- Be a people leader responsible for leading a small team of clinical and non-clinical Quality Reviewers, manage day-to-day operations and provide staff support
- Monitor the regulatory compliance and quality of service provided to members through internal case review
- Monitor the execution of internal processes and procedures as requested by business unit leaders; ensure compliance with regulatory, legal, and contractual requirements, as well as accreditation and Blue Shield standards
- Communicate with internal and external leaders to ensure audit tools meet all regulatory and process expectations
- Coordinate all information, provide data analysis and respond to the appropriate parties; participate and present in committee meetings
- Be responsible for strategic alignment and integration across projects/programs in support of business unit process and administrative efficiency
- Be responsible for medium complexity projects/programs, manage them from initiation through delivery and monitor for continuous improvement
- Exercise independent judgement in developing methods, techniques and evaluation criterion for obtaining results
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Clinical Data Manager
3 weeks ago
Meet California, United StatesAbout the Opportunity: · We are partnering up with fast-growing biotech based in the Bay Area. They're developing ground breaking therapies focused in oncology and autoimmune. · We are looking for an experienced and talented professional to ensure the delivery of accurate, high- ...
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Clinical Quality Manager
2 days ago
PRA Health Sciences California, United StatesOverview · As a CQM, Principal Manager you will be joining the world's largest & most comprehensive clinical research organisation, powered by healthcare intelligence. · Responsibilities · Project Management & Execution · Manages and drives all aspects of document development, ...
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Clinical Accounts Manager
1 week ago
Nihon Kohden America California, United StatesThe Clinical Accounts Manager is responsible for managing Patient Monitoring clinical support for hospitals working directly with the Senior Director Clinical Excellence, Executive Director Health System Alliances, and corresponding teams to effectively implement Nihon Kohden Pat ...
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RN Clinical Manager
3 weeks ago
Jobot California, United StatesWant to learn more about this role and Jobot? Click our Jobot logo and follow our LinkedIn page · Job details · Manager Opening in Surgical Services (Registered Nurse) - Full Time - Days - 5K Sign On Top Level Benefits · This Jobot Job is hosted by Antonio Rey · Are you a fit? Ea ...
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Senior Manager Clinical Data Management
2 weeks ago
Autoimmune Biotech California, United StatesSummary of the Role: · Reporting to the Head of DM, this leader in Data Management will take ownership of a study in early development clinical trials. With a DM environment already established, the right candidate for this role will be able to come in at the ground level, self-m ...
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Senior Clinical Trial Manager
3 weeks ago
BioPhase California, United StatesBioPhase Solutions specializes in recruiting top talented professionals for Southern California's Life Sciences community. We are currently looking for an ONSITE Sr. Clinical Trial Manager to work for a leading San Diego area biotech company. · *Must be local to San Diego, CA. · ...
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Clinical Trial Manager
3 weeks ago
Novozen Healthcare LLC California, United States· • Organizes and leads Biomarker and Bioanalytical operational meetings with study functional groups or vendors · • Maintains internal Biomarker and Bioanalytical Operations databases and document repositories · • Review of relevant documents including protocols, informed conse ...
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Clinical QA-QI Education Manager
6 days ago
Priority Ambulance California, United StatesPosition: Clinical QA-QI Education Manager Location: San Bernardino, CA · Job Id: 4318 # of Openings: 1 Position: Clinical QA/QI Education Manager Location: San Bernardino, CA Priority Ambulance and CONFIRE, a Joint Power Authority, formed by nine-member fire agencies in San B ...
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R&D Engineering Manager, Pre-clinical
5 days ago
Meet California, United StatesR&D Engineering Manager, Pre-clinical · Meet has partnered with an industry-leading medical device company based in Southern California looking to expand their Advanced Research and Technology team. The company focuses on rapid development of diabetes care technology and has an ...
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Clinical Manager
1 day ago
KEPRO California, United States Paid WorkCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way is our rallying cry at Acentra Hea ...
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Clinical Trials Manager
1 week ago
Mindlance California, United States Full timeFUNCTION: Clinical Operations – Biomarker and Bioanalytical Operations · POSITION OVERVIEW: · Onsite In Foster City– Hybrid · Clinical Operations is responsible for the worldwide execution of all Phase I – IV clinical trials across all therapeutic areas. Clinical Operations plays ...
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Clinical Affairs Manager
1 week ago
Hobson Prior California, United States Full timeHobson Prior is seeking a Clinical Affairs Manager. This role is crucial in providing medical expertise, support and guidance on healthcare products. The successful candidate will be part of the Quality & Regulatory global department and will have the opportunity to lead a team. ...
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Clinical Program Manager RN Remote
1 week ago
Providence California, United States Paid WorkDescription · Clinical Program Manager RN *Remote*. Candidates residing in AK, WA, MT, OR, CA or TX are encouraged to apply. · The Clinical Program Manager Telehealth leads the development of standardized Telehealth clinical protocols across an assigned region (or multiple region ...
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Household Management
2 weeks ago
Velocity Enterprises California, United StatesHousekeeping Manager (m/f/d) · St. Vinzenz Clinic Pfronten in Allgäu, California · www.careers-vinzenz- · ...
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IT application administrator
2 weeks ago
Apex Ventures Superior, United StatesJoin our IT team at Superior 'Katharina Kasper Gruppe GmbH as an IT application support specialist / application manager (m/f/d) in full-time at our locations in Dernbach (Westerwald), Düsseldorf, Wesseling or Zell (Mosel). Together, let's shape the future of IT. · Your responsib ...
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AbbVie California, United States Full time· Company Description · AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic ar ...
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Licensed Clinical Social Worker
2 days ago
ConcertoCare California, United StatesAre you looking to disrupt healthcare and be at the forefront of innovation? ConcertoCare is bringing care to those who need it most, where they need it most - in their homes. · We are seeking a Social Worker to be a core member of our multi-disciplinary Team advancing in-home an ...
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Director Clinical Operations
5 days ago
BioPhase California, United StatesHybrid Position | Located in San Diego, CA · This Director of Clinical Operations will play a pivotal role in leading and supervising all activities related to clinical operations, including the management and execution of clinical trials in accordance with Good Clinical Practic ...
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Senior Clinical Research Associate
3 days ago
GForce Life Sciences California, United StatesSenior Clinical Research Associate - Remote in CA · The Senior Clinical Research Associate will report to Manager, Clinical Affairs, and will play a key role to proactively support the conduct of pre-market and post-market clinical studies to ensure compliance with all the regula ...
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Head of Clinical Operations
2 weeks ago
Persimmon California, United StatesThe Role · Location: Larkspur, CA or remote · About Us: · is a venture capital funded startup building a national brand in the medical aesthetics / healthcare industry. Our unique business model allows customers to book a nurse to visit the customers' home to provide beauty treat ...
Manager, Program Management Clinical - California, United States - Blue Shield of California
Description
Your Role
The Quality Review team completes internal audits of front-line staff and vendors to ensure alignment with department processes and regulatory compliance. Quality Reviewers also provide coaching and work closely with business leaders to drive optimal results. The Manager of Quality Review will report to the Senior Manager of the Quality & Communications team. In this role you will be responsible for leading the team in numerous quality initiatives, providing and presenting data to business unit leaders, and working closely with the Senior Manager on internal process improvement. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Work
In this role, you will:
