Role Description Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Facilitates the care of patient by ensuring that admissions and continued days are medically necessary, cost-effective, and provided in the appropriate level of care to qualify for reimbursement. The UM staff RN will function within the IP Care Coordination Department to ensure that the most cost-effective and appropriate use of health care services for patients treated by Carle Foundation Hospital. - Ensures efficient patient flow and throughput - Initial assessment of all new patients for correct status (admission/observation/outpatient) based on UR medical necessity criteria - Performs concurrent reviews of all patient charts to ensure proper resource utilization as necessary to identify practice trends - Keeping LOS within patients working DRG - Send clinical documentation to insurance companies per their request - Communicate with physicians on status changes and documentation - Refers cases for secondary review when appropriate - Refers cases for escalated medical review when services do not meet medical necessity criteria and/or appropriate level of care - Documents utilization reviews/issues in appropriate locations, including but not limited to case management/utilization review software - Track Avoidable days - Educates and assists physicians in resource utilization - Participate in extended care reviews and attend meetings - Review cases for potential quality indicators and refers to UM Leadership - Works with Appeal staff to actively appeal cases concurrently and retrospectively Qualifications - College Diploma - Nursing - Registered Professional Nurse (RN) License Illinois Upon Hire - Satisfactorily complete all required continuing education regarding the care of acute stroke patients - Case Management Certification preferred - Able to establish professional relationships with all healthcare providers - Work independently and collaborate - Strong communication and organizational skills - Attention to detail Salary Range The compensation range for this position is $35.87 per hour - $58.37 per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Benefits Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits .

Role Description Trillium Health Resources has a career opening for a Clinical Pharmacist to join our team! The Clinical Pharmacist will assist the Clinical Pharmacy Director in providing pharmacy clinical services. Responsibilities include: - Assisting the Clinical Pharmacy Director in providing clinical oversight for the development and implementation of the pharmacy program plan for clinical services. - Evaluating medication reconciliations and providing Medication Management referrals, education, and outreach to Care Management, providers, and members. - Assisting pharmacy team members with pharmacy related information/projects. - Supporting/performing educational activities for Trillium colleagues, providers, and members when necessary. - Assisting in the development and maintenance of cost-effective pharmacy programs, including management of the formulary; utilization management programs; and responding to internal questions. Qualifications - Bachelor's degree in Pharmacy or higher degree in Pharmacy. - Minimum three (3) years’ experience as a pharmacist. - Registered pharmacist in the State of North Carolina with a current North Carolina pharmacist license. - Must have a valid driver’s license. - Must reside within North Carolina. - Must be able to travel within catchment as required. Requirements - Medicaid pharmacy benefits management experience (preferred). Benefits - Typical working hours: 8:30 am – 5:00 pm; flexible work schedules available for some positions with management approval. - Work-from-home options available for most positions. - Health Insurance with no premium for employee coverage. - Flexible Spending Accounts. - 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year. - NC Local Government Retirement Pension (defined-benefit plan). - 401k with 5% employer match and immediate vesting. - Public Service Loan Forgiveness (PSLF) qualifying employer. - Quarterly stipend for remote work supplies.

Role Description Join a paid research initiative in collaboration with a leading AI research organization focused on advancing healthcare operations, member experiences, and enterprise decision-making. We are seeking professionals currently working in large healthcare organizations to participate in a compensated online research survey. This study aims to better understand: - Operational workflows - Cross-functional collaboration - Technology adoption - Organizational challenges - Perspectives on emerging AI solutions within healthcare and health services environments Your insights will help inform the development of practical AI technologies designed to enhance efficiency, decision-making, and collaboration across healthcare enterprises. This is a fully remote, independent contractor opportunity involving a one-time online survey. Key Responsibilities - Complete a structured online survey lasting approximately 30 minutes. - Share insights from your day-to-day responsibilities and organizational workflows. - Provide feedback on operational processes, technology adoption, communication practices, analytics, customer or member experience, and strategic initiatives. - Discuss common challenges encountered within large healthcare organizations. - Offer perspectives on how AI-powered tools can improve efficiency, collaboration, and decision-making across healthcare functions. Qualifications - Currently employed by a large healthcare, health services, health insurance, pharmacy benefits, managed care, or related healthcare organization. - Currently working in one of the following functional areas: - Operations - Strategy - Product Management - Program Management - Sales - Account Management - Customer Experience - Marketing - Communications - Clinical or Pharmacy Leadership (non-patient-facing) - Information Technology - Engineering - Data & Analytics - Actuarial - Finance - Legal - Compliance - Experience working within enterprise healthcare or health services organizations. - Familiarity with organizational workflows, operational processes, and cross-functional collaboration. - Comfortable participating in structured research studies and providing thoughtful professional feedback. - Ability to independently complete an online survey. Engagement Details - Format: Online research survey - Duration: Approximately 30 minutes - Location: Remote (United States) - Compensation: Paid upon successful completion of the survey Why Participate - Contribute to the development of next-generation AI technologies for healthcare organizations. - Share professional insights that can improve healthcare operations and enterprise decision-making. - Help shape AI-powered tools designed to support healthcare professionals and organizational teams. - Participate remotely with a flexible, one-time time commitment. Equal Opportunity Statement We are committed to providing equal opportunities to all qualified participants without regard to legally protected characteristics. Reasonable accommodations are available upon request. Contract Information - Participation is offered as an independent contractor engagement. - The survey is completed remotely on your own schedule. - Compensation is issued upon successful completion of the survey. - Project opportunities may be extended or modified based on research requirements. - Participants will not be required to access or disclose confidential or proprietary information from any employer, client, or institution. - Please note that visa sponsorship is not available for this opportunity.

Title: Principal Biostatistician Job Description: Location: Home-based in the U.S. or Canada Why DSSS? Data Sciences Staffing Solutions, DSSS, is a unit within IQVIA that provides our sponsors with fully embedded resources through a Functional Service Provider (FSP) partnership. This yields all the benefits of working for an industry leading global CRO and collaborating directly with cross-functional sponsor teams. Sponsor clients include world class pharmaceutical and biotech companies offering you unique opportunities to influence the future of medicine and advance therapies to market. Job Summary: The Principal Biostatistician is responsible for providing statistical support for pharmaceutical clinical trials in patients. Additional Benefits: - Home-based remote working opportunities. - Work/life balance as well as flexible schedules. - Collaborating with motivated, high-performance, statistical and research teams. - Technical training and tailored development curriculum. - Research opportunities that match your unique skillset. - Promising career trajectory. - Job stability: long-term engagements and re-deployment opportunities. - Focus on bringing new therapies to market rather than project budgets and change orders. - Experience with regulatory submissions. - Engaging, fast-paced environment. - Good work-life balance. Job Responsibilities: - Collaborate with multi-disciplinary project teams to establish project objectives and timelines. - Author statistical analysis plans. - Collaborate with Data Management, Clinical Development, and Clinical Operations with statistical expertise. - Author or review analysis dataset and TLF specifications - Validation programming of efficacy analysis datasets plus tables, listings, and figures (TLF) - Provide guidance and supervision to programmers in authoring analysis dataset specifications and programming/validation of tables, listings, and figures for safety, etc. - Interpret study results and review reports of study results for accuracy. - Support exploratory analyses. - Participate in IND or NDA activities. - Monitor internal and CRO project activities including timelines, deliverables, and availability of resources. - Contribute to clinical study reports and other regulatory documents, e.g. NDA, DSURs, Briefing Documents, ISS, ISE, SCE (Summary of Clinical Efficacy), SCS (Summary of clinical Safety). Qualifications - PhD in Statistics, Biostatistics, or related field with 3+ years of industry experience. - MS in Statistics, Biostatistics, or related field with 5+ years of industry experience. - At least 2 years in Phase 2/3 clinical trial experience. - Demonstrated ability to work pro-actively and independently. - Able to effectively communicate ideas and collaborate with cross-functional teams - Ability to use R or SAS to perform efficacy and safety analyses and validate important data derivations when necessary. - Support of various regulatory submissions - Understanding of relevant FDA guidance, ICH GCP, ICH E9 plus general knowledge of industry practices and standards. - Experience in validation/programming of ADAM and TLF - Experience with CDISC, including SDTM, ADAM, CDASH - Solid understanding of estimands and multiple imputation methods. Desired Experience: - Supporting written communications with regulators. - 1+ years of experience with immunology therapeutic area. - Bayesian methods #LI-Remote