimum allocation of resources
  • Determines customer needs by leading formal or informal market research projects and incorporates results into strategic plans
  • Becomes involved in Business Development activities as needed
  • Develops domain expertise in assigned market segments
  • Identifies and leads process for evaluating new opportunities
  • Leads Business Team through strategic planning process for area of responsibility
  • Defines and supports the creative direction for new products and enhancements to existing products/services which better meet targeted customers’ needs. Contributes to the 3 year product plans
  • Manages project plan for assigned products or solutions. Develop & maintain project plan/schedule
  • Supports product integration across BD businesses
  • Functions as an oversight resource in the establishment and execution of standardized process of developing functional requirements for new products, features or integration
  • Utilizes focus groups and other established customer (internal and external) feedback mechanisms in order to demonstrate both a good understanding of customer needs, but also to obtain VOC and confirmation at development milestones
  • Defines and executes awareness campaigns and promotional activities, publicizing the product/service through the press, journals, sales force, and alternate distribution channels
  • Identifies market potential, helps establishes 4 Ps for assigned Products/Markets
  • Assists in the development of the global market segment strategy and related collateral information
  • Assures web site content updates and accuracy
  • Provides competitive information and detailed side-by-side competition analysis
  • Personal characteristics: dynamic, team player, detail-oriented, critical thinker, self-motivated, enthusiastic, resourceful, customer-focused, interested in professional development/career progression, personable
  • 5-8 years of experience in product management and downstream marketing, highly preferred within the medical device or healthcare field
  • Bachelor's Degree required. MBA preferred
  • Pharmacy or Healthcare background a plus
  • Proficient with Microsoft Office products including: Word, Excel, and PowerPoint
  • Must have excellent communication, presentation and writing skill
153

Arnp Medical Resume Examples & Samples

  • Establishes patient/family goals which are mutually acceptable and are appropriate to the patient/families level of understanding and capabilities
  • Utilizes a variety of supportive and teaching strategies to enhance the self-care capabilities of the patient. Prescribes within the standards of practice
  • Performs preoperative patient assessment
  • Assists surgeon in post-op management of patients
  • Performs pre-op teaching for patients and families
  • Assists in scheduling of surgical procedures and workups as outlined by the supervising physician
  • Acts as a liaison between surgical and medical staff, consulting firms, other hospital departments and the patient and family
  • Transports patient to recovery area and communicates individual patient needs as appropriate
154

Executive Medical Director Resume Examples & Samples

  • Accountable for reports who lead and have ownership of the design and implementation of multiple clinical development programs in support of the overall product development plans, based on strong medical and scientific principles, knowledge of compliance and regulatory requirements, AbbVie’s customers, markets, business operations, and emerging issues. Ensures that staff provides project-related education of investigators, study site personnel, and AbbVie study staff. Responsibility may extend from early translational development activities to mature product lifecycle management strategies for internal and/or partnered programs
  • Trains and lends expertise to staff who serve on Asset Development Teams (ADTs) and ADT Leadership Boards (ALBs), and who lead Clinical Strategy Teams (CSTs) and clinical study teams, to ensure high-quality, cross-functionally-aligned program (i.e., Clinical Development Plan) and study deliverables with full consideration of contingencies and alternative approaches. Ensures that staff have capabilities to monitor overall study integrity, study enrollment and timelines (along with Clinical Operations), and the review, interpretation, and communication of accumulating data pertaining to safety and efficacy of the molecule. As needed, provides senior expert medical judgment in the assessment and reporting of serious adverse events per corporate policy and regulations for those programs for which responsible
  • Provides or ensures clarity regarding the appropriate level for review and approval of design, analysis, interpretation, and reporting of scientific content of protocols, Investigator Brochures, Clinical Study reports, regulatory submissions and responses, and other program documents
  • Manages two levels of Medical and Scientific Directors (typically 2 to 4 direct; 6 or more overall) and/or Clinical Scientists. This responsibility involves direct oversight of clinical development activities and/or management of personnel who may be working on other projects. Responsible for hiring, onboarding, mentoring, training, and supporting career development of these individuals
  • In rare circumstances, may lead a CST for an unusually complex, high-priority program. In this capacity, responsibilities may include supervision of matrix team members and serving as the Clinical Research representative to lend clinical development and medical expertise to ADTs and ALBs, and/or other cross-functional teams and internal stakeholders
  • Serves as the in-house clinical and drug development expert broadly across several molecules and disease areas in the therapeutic area, directing appropriate scientific activities with internal stakeholders as they relate to ongoing projects. May lead clinical development contributions to due diligence or other business development activity. Contributes in partnership with Discovery colleagues to design and implementation of translational strategies at a disease area and platform level
  • Acts as a senior-level liaison for opinion leader interactions related to the disease area(s); partners with Medical Affairs, Commercial and other functions in these activities as required, consistent with corporate policies, to ensure that broad cross-functional perspectives are incorporated into disease area strategies and Clinical Development Plans as appropriate
  • Stays abreast of professional information and technology through conferences, medical literature, and other available training, to augment expertise in the therapeutic area. Actively seeks opportunities to represent AbbVie at key external meetings and enhance AbbVie’s reputation as an industry leader
  • Responsible for having deep understanding the regulatory requirements related to the clinical studies and global drug development and accountable for complying with those requirements. Serves as a senior clinical representative for key regulatory discussions
  • At least 10 years (12+ years preferred) of clinical trial experience in the pharmaceutical industry, academia, or equivalent. Deep therapeutic area expertise strongly preferred
  • Ability to prioritize across, and help others effectively lead, several complex clinical research programs
  • Proven leadership skills and ability to bring out the best in others on a cross-functional global team. Must be able to lead and manage through influence
  • Prior experience as a direct or matrixed manager, with a demonstrated track record of training and development of junior-level staff, using best judgment to assure that they work with an appropriate level of autonomy
  • Ability to exercise judgment and address complex problems and create solutions across multiple projects
155

Executive Medical Director Resume Examples & Samples

  • Essential Duties and Responsibilitiesinclude the following. Other duties may be assigned
  • Serves as core medical team leader for approved products
  • Serves as core medical team leader in launch teams for compounds NDA ready
  • Participates in strategic discussions supporting clinical development
  • Actively involved in the development of target product profiles and lifecycle management plans
  • Manages aggressive timelines and budgets; integrates scientific rigor, medical need and commercial value into clinical plans culminating in successful lifecycle management opportunities
  • Reviews and approves proposals for appropriate personnel assignments, time allocations, and budgets
  • Contributes to the development of new indications and line extensions for existing products
  • Participates as the clinical lead in potential in-licensing opportunities
  • Assists with the development and implementation of publication strategies
  • Oversees implementation and timely execution of independent sponsored studies as well as targeted research agreements
  • Provides strategic and scientific support and guidance to field-based medical team (MLSs)
  • Assists and guides Health Economic and Outcomes Research strategies, both for line extension programs as well as post-approval
  • Oversees Medical Information Services activities
  • Facilitates and enables a positive team environment, interacting with multidisciplinary teams including alliance partners for strategic and tactical planning
  • Provides direction, training and follow-up ensuring compliance with both department and corporate policies and procedures
  • Attends scientific meetings, fosters and develops strong relationships with investigators
  • Strong Neuroscience background is required, Neurologist is preferred
  • Board certification in Neurology is preferred
  • A minimum of eight to ten years progressive experience in pharmaceutical, biopharmaceutical or biotechnology drug development is required
  • Excellent understanding of the interdependencies of the various preclinical, clinical, regulatory and commercial disciplines is required
  • The Executive Medical Director manages associates in the Medical Affairs department, and also leads assigned cross-functional teams
  • Prior experience in managing clinical trial conduct for neurological disorders is required
  • Strong working knowledge of GCP, scientific and clinical methodology, protocol design, project management and regulatory requirements for clinical studies designated for review by regulatory authorities
  • A proven ability to build productive relationships and teams internally and externally and the ability to develop high potential subordinates into leadership roles is critical
  • Ability to facilitate and merge strong science into commercially viable products
  • Highly developed interpersonal skills
  • Self-motivated and must thrive on challenge
  • Ability to work as a member of a cross functional team to accomplish goals
  • This position requires up to 30% air travel, both domestic and international for internal and external business meetings
156

Medical Case Reviewer Resume Examples & Samples

  • Completes assessment and medical review of post-marketing and/or clinical trial adverse event reports within regulatory and departmental timelines
  • Ensures adequacy of recording, summarization, and handling of adverse events for marketed and developmental products
  • Assesses seriousness and expectedness for reported adverse events
  • Ensures accurate coding of adverse events and serving as a resource to the medical coding staff
  • Ensures due diligence in characterizing adverse events
  • Review/ authors/ review analyses of similar events for select serious adverse reactions
  • Monitors global case review activities to ensure adequate timeliness of medical review
  • Liaises with program & product physicians/medical monitors to ensure consistency in approach to medical review as well as ensure focused oversight on critical areas related ongoing safety analyses
  • Participates in the oversight of outsourced medical assessment and review activities and provides consultation for medically related questions from participating vendors
  • Minimum of 5 years’ experience in a drug safety surveillance setting within the pharmaceutical/biopharmaceutical industry; with both clinical and post-marketing experience
  • Leadership responsibilities within a fast-paced environment
157

Regional Medical Leader Resume Examples & Samples

  • Supporting the development, execution and communication of the regional medical plan
  • Leading development of protocols for Amgen Sponsored Trials in the region
  • TA and product specific medical training
  • Management of relationships with external clinical community in the region
  • Ensuring consistency of clinical content and scientific messages across publications and materials in the region
  • Co-ordination of regional activities with global and affiliate organisations
  • Cross functional collaboration with other development and commercial functions in the region
  • Medical education in relevant therapeutic area
  • Minimum 5 or more years of clinical development experience, 4 years of which should be from a pharmaceutical or biotechnology company
  • Therapeutic area knowledge (Cardiovascular)
  • Expertise in regional medical practice and healthcare systems
  • Network of clinical contacts in therapeutic area
158

ANM Medical ICU Resume Examples & Samples

  • Facilitates communication and collaboration among unit staff and other departments and units regarding issues related to patient care
  • Ensures continuity of patient care information between shifts, coordinates patient admitting, discharges, transfers and other operational issues
  • Reviews major operational patient care issues with Nurse Managers
  • Provides ongoing clinical evaluations of nurses and other direct and indirect patient care providers on assigned unit/area
  • Counsels employees on performance issues, administers initial corrective actions, collaborates in monitoring attendance issues
  • Alerts nurse manager of significant clinical or other performance issues
  • Participates in interviewing, selecting and appraising the performance of employees
  • Monitors the adherence to EEO/AAP goals and guidelines
  • Administers Nursing Institute, departmental and CC policies and procedures
  • Supervises and participates in the daily delivery of patient care on assigned unit/area
  • Prepares schedule of work assignment assuring adequate coverage on all shifts
  • Participates in and supports quality improvement projects, outcomes studies and research initiatives; participates in department and committees as assigned
  • Assists in orienting new personnel, continuing education and in-service educational programs
  • Minimum two year recent clinical nurse experience required
159

HQ Medical Resume Examples & Samples

  • Lead the lymphoma Medical Plan development and execution across BMS assets and brands
  • Transform clinical and other data into medical knowledge, and role model and lead knowledge transfer to and from HQ to Markets and external stakeholders
  • Partner with Commercial colleagues to integrate Medical perspective into the commercialization process, and provide medical review of brand content to align with overall strategy
  • Partner in the development of health outcomes and access strategy
  • Partner with Research and Development to input into strategy of development plan
  • Creating a scientific and medical communication strategy, in partnership with Medical Publications
  • Provide Medical input/perspective, and plan and execute scientific content, at key internal and external congresses and forums
  • Provide Medical insights into the development of non-promotional disease education campaigns
  • Build, forecast and track/adjust the Medical budget and resources for the brand
  • 5-10 years of clinical or industry experience in Oncology. Broad experience in Oncology with specific expertise in Hematology/lymphoma preferred
  • Demonstrated skill in identifying, building and maintaining key relationships across a highly matrixed environment, and leveraging those relationships to meet shared objectives. Experience in leading a cross functional team is preferred
  • Highly organized and motivated individual possessing excellent communication, presentation and interpersonal skills is critical
  • 1603614
160

Medical Resume Examples & Samples

  • Active MA Registered Nurse (RN) license
  • BLS and ACLS certifications
  • EPIC background
161

CLS Business Systems Lead / Medical Company Resume Examples & Samples

  • Making the list of development items for functionality enhancement by discussing the improvement opportunities with base business stakeholders (line managers and power users)
  • Understanding the business requirements by getting connected with local business users while explaining why the enhancements are needed to J&J internal global/regional stakeholders
  • Tracking the status of enhancement items and providing guidance and assistance to the IT support team (including the vendor) as necessary to accelerate the speed of system changes
  • Facilitating the cross-pillar discussion to identify solutions about process related challenges and opportunities without making changes to the systems
  • Increasing the level of mutual understanding about supply chain processes and operations across sectors by comparing the capability of BtB with that of other ERP and Satellite systems
  • Reporting periodically to the supervisor with regards to the key duties and responsibilities stated above while enjoying the give level of autonomy when executing the tasks
  • Hands-on experience of task execution and project management throughout the system development life cycle: 1) As-Is System & Process Analysis, 2) Requirement Definition w/ User Communication, 3) Functionality Design & Specification, 4) System Integration & User Acceptance Testing, 5) User Training Planning & Execution and 6) Hypercare Support
  • Significant knowledge about SAP system functionalities in one or some of the following areas: 1) inbound supply chain, 2) outbound supply chain, 3) master data management and 4) business intelligence/reporting. 3 and 4 are strongly preferred
  • Excellent communication skills to have effective interaction with internal and external partners (J&J Global/Regional Teams, IT Support Vendors, etc) and stakeholders (Japan Commercial & Functional Teams, etc) including proficiency in both Japanese and English
  • Some knowledge and experience in healthcare industry and business (especially medical devices) is plus
162

Medical Resume Examples & Samples

  • Bachelor Degree with at least 3 years of experience
  • Strong PC skills (Excel – Powerpoint – Word - Siebel) and excellent verbal communication skills
  • Strong professional experience in commercial function preferred in pharmaceutical industry or other retail market
  • Daily business travel in your sector
  • English correct level is prefered
  • Full Driving Licence is required
163

Associate Behavioral Medical Director Resume Examples & Samples

  • Responsible for maintaining the clinical integrity of the program, including timely peer reviews, appeals and consultations with providers and other community based clinicians, including general practitioners. Work collaboratively with the Health Plan Medical Director, Clinical, Network and Quality staff
  • Minimum of 3 years of experience as a practicing psychiatrist post residency
  • Sub specialty in Addiction
164

Cardiometabolic Medical Specialist Resume Examples & Samples

  • Consistently demonstrates emphasis on the “total account call” insuring that all personnel in the account involved with Cardiometabolic are educated on commercially available Regeneron products
  • Demonstrate initiative and drive
  • Plans, organizes, and sponsors local promotional speakers programs and activities
  • Consistently demonstrate professionalism by completing all administrative tasks in a neat and timely manner and follow-up on prioritized initiatives that drive business in both the short and long term
  • Travels in the field meeting with targets within assigned territory up to 50% weekly not including regional and national meetings
  • Some science / clinical experience preferred
  • Specialty pharmaceutical/biopharmaceutical experience with a minimum of 5 years selling in similar subcutaneous self-injectable biologic specialty market such as Immunology, Inflammation, MS or Nephrology required
  • Demonstrated advanced clinically-based selling skills
  • Strong account management experience with analytical, problem-solving and planning skills
  • Demonstrate a passion and learning aptitude for science and is proactive in strengthening knowledge related to disease-state, treatment options and healthcare trends
  • Demonstrated ability to perform essential duties with minimal supervision
  • Experience with in-servicing and training office staff, nurses and office managers
  • Excellent verbal and written communication/interpersonal skills
  • Demonstrate the ability to think strategically and execute tactics appropriately with a high degree of integrity within compliance guidelines
  • Demonstrated high initiative and follow-up
165

Medical Specialist, Cardiometabolic Resume Examples & Samples

  • Engage Cardiometabolic Experts and other key Cardiometabolic customers within assigned geographical universe and deliver clinically focused selling message to introduce launch Praluent, grow brand share and revenue and to consistently deliver product goals
  • Partner with multiple collaboration stakeholders; Sanofi CMS counterpart, Reimbursement and Access Specialists and Clinical Nurse Educators to proactively address customer needs, market dynamics and trends and develop strategies which support brand and corporate objectives in assigned territory
  • Consistently perform all duties in a compliant manner
  • Provide site level in-service training as required by account
  • Develop strategy and execute tactics within key accounts in the Cardiometabolic therapeutic area to establish, generate and expand market share
  • Consistently works to improve disease state/product clinical knowledge and clinically-based selling skills via on-going training and POA meetings
  • Bachelor’s degree mandatory
  • Master’s degree or additional advanced education/certifications a plus
  • Proven success and positive track record of consistent sales performance in complex markets with diverse customer segments operating with a high degree of integrity within compliance guidelines
  • Results oriented with a proven track record of success with product launches
  • Proven track record in conducting compliant and effective promotional education programs
  • Demonstrate strong patient / customer focus
  • Experience developing and sustaining relationships with clinical experts
  • Able to adapt to changing priorities / market dynamics
  • Able to function effectively in an evolving organization without all of the traditional infrastructures
  • Strong disease-state/product knowledge and an ability to learn and adapt quickly
  • Ability to operate as a “team player” in cooperation with collaboration partners and internal colleagues to reach common goals
166

VP, Cardiovascular Medical Unit Resume Examples & Samples

  • Will manage and lead the activities in Medical Affairs for the US, negotiating and influencing across cultures to expand the Cardiovascular franchise
  • Be a leader who can move a large, diversified franchise forward
  • Will be charged with crafting and executing the US Medical Affairs strategy for Cardiovascular
  • Responsible for 30+ person staff inclusive of home office medical and field-based regional medical liaisons. He/she will encourage a dynamic and evolving working environment where teamwork, professionalism, innovation, sense-of­ urgency, and diversity are key drivers for the Medical Cardiovascular organization
  • Demonstrate and model commitment to always ensuring 100% compliance with Federal, State and Local Laws and Regulations
167

Lead Medical, Hemophilia A&B Resume Examples & Samples

  • Medical degree, PharmD or equivalent
  • Previous work experience in clinical/ pharmaceutical setting and as MSL preferred
  • In-depth and up-to-date knowledge of Baxalta therapeutic areas and products as well as of competitor products
  • In-depth knowledge of pharmaceutical regulations in key markets
  • Min. 3 years previous work experience and leadership expertise in MA
168

Medical Screener Resume Examples & Samples

  • Comply with federal, state, local and company-specific regulations related to quality of product, employee and donor safety and to the proper performance of day-to-day activities
  • Answer phones within reasonable timeframe
  • Enter donor information into the Donor Information System (DIS)
  • Install, prime, and disconnect disposable sets on the plasmapheresis machines
169

Entry Level Medical Screener Resume Examples & Samples

  • Maintain orderly filing system, purging records as needed
  • Assemble collection containers for plasma donation
  • Ability to multi-task and work as a team player
170

IG Medical Marketing Lead, Immunology Resume Examples & Samples

  • Lead a team that will be responsible for all Medical Marketing strategic imperatives and tactics including overall portfolio and therapy KOL development and management, peer-to-peer programs, conventions, HCP advocacy/advisory programs as well as the US market planning and development for the Neuro-Immunology strategy (MMN/ CIDP)
  • Lead the US PI Leadership strategy specific to medical marketing for the Portfolio as well as improving standard of care
  • Develop and implement marketing strategies and programs that leverage and integrate the IG product portfolio
  • Identify customer insights and unmet needs to drive excellence and innovation in tactical program development and implementation including KOL development, advisory boards, conventions/conferences, peer-to-peer and market development
  • Work closely and partner with Medical Affairs, Clinical Research, Regulatory and Legal to develop, progress and strengthen our core labeling, promotional claims strategy, as well as publications strategy from a US commercial perspective
  • Work with cross-functional partners to develop strategic framework and programs to promote in a portfolio approach while maintaining brand distinction
  • Manage and coordinate collaborations with key institutions, thought leaders and outside consultants and agencies
  • Oversee promotional review, inventory and budget management. Work closely with Sales organization, Consumer Team, HCP Team, Nursing Team, Advocacy and Patient Engagement Team, National Accounts, Medical & Regulatory Affairs, Legal, Clinical Research and Operations, Finance and Global Marketing
  • Utilize market research and analytics to understand impact of and optimize strategies, messages and programs
  • Lead the US PI medical marketing strategic planning, tactical and budget process
  • Integral member of the US PI Business Team. Set the direction for the overall medical marketing and US PI leadership strategy and execution
  • Review and analyze market/product insights and dynamics, as well as consumer/HCP market research and patient journey to help inform the overall strategic direction
  • Develop and lead the medical marketing PI portfolio approach and strategic plan (including all medical marketing efforts for HyQvia, Gammagard, and SC20% products)
  • Lead the medical marketing launch team strategy for our SC20% product; Lead the year 1 launch efforts and tactics
  • Ensure product strategies are translated into clear goals and objectives for all team members
  • Lead, manage and coach direct team to improve overall skill set and growth and development (manage individual performance)
  • Clear the path for team on key initiatives (including work with adprom, medical affairs, legal, etc.)
  • Create a high performing team culture that inspires purpose driven performance (through both reward, recognition and HPT sessions)
  • Build and foster meaningful relationships and interactions with cross-functional team members (including Global marketing, medical affairs and clinical research/ops)
  • Engage and manage all agency and vendor partners for specific medical marketing strategies and tactics
  • Ensure alignment of strategy and communication across teams
  • In conjunction with global marketing and the US PI Business team, develop and ensure the execution of the medical marketing short-to-mid-term (P5) US strategy and objectives to meet the needs of the IG business (for PI)
  • In conjunction with global marketing, lead the US efforts in developing and implementing the overall Neuro-Immunology strategy and tactics (for both MMN and CIDP)
  • Lead and manage the budgetary process for the HCP/Professional business to ensure the team meets all spend requirements quarterly and yearly
  • Minimum of 8-10 years of successful medical/clinical affairs and/or healthcare marketing experience; previous people management experience required
  • BA in marketing or business, MBA preferred
  • Analytical skills to isolate key marketing inputs for strategic and operating plans including product forecasts and annual budgets
  • Ability to develop and implement customer-focused marketing programs to ensure achievement of operating goals
  • Strong working knowledge of clinical, scientific and marketing tactics and ability to simultaneously drive multiple complex programs from concept through tactical execution
  • Project management skills to create detailed 12-month execution plans for critical programs
  • Good understanding of selling process to support sales education/training activities related to plan implementation and program execution
  • Ability to lead and direct cross-functional teams to deliver customer centric programs
  • Excellent presentation and interpersonal leadership skills
  • Knowledge of market research options to develop an in depth understanding of the patient journey
  • Skilled at cultivating professional relationships with key industry, professional and consumer groups or individuals
  • Experience and ability to work within a matrix environment
  • Ability to select/evaluate talent and mold an effective team
171

Medical Customer Serice Resume Examples & Samples

  • Committed to meet customer service expectations, greeting donors as they enter and exit the building
  • Take and record donor pulse, blood pressure, and temperature measures and monitor electronic donor questionnaire system
  • Coordinate donors to donor floor and compensate donors using the Debit Card system
  • Maintain complete and accurate records, in accordance with cGMP
  • Stock supplies, break down empty cartons and assist with proper disposal
  • Operate, maintain, and perform trouble-shooting of plasmapheresis machines within scope of training. Refer advanced trouble-shooting to certified technicians
  • Good verbal communication and customer service skills
172

Executive Medical Director Resume Examples & Samples

  • Lead and direct the medical responsibilities by providing scientific insight and development of strategy for the given compound by participating and leading committees to realize Takeda’s overall vision
  • Committees may include: FPT, ERGC, PST, Development Committee, Strategic Committee, Phase IV Committee, Medical & Regulatory Team, Phase IIIb/IV Research, IIT etc. and other teams as designated or as the compound evolves
  • Develop and maintain relationships externally through Advisory Boards, Professional Associations and Meetings. Trade Exhibits etc. to achieve Takeda’s scientific objectives
  • Manage the budget for the specific therapeutic area
  • Provides scientific leadership in guidance of strategy development for compounds/therapeutic areas
  • Lead the publications strategy by providing scientific and publication plan input
  • Provide support for departmental initiatives that further our business
  • MD degree with either industry or academic research experience; or equivalent combination of experience 1
  • 10 plus years of experience
  • Product Knowledge –understands medical/therapeutic impact of products; understanding of potential product applications
  • Takeda Operations – understands Takeda’s operating structure and methods including a thorough knowledge of the foreign-owned parent company
  • Leadership – ability to provide ongoing feedback and coaching to employees and guides leaders within the department in doing the same
  • Leadership – ability to use confidence, decisiveness and a willingness to listen to influence and engage others in the accomplishment of functional goals
  • Budget Management - ability to develop an operating budget to monitor and control expenditures; manages variances between budgeted and actualexpenditures of time, dollars, and personnel
  • Communication – ability to communicate ideas and data both verbally and written in a persuasive and appropriate manner
  • Analytical Skills – ability to analyze a wide variety of scientific data including financial figures and market research data to make management decisions
  • Business Process Acumen - ability to apply the knowledge of Takeda’s core business capabilities to help the organization meet its goals and desired outcomes
  • Strategic Approach – ability to predict broad-based changes in business partner environment and translates them into functional strategies to continually meet business partner needs
  • Knowledge Sharing - ability to capture knowledge within the organization; improves solutions, processes, and deliverables through use of information; improves information capital by contributing experience, theories, deliverables and models for others to use
  • Knowledge Management – ability to document resolution to issues and or customer concerns in a manner that ensures reusability of that resolution
  • Pharmaceutical Industry Acumen -ability to develop and implement business solutions based on trends, opportunities, needs, and market direction within the pharmaceutical industry
173

Executive Medical Director Resume Examples & Samples

  • Line management and development of assigned staff
  • Deliver Global Clinical Work Team (GCWT) tasks
  • Provide global scientific expertise and input support of global TA development on assigned compounds
  • Support and ensure regional business requirements are considered and met
  • Manage staff to provide scientific expertise and evaluation for internal and external opportunities, and study data
  • Lead staff that writes clinical development strategy, plans, study designs and protocols
  • Implement, conduct and provide oversight of clinical studies
  • Medical monitoring of clinical studies, protecting the safety of patients within the study
  • Impartial scientific analysis and interpretation of clinical trial data and impartial communication of study results to safeguard the patient and Takeda
  • Participate and support regulatory submissions for Takeda’s pipeline
  • Deliver state of the art innovative scientific expertise to ensure highest standard in clinical development
  • Provide scientific clinical and medical evaluation of internal and external opportunities
  • Provide scientific education and mentoring for internal and external audiences (academic partners, scientific community, regulatory agencies)
  • MD or internationally recognized equivalent plus significant clinical research experience within the pharmaceutical industry, CRO health-related consulting company, or biomedical/clinical experience within academia (or a combination of afore mentioned)
  • Therapeutic area knowledge relevant to mechanisms of action of compounds in remit
174

Medical Outcomes Liaison Resume Examples & Samples

  • Advanced scientific degree (MD, DO, PhD, PharmD, DVM) or equivalent required (relevant residency and/or fellowship experience preferred)
  • An established track record of effective oral presentations and relationship development within the healthcare profession
  • Preferred 2-4 years prior experience in managed care; and
175

CTO, Medical Segment Resume Examples & Samples

  • Complete engineering/technical responsibility for the combined circa $1.7B Medical business
  • Establish an approved technology roadmap for Medical products for the next 10 years
  • Develop engineering/technical strategy, associated KPI dashboard, and continuously improve methods, systems and processes in a complex and rapidly changing environment to improve customer satisfaction and ensure continuous processes improvement in support of profitable execution of high growth businesses
  • Develop and execute an engineering/technical Medical business plan to support achieving quarterly and annual Company investment, cash flow, and P&L objectives ensuring budget, schedules and performance indicators meet corporate guidelines
  • Define, set and lead the execution of the engineering/technical strategies to support growth of the combined Medical business to ~$5B in revenue over the next 5 years
  • Partner with other leaders to establish objectives and action plans interfacing productively and collaboratively across the Medical organization, as well as, across the overall company, including directly developing trusted advisor relationships with customers
  • Partner with Operations leaders to ensure Engineering & Design activities are well integrated with manufacturing operations including the use of Design for Manufacturability principles
  • Develop and gain stakeholder buy-in, and effectively evangelize and enroll the Medical organization around a forward looking engineering/technical vision
  • Develop a strategy to leverage Company-wide key differentiators to include technology, manufacturing, and other value added competencies capability versus simply attempting to differentiate based on being a low cost supplier
  • Identify and build engineering/technical business cases for investment opportunities in new markets, geographies, new customers, as well as expand the profitable relationships with existing customers
  • Leverage personal engineering/technical experience to support the full product life-cycle and new product introduction in a complex product culture
  • Provide technical and strategic guidance to subordinate directors to ensure achievement of goals and objectives
  • Ensure the Medical organization has the right engineering/technical people, processes, and systems in place to ensure the organization's ability to profitably deliver on its customer commitments and quality expectations
  • Continue to improve measure and strive for world-class quality via engineering/technical processes, methodologies and rigorous quality control system requirements
  • Challenges their organization by asking the "tough questions": What engineering/technical capability do we need to support expanding/pursuing business/market opportunity in specific business areas/geographies? How do our engineering/technical capabilities need to evolve to support high margin generating products? What's the next technology/systems need we should be focusing on developing capability for in the medical industry segment? How are we supporting technology and systems convergence needs within our target client base? What engineering capability and/or technology do we need to acquire to create profitable synergy in our platform base?
  • Continuously review and put strategies in place to improve existing processes and champion implementation of new initiatives across the organization’s regulatory function to ensure consistency, compliance and best practice
  • May serve as the Management Representative for the designated business and associated site(s)
  • Bachelor’s degree in Engineering or Sciences; Master’s Degree is preferred
  • Minimum 15 years of progressively advancing technology leadership experience with a thorough understanding of the medical device market and ideally of the market dynamics within the EMS or OEM arena
  • Superb sales and business development skills
  • Must have excellent oral and written communication skills and the flexibility to operate well in a rapidly changing and often high-stress environment
  • Ability to make effective and persuasive presentations on complex topics to customers and Flex management
  • Demonstrated ability to successfully influence senior level management, executives and key opinion leaders within customer’ organization
  • Ability to respond effectively to the most sensitive inquiries or complaints
  • Familiarity with the medical device and medical equipment quality and regulatory requirements and standards
  • Detailed understanding of the medical device product life cycle
  • Must understand P&L
  • Demonstrated experience in building and managing a team of senior technology and engineering resources
  • Ability to coordinate cross-functional teams including Business Development, Engineering, Program Management, Materials, etc. and to work in a complex, matrixed organization
176

VP, Marketing, Medical Segment Resume Examples & Samples

  • Establish marketing goals to ensure share of market and profitability of products/services
  • Evaluate the timely adjustment of marketing strategy and plans to meet changing market and competitive conditions
  • Lead, direct, and control all marketing policies, programs, and activities so that they meet the organization’s short and long-term business objectives, comply with regulations and standards, and protect the organization’s public reputation. Activities may include: market research, and product planning; pricing; campaigns; marketing communications; advertising and promotions
  • Contribute to business planning at the top executive level to develop a marketing strategy that is consistent with the organization’s overall mission, vision, and long-term objectives
  • Monitor, analyze, and evaluate market trends, consumer behavior, and competitor activity to identify market opportunities; adjust marketing strategy and plans to meet changing markets and competitive conditions
  • Build relationships with strategic customers to maximize the organization’s business interests
  • Liaise with other senior executives across the organization (particularly in the sales and customer service functions) to ensure that marketing strategies and activities are integrated with other parts of the business and align with the overall corporate objectives
  • Lead, direct, evaluate, and develop a team of marketing and advertising managers to achieve established sales and profit goals
  • Support and drive other segment initiatives as overall strategy evolves
177

Medical & Pharmacovigilance Manager Resume Examples & Samples

  • Plan, design, develop, oversee and manage Phase I through IV clinical programs within the country, primarily but not exclusively in hematology/oncology (according to Corporate and EU Region strategies)
  • Establish the presence and reputation of Celgene through thought leadership
  • Develop privileged relationships with key opinion leaders in order to foster a reliable and scientifically complete approach to the fundamental issues affecting the industry
  • Implement the strategy for the growth and development of the medical function. Support a strong virtual team across the European region
  • Establish a compelling vision for the medical and clinical organization in Hungary in accordance with the international strategy that drives scientific product development and medical information activities to the highest standards and optimal organizational outcome
  • Develop and sustain excellent professional relationships with regulatory authorities, investigators, scientific societies, cooperative groups, clinical research organizations, as well as internal customers, including pre-clinical development, regulatory affairs, drug safety, manufacturing/product development, sales and marketing
  • Ensure strong hematology/oncology specific knowledge consistent with priorities at local and regional level. Serves as the in-house expert for respective hematology/oncology indications and drugs in development for those indications
  • Develop new and innovative strategies in close collaboration with other (associate-) Medical Managers in Europe and the US related to regulatory and clinical use of new and existing pharmaceuticals
  • Interface effectively with the global science and marketing organizations to maximize lifecycle opportunities for products both locally and at a global level. Seeks out and leverages opportunities for sharing of knowledge and activities on a global basis
  • Establish a culture of organizational performance and delivery by focusing on high priority, core activities and behaviors within a rapidly growing organization
  • Develop and maintain local Quality Management System
  • Monitor contractors to ensure project timelines are met
  • Monitor compliance to local and international regulations
  • Regulatory responsibility,
  • Foster a leadership culture, which attracts, develops and retains high caliber candidates, helping to build and shape a scientific talent pool that will drive the future successes of the international organization
  • Timely process of adverse event information of both marketed products and those under development including the adequacy of local safety report follow up and reporting to the national competent authority in Hungary,
  • Ensure accurate translation of the adverse event information received,
  • Accurate documentation, filing and archiving of all relevant information,
  • Ensure that data protection requirements are met,
  • Maintain current awareness of pharmacovigilance legislation in the region,
  • Medically or Pharma graduated
  • 3 years pharmacovigilance experience
  • At least 5 year experience in pharmaceutical/biotech Companies in roles of increasing responsibility
  • Self-starter
  • Knowledge of reimbursement process
  • Innovative thinker
  • Ability to operate within a significantly changing environment
  • To have good interpersonal skills and work well within the team
178

Medical Reimbursement Specialist Resume Examples & Samples

  • Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid
  • Reviewing and appealing unpaid and denied claims
  • Post appropriate adjustments based on client protocols and/or Explanation of Benefits (EOB)
  • Know how to read and understand an EOB
  • Keep current on informational changes in billing procedures
  • Meet benchmarks for AR claim volume
  • Work with CSE to set benchmarks for Insurance team
  • Researching problems, testing, training and documenting best practices
  • Understand and process day end and or month end functions, if assigned
  • Submit claims to clearinghouse
  • Work invalid and rejected claims at clearinghouse
  • Communicate/answer questions regarding outstanding AR issues
179

Medical Program Manager Resume Examples & Samples

  • Performs evaluations of UM/QI programs to monitor quality and appropriateness of care and utilization management and summarizes results of findings. Reviews utilization and quality data, prepares status reports of a potential contracting partner and/or delegated partner, which includes recommendations to improve performance, resolve problems, and/or correct aberrances
  • Consults with, assists, and advises the Regional Medical Director and regional associates in areas related to: needs identification, development and implementation of utilization management, medical review, quality improvement and educational programs
  • Implements, participates in, conducts, and evaluates medical and educational processes, programs and procedures for a potential contracting partner and/or delegated partner's staff Assesses knowledge of and compliance with state and federal regulations, Health Net standards and accreditation standards
  • Implements, conducts, and evaluates performance measurement and monitoring of Health Net and potential contracting partner and/or delegated partner's utilization and quality programs and medical review to ensure quality and appropriateness of service and compliance with, medical standards, medical policies, and compliance with state and federal regulations, Health Net standards and accreditation standards
  • Collaborates with Provider Network Management and Finance regarding the potential contracting partner and/or delegated partner's ability to meet financial solvency requirements as it affects utilization requirements
  • Active, valid, maintained & unrestricted state of CA Registered Nurse license required
  • Active, valid, maintained & unrestricted driver's license in the state of residence required
  • Strong working knowledge of regulatory requirements: NCQA (National Committee for Quality Assurance), DMHC (Department of Managed Healthcare), DHCS (Department of Healthcare Services), CMS (Center for Medicare and Medicaid Services) related to monitor quality and appropriateness of care and utilization management
  • Ability to understand and assess provider's compliance with Health Net policies, state and federal regulatory requirements and accreditation standards
  • Familiarity with all phases of an audit including planning, analysis and report writing
  • Ability to evaluate appropriate medical services and activities
  • Strong conflict management and negotiations skills
  • Ability to effectively work with team members at all levels
  • Excellent organization skills, with the ability to effectively plan and organize projects with daily workload
  • Ability to work independently, set priorities, accomplish projects in a timely fashion, and handle multiple projects simultaneously
  • Strong Computer skills with proficiency in Microsoft Office (Word, Excel, Access, etc.)
  • Ability to travel extensively as needed
  • Ability to maintain professional conduct; excellent and professionalism portrayed in all aspects of daily work attitude and performance
180

Medical Electronics Technician Resume Examples & Samples

  • Experience with patient data networks
  • Basic computer skills and knowledge of Microsoft Office Suite
  • In order to receive credit for any college course work, or any type of college degree, such as an Associate's degree, or for completion of a certificate program, you must include a legible photocopy of the official diploma, official transcripts or official letter from the accredited institution which shows the area of specialization, **or completion of equivalent military training with your application. If you are unable to attach required documents, you must fax them to (323) 869-0942 or e-mail the documents to the exam analyst, within 15 calendar days of filing online, or your application will be rejected. Please include the exam number and the exam title
181

L&I Medical Program Specialist Resume Examples & Samples

  • Master's degree with major study in behavioral health, public health, public administration, nursing, health administration, economics, business administration, social sciences, or closely allied field
  • One year of experience as a Medical Program Specialist 1 OR two years of experience or education in analysis, research, project management, or service provision in a health care, behavioral health, medical insurance, social services, industrial engineering, policy development, or worker's compensation field
  • Strong written and oral communication skills. Comfortable with presenting information to a variety of audiences. Effective facilitation skills are essential
  • Ability to work comfortably in a fast-paced often changing environment
  • A self-starter who is willing to learn quickly and track complex processes
  • Policy analysis capability, effectively using data, stakeholder interests and other factors to document and recommend viable solutions
  • Comfortable using data analysis, project management, and communication software (MS Project, MS Word, MS Excel, database software, MS PowerPoint, Visio, MS Outlook, etc.)
  • Able to travel (a couple of times each quarter) throughout Washington State with possible overnight stays
  • Letter of interest/Cover Letter explaining why you would be the best fit for joining our team
  • Writing sample: two pages or less on the following topic: What improvements would you recommend in the delivery of behavioral health or chronic pain services?
182

Medical Collection Specialist Resume Examples & Samples

  • Collect and report urine specimens for drug screening in an accurate and timely manner
  • Adherence to collection policies and procedures
  • Basic filing and administrative functions
  • Communication skills and customer service
183

Key Account Leader, Medical Key Accounts Resume Examples & Samples

  • Establish strategic business relationships within targeted IDNs through developing contacts high and wide within the accounts, and coordinating with field sales teams to deliver high value solutions
  • Develop and implement the business plan and strategy for each targeted IDN
  • Conduct professional and impactful business reviews to help customers understand current trends, deliver savings opportunities, identify key initiatives, and facilitate projects that drive value to the IDN and 3M
  • Demonstrate strong knowledge and expertise in healthcare economics, financial and business acumen, and supply chain management
  • Demonstrate a working knowledge of the solutions offered by C3SD and IPD through their product offerings
  • Willingness to be on-call to assist field representatives as needed and assume additional assignments as requested by management
  • Management of pricing and contract activities within targeted IDNs
  • Bachelor's degree or higher from an accredited university
  • Minimum of three (3) years health care industry experience in Acute care
  • Minimum of five (5) combined years of experience in sales, marketing and/or business development
  • Experience leading and working in cross-functional teams
  • MBA or Master's degree in Marketing or Business Management
  • Experience managing large key accounts
  • Experience managing teams and individuals
  • Understanding of health care reform and its impact on health systems
  • Experience in working with GPOs, distributors and the healthcare supply chain
  • Experience presenting to Senior Level Management and selling to Director / VP level customers
  • Skills includes navigating a matrixed organization, forecasting, planning, data analysis, interpretation and presentation along with business writing skills
  • Demonstrated ability to leverage relationships to increase relevance within accounts
  • Strong Business and Financial Acumen
184

Medical Account Manager Resume Examples & Samples

  • Previous medical representative work experience is a plus
  • Higher education; medical/pharmaceutical education is a plus
  • Knowledge of English
  • Driving license B supported by experience
  • Strong negotiation and presentation skills
  • Ability to work in time bounded and stressful situation
  • Ability to build strategic relationships with clients and focus on customer
185

CMT Modeler, Convergent Medical Terminology Resume Examples & Samples

  • Must be able to function independently with minimal oversight and direction, facilitate improvements to existing Regulatory and QA projects/processes, and collaborate with regional partners in code validation mapping
  • Successful candidate will be responsible for reviewing and prioritizing business partner requests to complete code validation process utilizing ICD-9-CM, ICD-10-CM, CPT, and HCPCS code systems
  • Role includes analysis of business processes and functional requirements, development of business cases, and client support
  • Certification from established HIM industry organization in ICD-9-CM, ICD-10-CM, CPT, and HCPCS required such as CCS (Certified Coding Specialist) and AHIMA-approved ICD-10-CM/PCS Trainer
  • Must possess extensive knowledge of billing rules for ICD-9-CM, ICD-10-CM, HCPCS, and CPT
  • Administrative coding expertise required
  • Working knowledge of MS Excel, Word, PowerPoint, and 3M/ electronic encoder application
  • This position will report to the CMT director
  • Code Validate TeamTrack™ regional/national requests for Kaiser Permanente HealthConnect® clinical
  • Diagnosis and Procedures
  • Code Validate government mandated regulatory updates, SOX compliance and CMT QA projects for
  • KP HealthConnect clinical Diagnosis and Procedures Master Files
  • Co-chair Inter-regional Coding Forum [preparation through facilitation and documentation]
  • Participate in code validation related meetings with KP HealthConnect business partners
  • Maintain certified coding credential(s) through industry related continuing education seminars,
  • Video conferences, webinars, HIMS association events, etc
  • Enhance and socialize departmental workflow/process documentation
  • MD preferred or BA/BS degree in related field and/or 4 years of equivalent work experience
  • A minimum of 5 years of related IT experience including IT Project Management
  • Advanced knowledge of own area of functional responsibility and working knowledge of other IT functions
  • Knowledgeable on industry terminology source standards for update and maintenance process such as SNOMED, LOINC, ICD, CPT, and HCPCS
  • Proficient in Excel and Access
  • Epic system familiarity
  • Knowledge of Epic’s Enterprise Master file Index models and workflow (EMFI)
  • Proficient in any Epic application and knowledge of Epic Chronicles
  • Proficiency with all phases of release management for content/data
  • Experience with KP Health Connect or electronic medical/health record systems
  • Ability to establish relationships and work with virtual regional & national team members
  • Self-starter with the ability to work through ambiguity
  • Experience with medical terminology and code sets (SNOMED, LOINC, ICD-9, FDB, ICD -10, CPT-4
  • Ability to influence and build strong partnership with others
  • Team and Service Oriented
186

Accounts Receivable Team Lead for Modern Medical Resume Examples & Samples

  • Perform all types of complex adjustments and closed, denied, and simple adjustments
  • Meet Quality, Productivity and Attendance requirements
  • Maintaining accurate documentation in ORS
  • Providing assistance to Providers with status updates
  • Being responsible for any follow-up work needed for resolving and closing issues
  • Identifying and resolving anticipated Provider issues to prevent future calls
  • Maintain proficiency in all technical applications (technical skills and system knowledge)
  • Comply with all current policies, procedures and workflows
  • Work does not usually require established procedures
  • Mentors others
  • Coordinates others' activities
  • 1+ year of Claims, Office or Customer Service experience analyzing and solving customer problems
  • Knowledge of medical claims billing ICD9, CPT, or HCPC codes
  • 1+ years of experience with MS Excel with the ability to create Pivot Tables, Graphs, Spreadsheets and perform lookups
  • 3+ years of Accounts Receivable experience
  • Some College
  • Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
187

Medical Resume Examples & Samples

  • 1+ year of experience in a Medical-Surgical setting
  • Active NJ Registered Nurse (RN) license
  • Solid assessment, clinical, and documentation skills (written and verbal)
188

Senior Manager, Global Ahus Medical Marketing Resume Examples & Samples

  • Lead the organization of the global (digital) educational platforms and drive global best meeting practices
  • Support the country development of aHUS Centers of Excellence
  • Support the development of advisory boards, round tables, symposia, speaker programs
  • Optimize and develop educational materials (eg. slide library, interactive patient cases, promotional slidedecks) in collaboration with internal stakeholders and KOLs
  • Lead global speaker development and management process
  • Develop and communicate key global publications alerts, FAQs and objection handler
  • Liaise with members of the global/regional aHUS marketing / medical marketing team to ensure coordinated execution across all marketing roles and responsibilities
  • Develop and maintain core disease and product training materials, including global training modules, provide presentations, FAQs, etc. together with the training team
  • Support development, maintenance, training and management of the global KOL database
  • Proven ability to understand complex scientific issues and integrate into medical marketing strategies and tactics (must have)
  • Strong ability to manage multiple projects across functional areas
  • Must have 3-5 or more years pharmaceutical industry experience with 3 or more years of in-line product or medical marketing
  • Experience launching or working with a newly launched product and/or global experience is desirable
  • Experience in orphan drugs / hematology / oncology / nephrology preferred
  • US and international (global) marketing or medical marketing experience required
189

Medical Development Manager, Team Leader Resume Examples & Samples

  • Provide scientific support to HCPs on specific patient critical issues eg single named patient supply
  • Advocacy planning/mapping/implementation/reporting
  • Drive development and implementation of a strategic short and long term engagement and advocacy plan consistent with disease team objectives and working cross functionally with other Medical Development Managers in the team, and disease teams, reporting progress through appropriate metrics
  • Develop Rising Star programmes: maximize existing programmes such as PEER Academy and Masterclass, proactively develop new programmes to meet the needs of Rising Stars
  • Identification and development of speakers for promotional meetings and speaker tours
  • Clinical Trials and Investigator initiated trials (IITs)
  • Celgene-sponsored trials
  • Project leadership
  • Implement scientific projects according to global, regional or local medical strategies. Examples may include, but not limited to, epidemiology projects, registries, multi-disciplinary projects involving education and collaboration within the medical community to improve patient diagnosis and treatment, advisory boards, speaker tours
  • Significant experience in external stakeholder management and advocacy development within the NHS
  • Innovative thinker who is able to challenge the status quo for the greater good
  • Willingness to travel – each regional territories anticipated to be 1/3 of UK/Ireland, attendance at national/international congresses including but not limited to ASCO GI, EBCC, ASCO World GI, ECCO/ESMO, SABCS, Pancreatic Fora
190

Senior Medical Disputes Specialist Resume Examples & Samples

  • Knowledge and understanding of the Credits process
  • Healthcare terminology and reimbursement rules
  • Insurance Plan payment methodologies and contract terms
  • Leadership qualities of ownership, personal responsibility and good decision making
  • Three or more years of Disputes background or equivalent combination of experience and education
191

Supervisor Medical Resume Examples & Samples

  • Minimum of 1 year med/surg experience
  • 3 years med/surg experience with 1 year supervisory preferred
  • Graduate of an accredited School of Professional Nursing
  • Current licensure by Tennessee Board of Nursing or other acceptable Board of Nursing
  • Pursue and complete Med-Surg certification within 1 year from date of hire
192

Central Sterile / Case Cart Tech-o.u Medical Resume Examples & Samples

  • Ensures proper use of sterilized sonic cleaners and other related equipment
  • Decontaminates instruments using proper chemical mixtures
  • Maintains an inventory of sterile supplies, instrument sets and equipment
  • Periodically checks sterile inventory in order to remove those items in which sterilization has expired or packaging has been compromised
  • Resterilizes contaminated instrument sets
  • Experience:Two (2) years instrument processing experience
193

Central Sterile / Case Cart Lead-o.u Medical Resume Examples & Samples

  • Thoroughly inspects instruments to insure all instruments are clean and in good repair/working order prior to sterilization process
  • Tests, operates and loads autoclaves
  • Completes instrument count sheets and instrument sets and/or communicates discrepancies to appropriate OR staff member
  • Trains and orients new employees to both instrument processing and case cart areas
  • Makes daily work assignments and ensures proper flow of work throughout both CS and CC areas. *Assists supervisor with assigned projects and duties
  • Mentors staff members
  • Conducts in-service education programs for staff members
  • Oversees the department operation in the absence of the supervisor
194

Anesthesia Technician Lead-o.u Medical Resume Examples & Samples

  • Responsible for the daily inspection of anesthesia machines and equipment and devices to ensure cleanliness and operational readiness (i.e. fiberoptic bronchoscope, fluid warmers, anesthetic gas machine)
  • Responsible for decontamination of anesthesia machines and sterilization of equipment and devices. *Assembles anesthesia equipment and sets up machines according to established protocol and age appropriate criteria on scheduled cases
  • Orders and stocks anesthesia medications and supplies; maintain adequate records of receipt and issuance of supplies and equipment
  • Maintains adequate level of anesthesia gas; store and distribute cylinders
  • Responsible for standardization of anesthesia products/supplies in all OR’s
  • Schedules in-service education for anesthesia techs across campus regarding new products/supplies/equipment and existing products/supplies/equipment
  • Maintains call schedules and makes assignments for stocking on weekends
  • Assists in establishing competencies for anesthesia techs
  • Trains and orients new employees to department policies and procedures
  • Experience:One (1) year as an anesthesia technician OR an equivalent combination of education and
195

Medical Specialist Resume Examples & Samples

  • Develops strong working relationships with customers, collaboration colleagues and Internal contacts - Clinics, physicians, nurses, additional important health care providers, key patient advocacy support groups, collaboration teammates, Reimbursement and Access Specialist team, Clinical Nurse Educators, Marketing, National Accounts, Training and Trade
  • Consistently calls on assigned customers in assigned geography and deliver a clinically-based, selling message to personnel in assigned Cardiometabolic accounts in accordance with Regeneron policies
  • Develop strong working relationships with local Cardiometabolic experts in assigned geography, nurses, other identified important health care personnel and key patient advocacy support groups
  • Participate and corroboratively lead initiatives to support sales success
  • Successfully completes all training requirements and proactively seeks to strengthen on-going scientific knowledge regarding disease-state, competitive products and healthcare trends
  • Plans, organizes, and leads unbranded patient / caregiver programs
  • Effectively executes short and long term strategic plans
  • Maximize budget allocated to the geographical territory assigned to support execution of strategies and tactics developed to generate and grow the business
196

Lead Medical, HAE Resume Examples & Samples

  • Serving as US Medical representative on standing and project-based cross-functional teams
  • As directed by the Head, US Genetic Disease Medical and Global Franchise and Product Leads, develop, conduct, or participate in therapeutic training programs for Shire internal department
  • A Doctor Degree in Medicine (MD), PhD, or PharmD is required
  • At least 4 years of combined experience working in industry, in clinical or research institution, preferably in Genetics, hematology, immunology or allergy medicine
  • Experience in medical affairs particularly rare disease is preferred
  • Experience in leading teams at the brand or disease area levels in country, regional or global organizations is preferred
197

Lead Medical, Gaucher Resume Examples & Samples

  • 40%: Implementation in-year of US medical strategy with global alignment
  • 30%:Effective compliant collaborations with internal stakeholders (R&D, commercial, marketing, regulatory, legal, and compliance) and scientific exchanges with external stakeholders (KOLs and HCPs) in alignment with customer needs and medical strategy
  • Act as a company medical representative to engage external scientific leaders, policy makers, patient advocacy groups and/or regulatory authorities
  • Present data on product / disease area at internal and external meetings
  • 20%: Support development of US medical strategy and plans with alignment with Global Medical Team
  • Work with Head, US Genetic Disease Medical and Global Franchise and Product Leads to develop US medical plans that include tactics to support key strategic imperatives for the disease area / brand(s) in both pre- and post- launch setting
  • Support development of the in-year medical tactical plan and budget for US initiatives and where applicable, collaborate with Global initiatives
  • As delegated by the US, Head Genetic Disease Medical, lead functional (e.g. publications, medical communications, medical information and medical training) plans supporting US medical strategy with alignment with Global where applicable
  • As delegated by the US, Head Genetic Disease Medical, collaborate with relevant business partners to ensure aligned and medically appropriate brand strategy, planning and execution
  • As delegated by US, Head Genetic Disease Medical, participate in product development strategy and provide medical affairs and R&D inputs
  • At least 4 years of combined experience working in industry, in clinical or research institution, preferably in Genetics, metabolic, or hematology
  • >2 years of experience in biopharmaceutical industry, preferably within a matrix or franchise structure
  • Experience in other relevant disease areas of interest through clinical experience, biopharmaceutical experience or education may be considered
198

Physician, Optumcare Medical Group Resume Examples & Samples

  • Examines, diagnoses and treats patients for acute injuries, infections, and illnesses
  • Board Certified in Internal Medicine or Family Medicine
  • 1 or more years of Outpatient Clinic experience
  • Current and unrestricted DEA certificate required
  • Outstanding organization skills and ability to multi-task
  • Takes Initiative, creative, has problem solving ability, is adaptable, and flexible
199

Medical Project Engineer Resume Examples & Samples

  • Mentor less senior technical personnel
  • Supply information for quotes such as length of project, site needed, rental equipment, samples, and standards that will be used
  • Complete preliminary design reviews (PDR) both on and off site
  • Provide more specialized "expertise" in one product category, i.e., become reviewer, resident expert, or obtain and maintain advanced product knowledge
  • Develop and set up test plans
  • Perform field labeling jobs
  • Set up and operate standard test equipment including, but not limited to: spectrum analyzer, oscilloscope, multi-meter, dielectric strength tester, ground continuity tester, digital multi-meter, surge generator, over-voltage tester, environmental condition
  • 2-4 years directly related experience with Medical UL/CSA/IEC 60601 and 61010
  • Prior project management experience is a plus
  • Demonstrated experience with U.S., Canadian, and other International product safety standards, i.e., ANSI, CSA, UL, EN, IEC
  • Ability to interpret an extensive variety of technical instructions in mathematical or diagram form
  • Ability to deal with several abstract and concrete variables
  • Ability to make technical decisions and engineering judgments independently within established parameters
  • Excellent communication skills, in both verbal and written formats
  • Must be self-motivated and able to work independently in a fast-paced, multi-tasking environment
  • Ability to travel 25%
200

Medical Resume Examples & Samples

  • MD plus accredited fellowship in respective product, board certified or board eligible
  • Familiarity with US health care compliance considerations
  • Experience with opinion leader interactions
  • Experience with integrated delivery networks, accountable care organizations, and payers
  • Broad and formal leadership experience
201

Medical Review Non-clinical Claims Adjudicator Resume Examples & Samples

  • Reconciles itemize charges to services approved and/or non covered for FES and FFS population
  • Adjudication/edit resolution of FES and other medical claims in compliance with the AHCCCS and FES guidelines. Special projects related to the adjudication process
  • Interface with Claims Medical Review Staff and/or Management regarding claims QA activities
  • Research and analyze FES and DFSM Policies and procedures, Rules and Regulations to ensure compliance and accuracy
  • Formulate and present recommendations to Claims Management regarding process improvements or compliance issues related to the non-clinical support of the Claims Medical Review Unit. Produce status reports to Claims Management
  • Ability to effectively manage time and productivity in a virtual office environment
  • Demonstrated knowledge of claims with an understanding of various edits, overrides and how they impact claims
  • Medical Terminology, concepts of research and analysis
  • Proficient experience working in a Windows environment (specifically Excel); and Ten key by touch
  • Strong verbal communication, excellent phone skills and good interpersonal skills
  • Multi-task in a fast paced production environment
  • Problem solving, and know when to work independently and when to elevate an issue/concern
  • Formulate recommendations for process improvement
  • Experience using CPT, ICD9 and HCPC Coding
202

Medical Resume Examples & Samples

  • Develop short and long-term regional business plan and execute effectively within budget to achieve national business objective
  • Coach and develop team members to achieve their individual objective
  • Manage team members, regional performance, investment, and all analysis by leverage relevant tools, systems, and technology efficiently
  • Manage team member continuity. Retain and develop talents
  • Bachelor degree in Medical science and 100% integrity in qualification
  • 3 years experiences in hospital channel and managing team
  • Strong in people and project management
  • Business plan, monitoring, analysis, and strategy
  • Leadership & coaching principles
  • Good command in English
  • Area of responsibility : Upcountry flexible area
203

Medical Techno Resume Examples & Samples

  • Shares responsibility as a team member in developing and maintaining a supportive work environment
  • 1 Develops positive relationships with those whom we serve, ensuring privacy, confidentiality, and individual dignity at all times
  • 2 Meets tensions and resolves conflicts in constructive manner leading towards reconciliation
  • 3 Understands and supports the hospital’s philosophy to treat everyone with special concern
  • 4 Reports improper, unjust, or unethical situations to appropriate leadership
  • 1 Consults and works collaboratively with all staff
  • 2 Demonstrates support for the hospital’s Heart First Service Promises-Healing Hands, Exceptional Care, Attentiveness, Respect and Trust
  • 1 Keeps manager informed of department based needs
  • 2 Understands cultural diversity and demonstrates an understanding of the value of all members of the healthcare team
  • 3 Ability to take action and get things done independently. Assumes responsibility promptly and effectively. Identifies the issue, develops steps and participates as needed to resolve the issue
  • 4 Demonstrates tact when dealing with patients, colleagues and the public
  • 5 Demonstrates ability to address issues and find a solution while at the same time achieving consensus with the individuals involved
  • 6 Adheres to the proper “chain of command” within the organization. (Rated either 5 or 1)
  • 1 Knowledge of procedures for maintaining security, confidentiality and integrity of patient medical information
  • 2 Demonstrates skills and accuracy in collecting and inputting data into hospital computer system as relevant to position
  • 1 Diagnosis equipment problems, repairs or seeks out someone to repair
  • 2 Consistently inform appropriate person of problems encounter with repairs or calibration of equipment
204

M HIS Medical Economist Specialist Resume Examples & Samples

  • Driving and leading the medical economic aspects of research, design, policy implementation and incentives around Clinical and Economic Research classification systems
  • Represent 3M HIS in the design and implementation of our patient classification systems with payers, regulators, and providers
  • Create white papers and commentaries on the medical economic aspects of health payment and quality outcomes policy
  • Keep abreast of trends in the market and classification/health policy design and implementation usage in Medicare, Medicaid, ACO, and Commercial payer
  • Influence the design of health policy around CER patient classification systems for payment and quality outcomes following the trends from FFS to managed care arrangements
  • Work with teams of clinicians and analyst providing technical support and performing ad hoc analysis on data and payment policy/quality issues
  • Provide detailed financial analysis supporting the implementation of health care payment reforms
  • Become an in-house expert on the various 3M patient classification systems
  • Work closely with other health economics staff to provide analysis of health care cost and reimbursement trends
  • Master’s Degree and/or CPA and/or Masters in Public Health or higher from an accredited university
  • Minimum of five or more (5+) years working in health care economics, actuarial or network reimbursement job function demonstrating increasing levels of responsibility
  • Familiarity with database applications and SAS software an advantage
  • Experience with Medicare Advantage, Health Insurance Exchanges and/or Medicaid MCO rate setting and Medicaid waiver compliance
  • Proficient in handling medical claims data in financial modeling
  • Experience working with coding systems, health care data elements, patient classification and data evaluation and analysis required
  • Requires strong interpersonal skills and demonstrated proficiency in written communication
205

Medical Claims Product Manager Resume Examples & Samples

  • Act as Subject Matter Expert (SME) responsible for assisting clients find more value in their application software, contributing to better relationships and increased retention of current client contracts
  • Create and implement product vision, direction, and business plans, including product plans, product migration and evolution, and product life cycle
  • Act as a problem solver; deep analysis of data and provide communication of analysis to continuously improve claims solutions; deliver this message using analytic tools (Excel, Tableau etc.)
  • Gather, validate, and evaluate product/market requirements through market and customer research, competitive and product research. Develop functional specifications for assigned product features to include effective product and user interface design, rapid prototyping, product validation testing, and usability testing, while ensuring that the product strategy is adhered to throughout the product life cycle
  • Develop and deliver materials to the appropriate marketing and sales organizations which convey the purpose and details of the product, definition of its user, benefits to the customer, customization capabilities, and competitive comparison
  • Evaluate new functionality that should be applied to existing products
  • Approximately 30% travel required for this position
  • 5-7 years of medical claims analysis or healthcare claims analysis, medical case review background
  • Medical Clinical background strongly preferred
  • Experience with fraud/waste/abuse within health plans is helpful but not required
  • BA/BS, MBA or equivalent preferred
  • Experience in Product Management preferred
  • Experience in Claims Handling Property Casualty insurance claims preferred
  • Proficiency in analytic software programs
  • Strong oral and written communications skills
  • Solid understanding of financial responsibilities
  • In-depth knowledge of product development and evaluation processes
206

Chinese Medical Claims Adjudicator Resume Examples & Samples

  • Ensure completeness of all submitted documents and obtain missing information and invoices from medical providers as necessary
  • Issue decline and follow-up correspondence to policy holders within a tight timeline
  • College/University degree. Medical course is required
  • Basic to intermediate proficiency in Chinese language (verbal and written)
  • Good interpersonal and communication skills (both verbal and written)
  • Strong organizational skills and able to multi-task even under pressure, and fast learner
  • Has excellent customer service skills and accountability for customer requests or issues
  • Good mathematical aptitude
207

IT Functional Lead-medical Resume Examples & Samples

  • Serve as focal point for Int’l Medical and partner with the business to build a clear IT roadmap that supports the business strategy
  • Represent the IT organization as a contributing member of the EU+ and LATAM / APAC Medical Leadership teams
  • Understand and anticipate strategic, market, and operational technology needs and opportunities and translate effectively into technology solutions and business process improvements. Facilitate change via technology - identify business opportunities enabled through technology
  • Oversee project execution, working across the IT organization (Enterprise Architecture, Technical Delivery Teams, Support Teams, IT Quality, IT Security, etc.), leading implementation / deployment of IT projects to deliver successful business outcomes
  • Maintaining an overall understanding of the international medical organizations needs and strategy, ensuring that we are working on the right IT priorities and the team is appropriately resourced with both talent and budget
  • Responding and communicating in both tactical and strategic issues come up with the overall set of IT solutions and services that are used by the people in the international Medical organizations at Biogen
  • Medical IT Portfolio Management
  • Utilizing broad business and IT knowledge to proactively research strategic technological solutions
  • Influencing long range business goals and objectives through partnerships and communication
  • Building and managing peer and management-level relationships through achievement of results, accountable to schedule, and allocation of resources and meeting customer needs
  • User experience oriented - think about what the customers aren’t asking for, with a focus on “a day in the life better, easier, faster, cheaper”
  • Stakeholder management and stakeholder alignment in all change initiatives (change management focus)
  • Coordinate /manage the deployment of global initiated Medical IT project in all markets outside US (timeline and resource negotiation)
  • LI-POT2
  • Minimum of 7-10 years working either in or near a biopharmaceutical Medical or Commercial IT organization
  • Previous ‘Big 5’ consultancy experience preferred
  • Clear and crisp Communication
  • Cultural awareness
  • Experience overseeing medical and medical information services and systems globally distributed and understanding of the regulatory requirements and landscape
  • Experience managing resources and projects across a geographically distributed region
  • Demonstrated ability to work and influence at multiple levels within multidisciplinary and matrixed organization
  • Familiarity with EU+ privacy and legal regulations
208

Medical Program Manager Resume Examples & Samples

  • Healthcare, substance use treatment experience required
  • Demonstrated organizational and time management skills with ability to manage programs effectively
  • Education: Minimum Bachelor’s level degree in a Behavioral Science and experience in substance use treatment. LCDP preferred
  • 7-10 years of progressive responsibility and program management in substance use treatment service delivery
  • Clear verbal and written communication skills
  • Demonstrated initiative in identifying client needs and assisting in designing, presenting, and implementing well-considered, data driven proposals to meet those needs in a timely manner
  • *This position is located in Cranston, RI and the incumbent will work on site.***
209

Medical Vocabulary Terminologist Resume Examples & Samples

  • 5 years of experience with medical vocabulary or disease data mapping
  • Knowledge of HL7 v2.5.x – HL7 3.x standards and specific Implementation guides in the laboratory and public health reporting arena
  • Knowledge of Microsoft Office, including Excel, SharePoint, Outlook, Visio, Project, and Access
  • Ability to provide technical expertise in health information exchange, electronic medical record or electronic health record integration architecture, and national and international data standards, including HL7 2.x/3.x, XML, CCD, SNOMED, LOINC, ICD-9, ICD-10, CDA, and FHIR
  • Ability to provide terminology and standards support for public health entities across multiple initiatives, including assisting public health labs or agency staff with mapping local to standard codes, such as Logical Identifiers Names and Codes (LOINC) and Systemized Nomenclature of Medicine Clinical Terms (SNOMED-CT), applying solutions to messaging issues from a terminology perspective, coordinating with data exchange partners to ensure data exchange solutions follow national standards, such as HL7 2.x/3.x, SNOMED, and LOINC for project requirements, and coordinating with data exchange partners to ensure vocabulary solutions follow national standards appropriate for the respective domain and data exchange paradigm and meet project requirements
  • Ability to provide vocabulary support to meet requested services, provide knowledge transfer, and promote more efficient and effective electronic data exchange, transfer, and use
  • Ability to represent public health community requirements at standards development organizations to improve underlying international standards
  • Ability to assist with the development of new data models or assessment of existing models in support of TA recipient efforts to implement more structured data-based analysis models
  • BA or BS degree
  • Experience in working with federal agencies, public health agencies or laboratories, or member-based organizations preferred
  • Experience with statistical software a plus
  • Knowledge of CDA or FHIR a plus
  • Ability to communicate with a broad array of individuals from varying technical aptitudes, professional backgrounds and affiliations at senior levels across the public health community
  • Ability to be self-directed, highly organized, and a team-player with commitment to the provision of quality customer service
  • Possession of excellent client relations, presentation, and organizational skills
  • MA or MS degree in Informatics, Information Technology, Public Health, or Public Laboratory preferred
210

BB Medical Resume Examples & Samples

  • Driving profitable charge volume and revenue growth, leveraging in-depth knowledge of merchant’s business and industry
  • Developing innovative partnerships and negotiating profitable deal constructs and card acceptance agreements
  • Safeguarding the merchant relationship, driving NPS and ensuring positive merchant experience across all American Express interactions
  • Cultivating and leveraging relationships across the Blue box, with Issuers, B2B Development, Pricing, Marketing, GCO, etc. to identify and implement solutions to grow net new volume and expand share within the accounts
  • Experienced relationship manager with proven ability to develop strong client relationships, sell-in programs and initiatives, and demonstrate tenacity to uncover new opportunities to grow
  • Outstanding analytical and creative problem solving skills; proven financial acumen
  • Strong executive presence with ability to lead and influence senior/C-level discussions with clients
  • Ability to work collaboratively across a wide variety of external and internal partners
  • Strong negotiation, and project management skills, with excellent ability to prioritize effectively and drive results
  • Outstanding client-facing presentation skills, both oral and written
  • Energetic and enthusiastic team player, with strong will to win
  • Knowledge of Medical industry, B2B payments landscape and/or experience in B2B Issuing organizations a plus
  • Bachelors degree required, MBA a plus
  • New York City / WFC candidates preferred, however open to qualified virtual candidates with prior B2B experience
  • Role requires ~30% travel
211

Medical Informantion Manager Resume Examples & Samples

  • Desired: M. Pharm, PhD (healthcare or life sciences), PharmD, MD. Oncology therapeutic area experience and knowledge preferred English
  • 2-5 years of relevant experience in medical/scientific writing, medical information/communication
  • Strong scientific/medical writing skills with history of creating clear, concise, and compelling medical letters
  • Proven literature analysis and evaluation skills (ability to navigate through commonly used databases such as PubMed, Ovid, Embase, etc.)
  • Solid understanding of scientific and medical language and clinical trial methodology
  • Ability to acquire knowledge of various disease states and products
  • Proficient in Microsoft Word, PowerPoint, Excel, and technologically savvy
  • Ability to manage multiple projects within defined timelines
  • Strong ability to partner cross-functionally with colleagues across departments and geography
  • Provide training to other associates, when required The preceding statements are intended to describe the general nature and level of work being performed by people assigned to this job
212

Medical Case Specialist Resume Examples & Samples

  • Accountable for individual and team results
  • Professional nursing knowledge with specific knowledge of the concepts and practices of occupational and environmental health
  • Requires ability to absorb professional knowledge quickly and develop and apply those skills
  • Must be a graduate from an accredited nursing program, licensed and registered, as a registered nurse, in local geography and US
  • Must have unrestricted nursing license to practice in Manila and NCLEX passer
  • Must be Computer literate; willing to work on rotational shift and/or week ends (if needed)
213

Medical Scientific Liason Capability Lead Resume Examples & Samples

  • Defining the functional strategy for defining MSL excellence while anticipating business needs and compliance with all internal and external standards and trends
  • Defining, improving and overseeing business and quality processes, infrastructure and tools striving for excellence and innovation
  • Leading the development of consistent governance and quality processes in partnership with Compliance, HCO and Legal
  • Driving a plan for developing capabilities and projects across therapeutic areas on customer engagement activities while designing an efficient implementation model for PDMA, Regions and Affiliates
  • Defining a MSL communication and engagement plan for Global and Affiliates and liaises effectively to ensure appropriate dissemination of guidances, tools, processes and best practices to Global and Affiliates/Regions
  • Developing and leading the global MSL Council to align priorities and goals for MSL activities and capability development across TAs
  • Defining the MSL planning process as part of the medical planning process and oversees implementation through collaboration with MSL Heads or those individuals designated to oversee MSL activities
214

Medical Entomologist Resume Examples & Samples

  • Develop and maintain a vigorous extramurally-funded research program
  • Publish in peer-reviewed, nationally-recognized scientific journals
  • Present research at scientific conferences
  • Interact with news media, the public, and officials at the international, federal, state and local levels
  • Serve on institute and university committees
  • Interact with mosquito abatement and public health agencies, and participating in educational and outreach activities
  • Prepare and direct the development of internal and sponsoring agency reports, scientific reports
  • Direct, prepare and submit research proposal and grants for external funding for research on insects affecting the health and well-being of humans and animals at the state, national and international levels
  • Present research results at professional and scientific meetings, and meetings with commodity groups or the public
  • Supervise assigned staff which includes task assignment, ongoing performance management with coaching and feedback, career development planning, leave/travel approval, and conducting annual performance reviews
  • Work with institute, campus, and external vendors to ensure appropriate maintenance of lab facilities and equipment within the Medical Entomology Laboratory (MEL)
215

Internship Colombia Medical Resume Examples & Samples

  • Enrolled in an Bachelor accredited degree program
  • Fluent in English and Spanish
  • Legally authorized to work permanently (i.e. without time limitations, without restrictions or without need for work sponsorship) in Colombia
  • Proven academic record
  • Office skills
  • Recognitions and awards
  • Participation in groups and activities
  • Type careers.jnj.cominto your Web browser
  • Enter the requisition number you wish to apply to into the Search Jobsbox: 00000WY6
  • Click on the position to apply.Administration
216

Medical Outcomes Liaison Resume Examples & Samples

  • Serve as the first line Medical point of contact for National and Regional Payer-related accounts, including Integrated Delivery Networks (IDNs) and Accountable Care Organizations (ACOs) in therapeutic areas of interest and products for Intarcia
  • Develop and execute medical strategies and tactics for National and Regional Payer-related accounts, based on deep knowledge of account needs, population health management, healthcare trends, and HEOR
  • Engage in meaningful and transparent scientific, medical and HEOR discussions about diabetes disease state, ITCA 650 and pipeline products with healthcare decision-makers within National/Regional payer-related accounts to inform access and reimbursement decisions
  • Identify and lead collaborative RWE studies with payers and IDNs to generate scientific evidence on clinical, economic, and humanistic outcomes
  • Work closely with Intarcia’s National Account Directors and Key Account Managers to identify and engage healthcare decision-makers (e.g., CMO, Medical Directors, Pharmacy Directors, Population Health, Quality, Analytics) and build a strong and trusting “partner of choice” approach
  • Establish strong cross-functional teamwork with Field Medical MSLs and internal Medical Affairs, Brand and Market Access partners to effectively meet payer customer needs for deep therapeutic knowledge, products, real-world evidence (RWE) or comparative effectiveness research (CER) collaborations
  • Communicate HEOR evidence, including economic and budget impact models to appropriate healthcare decision-makers
  • Collect and communicate payer-related customer insights to improve the customer experience and act as the field resource to provide input to inform internal strategies and data gaps
  • Identify, coordinate and provide field support for Intarcia’s Medical Affairs research and other types of initiatives (E.g., HEOR studies, advisory meetings, tool development)
  • Continuously keep abreast of critical healthcare trends (e.g., population health, quality measures, CER, healthcare reform, value-based payment models, patient-centered medical home, HIT landscape) to enhance expertise and be a resource to external customers to meet their needs
  • Represent Intarcia at scientific and payer-related meetings/conferences to present medical and HEOR data when appropriate and scientific exchange with external stakeholders
  • Assist in training of MSLs, Account Managers and other Intarcia colleagues as needed
  • Adhere to relevant Intarcia and regulatory compliance guidelines
  • Advanced scientific or clinical degree (MD, DO, PhD, PharmD) and/or equivalent required (relevant residency, HEOR fellowship)
  • Advanced training in health economics, health policy, or health outcomes strongly preferred
  • Five (5) or more years of pharmaceutical industry experience working in a field position with National/Regional payers, IDNs, ACOs and/or Managed Market accounts
  • Working knowledge of Managed Markets and healthcare trends impacting the healthcare industry, including quality of care, performance measures, value-based reimbursement and payment models, care coordination, customer segments (private and public)
  • Demonstrate business acumen, with ability to synthesize disparate information and translate into creative solutions with a sense of urgency
  • Demonstrate executive level leadership, influence and credibility to engage internal and external stakeholders
  • High degree of emotional intelligence with ability to connect with people and build strong cross-functional relationships, internally and externally
  • Prefer prior diabetes experience and have an established network of relationships with external stakeholders
  • Experience conducting HEOR studies in a collaborative fashion with US payers/IDNs highly desired
  • Ability to multi-task and manage several accounts and projects simultaneously
  • Thorough understanding of pharmaceutical industries’ regulatory and compliance environment and uphold with ethics and integrity
  • Able to work independently in field location with up to 75% travel
217

Senior Medical & Scientific Affairs Specialist Resume Examples & Samples

  • Provide timely, accurate and balanced medical and scientific information to various business divisions in Roche Diagnostics India
  • Preparation and dissemination of clinical utility documents for internal and external stake holders
  • Preparation and dissemination of scientific information to internal and external stake holders through various modes such as newsletters, etc
  • Provide support to marketing team in creation of marketing collaterals and other scientific documents required for marketing purposes
  • Develop and edit scientific content and materials for MSA presentations, abstracts, manuscripts, etc
  • Review and approve promotional materials
  • Training to sales and marketing team on various therapeutic areas. Create scientific training modules for sales force
  • Literature search in relevant databases, to share recent evidences in the diagnostics, medical information across therapy areas, with internal and external stakeholders
  • Update and maintain clinicians/HCPs database
  • Extend support in various MSA activities - medical communications and education activities including advisory boards, symposia, speaker presentations, etc
  • Minimum 5 years of experience in medical affairs activities for healthcare industry
  • Professional experience in Diagnostic/Device industry
  • Professional experience within the pharmaceutical industry desirable but not mandatory
  • Experience in Pharma/device/diagnostics medico-marketing / Medical affairs activities
  • Proven experience in working with multidisciplinary teams
218

Medical Claims Specialist Resume Examples & Samples

  • Ensure all patient insurance and patient liability information is entered accurately and in a timely manner using the appropriate forms, spreadsheets, policies and procedures
  • Ensure accurate entry of work into designated billing systems and spreadsheets
  • Obtain all necessary eligibility information from insurance companies and governmental agencies as required
  • Identify patients that require follow-up
  • Phone calls to insurance companies and governmental agencies for follow-up
  • Process patient refunds
  • Recertification of providers as required by governmental agencies or insurance companies
  • Other Job related duties as requested
  • Experience with Prior Authorizations, Medical Billing, claims and Medicaid is preferred
  • Familiarity with Prior Authorizations, ICD-10, HCPCS, CPT , HCFA 1500 & UB-04; relationship between ICD10 and prior authorization
219

Associate Behavioral Medical Director Resume Examples & Samples

  • Licensed Physician in the state of California
  • Experience working with community based programs and resources designed to aid the Medicaid population
  • Board Certified in Psychiatry required, sub specialty in child & adolescent or addictions
  • Experience in public sector delivery systems and experience in California public sector services
220

Medical Claims Representative Resume Examples & Samples

  • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
  • Authorize appropriate payment or refer claims to investigators for further review
  • Analyze and identify trends and provides reports as necessary
  • Consistently meet established productivity, schedule adherence, and quality standards
  • Claim processing on CSP Facets
  • 1+ years of experience in Customer Service role
  • 1+ years of experience in office setting using computer as a primary instrument for the job
  • 1+ years of experience in Medical Claim processing on CSP Facets
  • Ability to use 4 or more Windows applications at the same time to obtain info from various platforms and transfer that to other programs or to spreadsheets
  • Ability to Type 35 wpm or greater accurately
  • 2+ years of experience in Medical Claims processing
  • Knowledge of Medicare/Medicaid Claims processing
  • Ability to multi-task, this includes the ability to understand multiple products and multiple levls of benefits within each product
221

Nordic Medical Disease Resume Examples & Samples

  • To develop a Nordic medical/study strategy in NET and ensure implementation of the strategy in close collaboration with the country teams
  • To contribute to international studies by means of Medical input for Clinical Development Plans, study protocols, choice of study centres, feasibility studies
  • To contribute to local, international and regional studies, collaborating with clinical operations and regional and HQ divisions
  • To develop study concepts, inspection plans and study finalization reports for national/Nordic studies
  • To write articles, publications and congress reviews
  • To participate as medical representative in Franchise team meetings, New Product Team meetings and Business Review
  • To develop close cooperation with physicians, KOLs and other partners in the health environment, also by organizing and managing Advisory/Technical Boards
  • As a medical representative and content expert, to participate in and make active contributions to Brand/Core Indication Teams regarding upcoming launches, Life-Cycle Management and Marketing concepts, so as to support the team over scientific and clinical issues
  • To keep continuously up to date on the market and study (academic) environment regarding medical trends and clinical studies. To share and disseminate medical information within the organization
  • To participate as member of the Value Dossier Core Team leading reimbursement/value-dossier activities for new drugs
  • To ensure the implementation and conduct of Expanded Access Programs, Compassionate Use Programs and Individual Patient Supply Programs (IPSP) in the Nordics
  • To plan and control the budget
  • To participate in the preparation of medical or development audits as necessary
  • To support compliance in all interaction throughout the organization and maintain ongoing liaison with the Regional and Local compliance function to ensure that all processes and activities are in line with internal and external policies
  • In our high-performance team environment, key cross-functional collaboration is required for this role with relevant Nordic Medical Affairs Team Leader, Country Medical Advisors, Nordic Disease Leads, commercial colleagues, Market access managers, clinical operations, safety, Scientific Communication Manager and Pharma counterparts
  • Medically Qualified and registered physician or PhD/ PharmD
  • Higher medical qualification or Scientific Degree preferred
  • Fluent in English and local language (oral and written) preferred
  • More than 2 years of experience in clinical medicine and/or clinical research (preferred)
  • Industry experience including the role as Medical Affairs associate is preferred
  • Medical and scientific writing skills
222

Site Data Collectors, Medical Resume Examples & Samples

  • Accurately and efficiently conduct medical record review/abstraction services
  • Scan relevant components of the medical record to support reviews performed
  • Electronically download review assignments to the laptop and data collection tool; daily upload completed assignments and scanned medical records
  • Participate in required training
  • Complete quality, accuracy and inter-rater reliability testing as requested in a timely manner
  • Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities and Inovalon staff
  • Travel to medical facilities in specified area of region from home to complete review services as assigned by Inovalon
  • Represent Inovalon with medical facility staff; and
  • Abide by all HIPAA and associated patient confidentiality requirements
  • Medical Assistant or Certified Nursing Assistant or Medical Clerk
  • Clinical experience; prefer experience in performing chart abstractions
  • Computer literate and detail oriented
  • Professionally skilled in verbal and written communication
  • Available to perform reviews no less than 24 hours a week
  • Must be willing to travel; and
  • Must have high speed internet access
223

Market Medical Director Resume Examples & Samples

  • Interface with physicians / medical group staff professionally developing credibility
  • Delivery timely response / communications to physicians on all needed follow up issues
  • Other related duties as assigned / needed
  • Current, unrestricted Texas Medical License or ability to obtain within 90 days of employment
  • 5+ years of clinical practice experience
  • DEA or ability to obtain
  • Physician network development and / or provider relationship experience
  • 2 years of experience working in a managed care health plan environment
  • HEDIS, Coding, Risk Adjustment
224

IT Lead, Consumer Medical / Clinical Resume Examples & Samples

  • Partner with the business to manage the overall IT demand & continuously manage business partner expectations
  • Partnering with business to understand and define business drivers and requirements of the initiated program(s)/project(s). Ensure design gap analysis and prototyping, test script authoring and execution, and deployment activities as needed
  • Prepare and deliver regular updates and communications (verbal and written) to the Business and IT Leadership teams, and extended business partners
  • Defining, ensuring alignment and executing global strategies and solutions; partnering with clients to identify opportunities for using technology as an enabler to improve, automate, simplify business processes and optimize total cost of ownership
  • Participate in the business planning activities by identifying future business demand and ensuring appropriate funding is in the business plan
  • Driving business process improvement initiatives and championing the change management efforts of IT initiatives within the business partner community
  • Function as a technical application owner (TAO) of existing technologies and applications that support this function and ensure business partners are aware of new and emerging technologies in the consumer R&D space
  • Conduct research on current / future technologies, processes and best practices, benchmark with other internal J&J companies and external partners, and determine application of new technologies in the Consumer Companies R&D organization
  • Lead projects of medium to larger complexity, and act as Liaison between the various IT organizations to ensure successful delivery of initiatives to the business partners
  • Champion the change management efforts of IT initiatives with the business partner community
  • Interface with suppliers and vendors to evaluate software, hardware, or services and make recommendations
  • Ensure Service Level Agreements are established and meet expectations of the business partners
  • Provide coaching/guidance to peers, junior team members, co-ops and/or consultants
  • Consistently demonstrate knowledge seeking and sharing behaviors across IT organizational boundaries in the performance of daily work and encourage junior associates to do the same
  • Partnering with Vendors to ensure compliance with J&J standards, policies and procedures
  • Apply principles, concepts, and practices of the J&J Leadership Imperatives
  • Ensure that J&J information assets are appropriately identified and valued, and are protected by complying with and enforcing all local and worldwide security policies
  • Ensure that security is considered and emphasized in all IT plans and actions
  • A minimum of a bachelor's degree is required
  • Experience in agile methodology is strongly preferred
  • Experience in managing complex global projects / processes / systems is required
  • A minimum of 4 years of IT experience is required
  • Hands-on experience supporting R&D groups are preferred
  • Hands-on disciplined project management skills are preferred
  • Working knowledge of the FDA and its processes is preferred
  • Experience with software validation (21 CFR Part 11) in GxP regulated environments is required
  • Hands on understanding of Design Principles (User Interface and Business Process Mapping) is strongly preferred
  • Working knowledge of core application development principles and SDLC methodology is required
  • Demonstrated ability to lead a team and manage work in accordance with full system lifecycle (SDLC) from concept to production deployment is required
  • Hands-on experience supporting an application portfolio (post-launch) is required
  • Level of supervision needed – minimal as significant interaction and partnering expectedBusiness Relationship Management
225

Medical Undewriter Resume Examples & Samples

  • Risk Selection
  • Bachelor degree from any major (medical will be preferred)
  • At least has/join life insurance professional such as AAMAI/FLMI
  • Fluent in English and Bahasa
  • At least 3 years’ experience as medical underwriter
  • Demonstrate good team work and customer orientation
  • Strong computer literacy
226

Nucleus Medical Group Physician Resume Examples & Samples

  • Participate as a physician in the Nucleus Medical Group, focusing on day-to-day clinical operations and development, as well as commercialization of genomics-based, technology-driven medical care
  • Provide ongoing clinical support within the practice and also via telemedicine modalities (e.g. phone, email, video chat)
  • Help contribute to consolidated report development for quality control purposes
  • MD Board Certified in Internal Medicine or Family Medicine with at least 5 years of direct clinical practice experience
  • Commitment to practice of science-based medicine
  • Interest in or relevant experience in implementation of innovative medical care models
227

Medical Development Manager Resume Examples & Samples

  • External partnership and engagement
  • Advance education and awareness of Celgene products and pipeline and support the existing safe and correct usage of Celgene products
  • Identification of high potential future opinion leaders in line with pipeline therapy areas
  • Bring field insights into the business, disseminating information to relevant stakeholders: Identify external challenges and emerging issues faced by Celgene oncology and work with the team to recognize internal and external advocacy opportunities and solutions, and define and execute appropriate strategies to support them
  • Educated to at least degree level in a relevant medical/pharmacy/scientific area, PhD preferred
  • Excellent written and oral communication and presentation skills
  • Self starter with excellence in project management and prioritisation skills
  • Demonstrable success in supporting patient access activities
  • Team player with a positive attitude also having the ability to work independently and take the lead role on assigned projects
228

Medical Attendant Resume Examples & Samples

  • A PCL in Nursing and Nepal Nursing Council registration is required
  • Two years' work experience in a hospital or nursing home is preferred
  • Sound interpersonal skills are required
229

Medical Customer Servce Resume Examples & Samples

  • Perform fingerstick, test sample, and record other donor measures to include hematocrit, total protein and weight
  • Maintain and calibrate equipment
  • Ability to read and follow Standard Operating Procedures (SOPs) and to maintain complete and accurate records
230

Behavioral Medical Director Resume Examples & Samples

  • Responsible for overseeing and ensuring integration of behavioral heatlh into all functional areas of the health plan, and working collaboratively with corporate behavioral health and medical staff to implement integrated policies and procedures. Provides reliable assistance to the assigned market medical director and clinical staff to assure effective integration of behavioral services into health plan medical management activities
  • Assists in the interperation of medical policy for associates to facilitate the healthcare and behavioral health needs of our members
  • Partcicpates on medical policy, credentialing and related health plan committees as required or assigned. Chairs behavioral health Clinical Advisory Committee in assigned market
  • A MD or DO degree from an accredited medical school and board certification
  • Current license without restrictions in working state or the ability to obtain that license if necessary and ability to aquire license in multiple states
231

Lead Field Medical Effectiveness Latam Resume Examples & Samples

  • 70% of time
  • Lead Standardization and Drive Excellence in Execution of MSL Activities
  • Lead initiatives with RMH and Compliance/Legal to develop MSL objectives for LOC and specific disease areas of focus in line with GMA/MSL LT Functional Objectives for MSL Team
  • Utilizes a flexible approach to resource within the Regional MA MSL team and liaises with RMH/CMH/CML’s to periodically review and optimize the size and structure of MSL teams, territories and disease area priorities in line with GMA priorities and medical plans
  • Seeks and provides information on emerging clinical and competitive trends, integrating field-based insights into broader strategic and tactical initiatives
  • 30% of time - Developing People
  • Help the Field Medical Team continually grow through challenging opportunities so they can realize their potential
  • Support LOC MSL Leaders in applying coaching strategies to drive excellence in MSL Activities
232

Bioverativ, Medical, Senior Manager Resume Examples & Samples

  • Supporting the planning preparation and execution of national Hematology Advisory Boards
  • Facilitating harmonization/improvement of the current national Hematology disease registry
  • Supporting execution of the medical education activities in collaboration with MSLs
  • Developing of the country specific medical tactical plan, including implementation of regional projects
  • Providing medical training for local affiliate and medical project support primarily to MSLs and other local affiliate functions like Market Access, Marketing,
  • Visiting Hematology Leading Experts
  • Be an active member of the global Hematology Medical team and partner in affiliate cross functional team
233

Medical Audit Account Specialist HBO PFS Audit & Appeals Resume Examples & Samples

  • Identifies and reconciles all accounts in which room and board billing issues appear by reviewing STAR reports such as: Bed Reconciliation and Patient Type Change Report and processing requests timely from SSI, Medical Records and CCM's
  • Receives, evaluates and processes the new clinical appeals sent by Denial Management. Creates folder to include EOB, UB92, and checklist. Orders needed documentation then forwards the accounts to the appropriate nurse to review for an appeal via RWS
  • Completes the charge-posting corrections in STAR in a timely manner
  • Reviews and follows-up on accounts for Risk Management as outlined in department guidelines
  • Prepares reports for Medical Audit and Appeal Department using software programs. Sorts correspondence and maintains department files
  • Functions as a liaison with insurance companys and third party companys by handling incoming telephone calls and correspondence
  • Generates letters, scans and forwards copies as directed for appropriate Medical Audit and Appeals Department work processes
  • Assists with compilation of all materials needed to perform medical audits
234

Asst Medical Ent Fte Resume Examples & Samples

  • Pediatric experience preferred, bilingual (Spanish) preferred
  • Previous experience with E HR preferred
  • Completion of Medical Assistant training from an accredited school
235

Medical Programs Manager Resume Examples & Samples

  • Min. 6 years of relevant and successful medical/clinical business experience in consumer healthcare, nutrition or pharmaceutical industry
  • Experience in all aspects of medical professional or clinical marketing; strategic and tactical efforts
  • Experience in digital programs to engage Professionals
  • Demonstrate experience of business planning in a recommendation driven sector
  • Organization and management skills (for employees, projects and consultants/agencies)
  • Superior communication and interpersonal skills with proven ability to work with cross-functional teams
  • Proven effectiveness in maintaining effective communication to all stakeholders
  • Ability to self-direct through multiple concurrent projects
  • Proven track record in championing the power of medical marketing and delivering and safeguarding the voice of the professional in a consumer and market driven organization
236

Regional Medical Outcomes Liaison Resume Examples & Samples

  • Acts as regional clinical advisor for UCB and key external customers to further scientific exchange and provides specialized Medical support and effective account management strategies for Clinicians within Integrated Health Systems and Delivery Networks
  • Provides fair, balanced, objective, and in-depth scientific disease state information and education
  • As appropriate and in compliance with all company policies and applicable regulations, supports product education to health care professionals that may include policy makers and managed care organizations
  • Builds relationships with key opinion leaders (KOLs) and, as needed, policy makers, national and regional payers, integrated delivery networks (IDNs), accountable care organizations (ACOs), centers of excellence, specialty pharmacy, pharmacy directors and other managed care type institutions
  • Collaborates with Health Economics & Outcomes Research (HEOR) team to deliver scientific value proposition of UCB products to key customers and formulary decision makers
  • Serves as the primary point of contact for Medical Affairs within the region as an ambassador and liaison between the region and UCB in all clinical and scientific matters
237

Medical Delegate Resume Examples & Samples

  • Deliver agreed KPIs set by Field Management
  • Degree in Human Health, Pharmaceutical Sciences, Nutrition/Dietetics/ Biological Sciences or equivalent from a recognized University
  • Minimum 2 years in similar role
  • Strong professional detailing skills
  • Ability to deal closely with contacts and build strong, sustainable relationships
  • Knowledge of the Nutrition industry in the local market including products, competitor awareness, KOL’s
  • Strong negotiation and influencing skills
238

Heor & Medical Market Access Lead-western Resume Examples & Samples

  • Leads the creation and execution of the Medical strategy for external partners including key accounts, integrated health systems and payers
  • Represents US Medical immunology and provides medical and health economics and outcomes research (HEOR) insight for internal stakeholders including Medical and Commercial cross-functional teams; which includes active participation in internal strategic meetings
  • Assess clinical data gaps at key accounts and collaborate with the Medical Directors to create medical plans to address the needs
  • Collaborate with other key medical team members to provide Medical strategy to the US Health Ecosystem Team
  • Lead the design and execution of collaborative Medical strategies
  • Provide health economics and outcomes research strategic support and clinical content expertise to internal and external healthcare providers
  • Prepare and give presentations for internal and to external audiences
  • Establish relationships with key decision makers
  • Ensure consistent medical communications
  • Doctorate degree (M.D, Pharm.D, or Ph.D.) required
  • 5+ years of direct Medical Affairs experience in the biopharmaceutical industry. Prior experience in field-based role strongly desired
  • Strong track record of strategic medical account planning and management
  • Strong background in health economics and outcomes research and payer interactions is preferred
  • Successful track record in developing relationships with key decision makers in the US health ecosystem
  • Clinical experience in rheumatology or gastroenterology preferred
  • Understanding of drug development and commercial activities
  • Ability to critically assess and analyze the clinical and HEOR gaps and provide relevant medical solutions
  • Willing to take initiative on complex projects and able to identify what is necessary to complete tasks
  • Knows how to be a team player and willing to work collaboratively across the organization
  • Excellent skills in professional interactions
  • Communicates clearly, concisely, and is easily understood in written materials and presentations
239

Senior Manager, Regional Medical Liaisons Resume Examples & Samples

  • Effectively partners with cross-functional team members
  • Attends appropriate national and international scientific meetings to maintain his/her awareness of research activities within the therapeutic area
  • Attend and support consultancy meetings or advisory boards when appropriate and when required
  • Presents monthly updates to applicable cross-functional partners and therapeutic business reviews at therapeutic area Medical Affairs Team Meetings as requested
  • In collaboration with RMLs, establish customer contact with opinion leaders related to key therapeutic area initiatives
  • Support therapeutic area brand planning efforts as a member of the cross functional Therapeutic Area Team (TAT)
  • Scientific degree: MSc, PhD, Pharm D, RN, MD with minimum 5 years of experience in biopharmaceutical industry; Hematology/Oncology experience preferred
  • Strong people management skills and demonstrated ability to attract, retain and develop top talent in the Medical Affairs discipline
  • Excellent communication, presentation and time management skills required; must be adaptable and able to work well within a team and relate effectively with people at all levels of the organization
  • Ability to inspire a team to excel by fostering a climate of energy, excitement and personal accountability
  • Demonstrated leadership in ambiguous situations
  • Demonstrated scientific/clinical acumen
  • Current working knowledge of Canadian legal, regulatory, and compliance regulations and guidelines pertinent to pharmaceutical development
240

Medical Abstractor Resume Examples & Samples

  • Review medical charts for appropriate research information
  • Collect data through medical record abstraction according to established protocol guidelines and procedures
  • Perform quality assurance and quality checks on data to ensure accuracy
  • When necessary edit data and document edits according to Good Clinical Practice (GCP) and protocol procedures
  • Work independently with minimal supervision and collaboratively with multidisciplinary teams
  • Maintain a professional, cooperative relationship with site and project staff
  • Serve as a liaison between site and project staff, and take initiative when appropriate
  • Provide information for project meetings and publications, with a focus on data abstraction
  • Travel to other site locations in the US for abstractor trainings
  • BA/BS degree in nursing, medical records, public health, epidemiology, genetics, or a related field and 6 years of related experience
  • 1-year of medical record abstraction experience for a public health, epidemiologic, surveillance, or genetics research project
  • Proficient in Microsoft Outlook, Word, and Excel
  • Ability to establish and maintain a good working relationship with off-site team members
  • To qualify, applications must be legally authorized to work in the United States and should not require now, or in the future, sponsorship for employment visa status
  • 1-year of experience as part of a multidisciplinary team for a public health, surveillance, or genetics research project
241

Medical Human Factors Resume Examples & Samples

  • Experience working within a design team and generating usability and user experience insights
  • Delivering user experience and usability engineering programmes for the consumer and healthcare sector
  • Working in a highly regulated industries (medical devices preferred)
  • Experience with submissions to regulatory authorities
  • Confident and competent iec 62366 -1+2
  • Understanding FDP guidance on Human Factors
  • Knowledge of ISO14971
  • Moderated studies in the USA and globally (may involve travel)
  • Experience with conducting user related risk analysis
  • Design of human factors programs in support of consumer product and medical device developments
  • Consultancy experience
  • Has worked with manufacturers in the past
242

Medical Dir Resume Examples & Samples

  • Provides leadership for the activities of the medical staff in order to meet the overall strategic objectives of Buffalo Hospital and provide medical consultation and leadership to hospital managers
  • Collaborates with President in coordinating medical staff needs with hospital operations
  • Responsible for assisting medical staff officers in discharging their responsibilities
  • Serves as liaison to the broad medical community
  • Assure high quality patient care and effective resource utilization by promoting effective processes for outcomes measurement, process improvement and care management
  • Clinical and administrative quality accountabilities
243

Executive Medical Director Resume Examples & Samples

  • Under the direction of the therapeutic area VP, Clinical Science
  • Cross Functional Impact (Effect on scope of other functional areas): Directly if GDT/RDT Leader or indirectly through Clinical Science staff. Initial work output (Development Strategy, Development Plan and Clinical Protocols) dictates scope, complexity, size and budget of all aspects of a program, especially from a regional perspective. Ongoing work output (e.g., critical evaluation of program progress and adjusting accordingly) changes program scope. A significant error in judgment may result in loss of approvability of product
  • As appropriate, leads Global Cross-Functional Development Program i.e., RDT (US, EU), or GDT (US, EU, Japan): Oversees GDT/RDT team deliverables and strategy. May also be GDT/RDT Leader
  • Works closely and communicates frequently with Clinical Operations and Project Management
  • Protocols, Reports and Regulatory Submissions: Oversees regional scientific content and strategy and influences the overall scientific content and strategy for therapeutic area
  • Interacts with marketing companies leading the therapeutic area perspective
  • Leads the clinical development perspective in due diligence evaluation of external compounds and other development opportunities
244

Medical Resume Examples & Samples

  • With the support of the Therapy Area Medical Head the Medical Advisor will
  • Provides input into the Global clinical development plan (CDP), study designs, protocols to ensure UK needs are addressed
  • Ensure compliance
  • Provides input into the ethics submissions, informed consent etc
  • Provides input/support at Investigator meetings
  • Ensures all GCP requirements are adhered to and the study is inspection ready
  • Ensures the End of Study results are shared with the investigators as appropriate
  • Provides input into the local publication plan
  • Final Signatory status is essential (under APBI)
  • Suitable candidates will be Medically Qualified or a GMC registered physician
  • Therapy Area Experience is advantageous but not essential
  • Experience within the pharmaceutical industry is essential
  • The highest ethical standards, with a working knowledge of relevant clinical regulations and industry standards including Good Clinical Research Practice, and ABPI Code of Practice
245

Spv-medical Svcs Resume Examples & Samples

  • U.S. Special Operations Force medic (18D) qualification with a minimum of 5 years working experience
  • Previous experience/competency working with the Armed Forces Health Longitudinal Technology Application (AHLTA), Composite Health Care System (CHCS), Medical Operational Data System (MODS), Medical Protection System (MEDPROS), and Military Web-data Entry (MWDE) systems
  • Complete annual certification requirements for administering immunization through the Defense Health agency Immunization Healthcare Branch (8 hours)
  • Ability to deploy and travel to various CONUS and OCONUS locations (less than 10% of the time)
  • Possess and maintain an Emergency Medical Technician-Paramedic (EMT-P) certification
246

Medical Resume Examples & Samples

  • 1 year of experience as a Registered Nurse (RN)
  • 1 year of experience within a Medical-Surgical Unit
  • Active Connecticut State Registered Nurse license
247

Medical Assisitant Resume Examples & Samples

  • Assists clinician with care of the patient
  • Performs clinical/technical skills specific to the department
  • Assures a clean, orderly, and functional work environment
  • Adheres to Attendance Policy
248

Medical Scribe of Huron Valley General Surgery Resume Examples & Samples

  • Manage and sort medical documents in the EMR system
  • Knowledge of medical terminology, anatomy and physiology
  • Knowledge of referral process
  • Knowledge of the policies and procedures of the organization to complete tasks in accordance with corresponding policies
249

Field Service Technician Medical Hannover Resume Examples & Samples

  • Give technical support and training to Product Managers and sales staff
  • Repair service levels
  • Responding to service issues
  • Profitability of the contract service business
  • Personal training and development
  • Equipement ”up-time” metrics
250

Medical Program Manager Resume Examples & Samples

  • Implements, participates in, conducts, and evaluates medical and educational processes, programs and procedures for a potential contracting partner and/or delegated partner’s staff Assesses knowledge of and compliance with state and federal regulations, Health Net standards and accreditation standards
  • Implements, conducts, and evaluates performance measurement and monitoring of Health Net and potential contracting partner and/or delegated partner’s utilization and quality programs and medical review to ensure quality and appropriateness of service and compliance with, medical standards, medical policies, and compliance with state and federal regulations, Health Net standards and accreditation standards
  • Collaborates with Provider Network Management and Finance regarding the potential contracting partner and/or delegated partner’s ability to meet financial solvency requirements as it affects utilization requirements
  • Must have and maintain current, valid and unrestricted Registered Nurse license in the state of residence
  • Valid driver’s license in the state of residence
  • Minimum three years of HMO or medical group IPA experience
  • Any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position
  • Ability to understand and assess provider’s compliance with Health Net policies, state and federal regulatory requirements and accreditation standards