Title: Clinical Pharmacist- Atrius Health Locations: Watertown, MAAdditional locations: Boston, Massachusetts | Braintree, Massachusetts Overtime status: Exempt Travel: No For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Provides clinical pharmacy support to clinicians and staff at assigned medical practices to optimize patient outcomes through Collaborative Drug Therapy Management (CDTM), direct patient care, prescribing initiatives, drug information consultation, and education. Supports department-wide programs, committees, and development of drug therapy management tools. Position offers a hybrid or remote schedule based on practice assignment. Primary Responsibilities: - Provide direct patient care under CDTM agreements for chronic disease management - Serve as a drug information resource for clinicians, staff, and AMS nurses - Implement and support prescribing, quality, and cost-savings initiatives at assigned practices - Analyze and report prescribing data to clinicians and leadership - Provide academic detailing and clinician education - Participate in Clinical Pharmacy training, committees, and P&T-related activities - Support specialty practices as needed and serve as a subject matter expert when applicable - Follow and assist in developing standard work and care improvement initiatives Primary location: Watertown, MA Additional locations: Boston, Massachusetts | Braintree, Massachusetts Working Conditions - Busy clinical environment with frequent deadlines - Travel between sites may be required - Schedule: - Internal Medicine: 3 days onsite, 2 days remote You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - PharmD from an accredited school of pharmacy - PGY-1 residency (preferably ambulatory care) or equivalent clinical experience - Active Massachusetts Pharmacist license - Eligible to practice under CDTM per MA Board of Pharmacy regulations - BLS certification - Commitment to HIPAA and patient privacy compliance - 2+ years clinical pharmacy experience or 1-year residency - Proven solid communication, interpersonal, and technology skills Preferred Qualifications: - ACLS certification (as required by specialty) - PGY-2 specialty residency or equivalent training/experience for specialty roles - Advanced experience in specialty drug therapy management Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Title: Forensic Statewide Clinical Coordinator- Atlanta Pay Grade: L Workplace: Remote Travel: 50% statewide travel required Job Summary: Clinical Licensure is required for this position. The selected candidate must be a LCSW, LPC, or LMFT. Location: Atlanta United States Job Description: Under the direction of the Forensic Housing Administrator, the Forensic Statewide Clinical Coordinator will be responsible for ensuring the clinical oversight, compliance, and operational effectiveness of Georgia's Forensic Community Integration Homes (CIHs) and Forensic Apartments. Key Responsibilities Clinical Coordination - Assist in coordinating successful admissions into Georgia's Forensic CIHs and Forensic Apartments. - Track and ensure clinical intake assessments for new admissions are conducted and documented per policy. - Attend monthly CIH clinical meetings with CFD, FCC, Team Lead, etc. to ensure clinical needs are being met. - Participate in discharge planning meetings to facilitate smooth transitions into CIHs and Forensic Apartments. Site Visits & Compliance Monitoring - Conduct bi-monthly site visits at CIHs to ensure compliance, safety, and quality of care for all residents and staff. - Conduct bi-annual site visits at Forensic Apartments to assess compliance with benefits and medication oversight. - Perform regular inspections of Forensic properties, ensuring homes are safe, clean, and well-maintained per regulatory standards. - Complete an annual Risk Assessment for each CIH to identify and mitigate potential risks. Training & Policy Implementation - Train staff on standard operating procedures (SOPs) and DBHDD policies to enhance CIH efficiency. - Ensure CIH Team Leads are well-trained on SOPs and any policy changes or modifications. - Promote a culture of safety by training staff on emergency preparedness, behavioral support plans, and individualized recovery plans (IRPs). Quality Assurance & Documentation - Audit client records at CIHs to ensure documentation is complete, accurate, and compliant with best practices. - Ensure individualized treatment plans are properly implemented and managed. - Monitor the use of clinical best practices in resident care and ensure CIH Team Leads are trained accordingly. - Ensure completion of required safety drills (fire drills, disaster drills, medical competency checks, environmental safety checklists, etc.). - Submit administrative reviews and investigative reports as required. Community Service Liaison - Act as a statewide liaison between DBHDD and all Community Service Boards (CSBs) under the direction of Forensic Housing Administration, attending scheduled monthly meetings. - Assess Community Services and Partnerships o Regularly evaluate the effectiveness and accessibility of current community services and partnerships across all CIHs statewide. o Identify any gaps or barriers to access and recommend improvements to ensure equitable service delivery. o Actively seek out potential new partnerships that could enhance the quality of services provided to CIHs. o Communicate recommendations to the Forensic Housing Administrator for initial outreach and partnership development. - Develop and Maintain a Resource Database: Maintain an up-to-date list of local and statewide resources for staff and resident use. Leadership & Operational Support - Monitor resident behavior reports, identify potential risks, and escalate concerns as needed. - Provide direct supervision of all CIH Team Leads. - Monitor and manage employee productivity, ensuring adherence to all HR and administrative requirements. - Ensure adequate staffing across all CIHs. - Disseminate critical information from leadership meetings to maintain clear communication. - Conduct ad hoc staff meetings as needed to discuss updates and operational priorities. - Establish performance improvement goals and audits to enhance program services. - Serve as a temporary Team Lead in the absence of the assigned Team Lead. This is a High Trust, High Accountability Role. This position is unique because it sits at the intersection of clinical oversight, housing operations, forensic systems, and statewide leadership. It is not a traditional clinician role and not a typical housing administrator role. It blends systems-level clinical coordination with hands-on operational accountability across multiple sites. This role is uniquely positioned as the translator between: Clinical teams (CFD, FCC, CSBs, treatment providers) Housing operations (Team Leads, staffing, safety, site conditions) Employment Requirements To ensure the safety and wellbeing of our employees, individuals and communities we serve, certain positions within DBHDD may require evaluations, vaccinations, professional licensure and certifications. Licenses must be current and enable providers to practice within the State of Georgia. The following are a listing of evaluations and vaccinations that may be required for employees, including those not involved with direct care: - Drug Screening - TB Evaluation - Annual Influenza* - Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations. DBHDD is an Equal Opportunity Employer It is the policy of DBHDD to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

Title: CRA II and Senior CRA Location: Downers Grove United States Job Description: CRA II or Senior CRA (Home-based in U.S.) ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development. We are currently seeking a Clinical Research Associate (Level II or Senior) to join our diverse and dynamic team. As a CRA II/Senior CRA at ICON, you will play a pivotal role in designing and analyzing clinical trials, interpreting complex medical data, and contributing to the advancement of innovative treatments and therapies. What you will be doing - Conducting site qualification, initiation, monitoring, and close-out visits for clinical trials. - Ensuring protocol compliance, data integrity, and patient safety throughout the trial process. - Collaborating with investigators and site staff to facilitate smooth study conduct. - Performing data review and resolution of queries to maintain high-quality clinical data. - Contributing to the preparation and review of study documentation, including protocols and clinical study reports Your profile - Bachelor's degree in a scientific or health-related field or an equivalent combination of education and clinical research experience, particularly in a study coordinator or nursing role. - Minimum of 1 year independent monitoring to be considered for a Clinical Research Associate II and a minimum of 3 years independent monitoring to be considered for a Senior Clinical Research Associate. - In-depth knowledge of clinical trial processes, regulations, and ICH-GCP guidelines. - Strong organizational and communication skills, with attention to detail. - Ability to work independently and collaboratively in a fast-paced environment. - Ability to travel at least 60% of the time (international and domestic - fly and drive) and should possess a valid driver's license #LI-MM2 #LI-Remote What ICON can offer you: Our success depends on the quality of our people. That's why we've made it a priority to build a diverse culture that rewards high performance and nurtures talent. In addition to your competitive salary, ICON offers a range of additional benefits. Our benefits are designed to be competitive within each country and are focused on well-being and work life balance opportunities for you and your family. Our benefits examples include: - Various annual leave entitlements - A range of health insurance offerings to suit you and your family's needs. - Competitive retirement planning offerings to maximize savings and plan with confidence for the years ahead. - Global Employee Assistance Programme, LifeWorks, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family's well-being. - Life assurance - Flexible country-specific optional benefits, including childcare vouchers, bike purchase schemes, discounted gym memberships, subsidized travel passes, health assessments, among others. Visit our careers site to read more about the benefits ICON offers. At ICON, inclusion & belonging are fundamental to our culture and values. We're dedicated to providing an inclusive and accessible environment for all candidates. ICON is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know or submit a request here

Title: Clinical Claim Review RN Location: Remote, United States Job Description: Requisition number: 2364024 Job category: Nursing Primary location: Plymouth, MN Overtime status: Non-exempt Travel: No Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Claim Review Nurse performs claim reviews to verify correct coding and correct charges. The clinical reviewer is responsible for documenting, researching state and federal guidelines and following internal procedures to determine the viability of the claim for further review in a production environment. Employees in this position receive limited supervision within a broad framework of policies and procedures and possess a comprehensive understanding of the claim review process including clinical claim review, medical record review, and a broad knowledge of applicable processes, procedures and billing guidelines. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Clinical Claim Reviews: - Perform clinical review of professional or facility claims vs. medical records to determine if the claim is supported or unsupported. - Maintain standards for productivity and accuracy.Standards are defined by the department - Complete analysis of billing and departmental guidelines - Provide clear and concise clinical logic to the clients and providers when necessary - Participation as needed in the achievement and completion of department goals - Complete focused review of medical records to evaluate clinical course of care as applicable - Assists with resolution of claims as needed to support negotiations and appeals process - Ensue adherence to state and federal compliance policies, reimbursement policies, and contract compliance - Maintains appropriate documentation on all claims according to departmental guidelines and procedures - Understand and maintain HIPAA confidentiality and privacy standards when completing assigned work What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Associates degree - Active and unrestricted RN license in the state of residence - 2+ years of clinical experience within an acute care setting - 1+ years of experience in one of the following areas Utilization Management, pre-authorization, claim review, appeals review, or medical record review. - Intermediate level of computer skills including proficiency in Microsoft Office, Word, Excel, Outlook, and SharePoint Preferred Qualifications: - Auditing and coding certifications (CPC, COC, CIC, CPB, CPMA) or ability to obtain within 1 year of employment - CPT & HCPCS Coding experience - Experience working with medical terminology and coding - Proven ability to work independently - Experience working with plan benefit language and CMS (Medicaid and Medicare) - Strong written and verbal communication skills - Strong organizational and critical thinking skills *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 to $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. #RPO #GREEN