Clinical Reviewer Specialist Job at NTT DATA (Metro Manila)

Clinical Practice Specialist, Inpatient Oncology

The Clinical Practice Specialist (CPS) is a member of the nursing leadership tea...

Location

United States , Boston

Salary:

129800.00 - 148400.00 USD / Year

Dana-Farber Cancer Institute

Expiration Date

Until further notice

Requirements

Master of Science in Nursing required
Clinical Nurse Specialist track is preferred
Current RN license in Massachusetts (compact licensure) language
3 years of oncology nursing experience and 3 years of oncology experience
Expertise in oncology nursing standards and evidence-based practice required
Oncology-specific certification required within 3 years of hire
Strong communication and interpersonal skills
Excellent organizational and time management abilities
Proficiency in educational technology and software
Ability to mentor and guide nursing staff effectively

Job Responsibility

Models excellence in nursing practice using scientific knowledge and advanced concepts in the assessment, diagnosis, planning, implementation and evaluation of actual or potential problems in the oncology patient population
Collaborates and consults with nurses and other to influence nursing practices and improve care outcomes within a patient population
A key stake holder and decision maker for the development, implementation and evaluation of standards of care, policies, guidelines, the introduction of new equipment, technology, and practices at the point of care and the integration of EBP into daily operational activities
Maintains expertise in ONS, ASCO, and other professional nursing standards and stays current on oncology evidence and changes in disease and treatment practices
Participates in local and national professional activities and organizations to promote the educational and professional growth of self and others within DFCI and the community
Provides content expertise as needed
Collaborates with Professional Development Specialist on curriculum development based on Learning Needs Assessment results
Contributes to the creation of an environment that stimulates continuous self-learning, positive group processes, reflective practice, and the empowerment of others
Models constructive and mutually respectful relationships with colleagues
Fosters an environment that is sensitive to the needs of diverse populations, including but not limited to culture, ethnicity, gender, and age

Fulltime

Clinical Specialist Biosurgery & Infection Prevention

The Clinical Specialist role involves providing comprehensive clinical and techn...

Location

Italy , Milan

Salary:

32600.00 - 52175.00 EUR / Year

BD

Expiration Date

Until further notice

Requirements

Bachelor's degree in Nursing, Medicine, Biomedical Engineering, or related healthcare field (Master's degree preferred)
Clinical certification or licensure relevant to the Italian healthcare system
Minimum 3-5 years of clinical experience in operating room or surgical settings
Demonstrated experience in providing clinical training and education to healthcare professionals
Experience with clinical trial support or evidence generation programs
Track record of developing and maintaining relationships with key opinion leaders and healthcare facilities
Comprehensive knowledge of operating room procedures and hospital workflows
Familiarity with Italian healthcare system, regulations, and clinical practice guidelines
Understanding of medical device evaluation processes in hospital settings
Fluent in Italian and English (both written and verbal)

Job Responsibility

Providing training, technical and clinical support to the sales team and to the customers
Developing a deep understanding of BIP solutions and their indications
Establishing and reinforcing a company culture defined by commitment to customers, quality, performance, results, collaboration and accountability
Providing clinical support, product in-servicing, case coverage, troubleshooting
Fulfilling all administrative duties in a timely manner
Promoting growth of BIP product line through specialized clinical sessions, training programs and evidence generation programs
Facilitating Infection Prevention and Biosurgery workshops
Providing clinical on-site support
Conducting peer review
Extensive field support of the sales organization, including operating room activities

What we offer

Learning and working alongside inspirational leaders and colleagues
Inclusive, growth-centered, and rewarding culture
Opportunity to help shape the trajectory of BD
Culture in which you can learn, grow and thrive
Commitment to investing in associates—their well-being and development
Providing rewards and recognition opportunities
Valuable, competitive package of compensation and benefits programs

Fulltime

Senior Physician, Patient Safety

Join our dynamic Patient Safety team as a Senior Physician where you'll leverage...

Location

United States; Canada , Remote; Alberta

Salary:

Not provided

Parexel

Expiration Date

Until further notice

Requirements

Experience in clinical medicine (general or specialist qualifications) which is expected to be kept up to date
Good knowledge of drug safety and the drug development process
Good knowledge/understanding of medical terminology
Relevant experience in pharmacovigilance/ Drug Safety/ Clinical Practice
3 - 5 years previous experience in pharmacovigilance and/or medical monitoring is required
US Board Certification/board eligibility or regional equivalent for Canada
Bachelor of Medicine, Bachelor of Surgery (MBBS) / Doctor of Medicine (MD)/ Medically qualified from an acknowledged Medical School
Completion of at least basic training in clinical medicine (residency, internship etc.)
Demonstrated success in technical proficiency and scientific creativity
Good presentation and verbal/written communication skills

Job Responsibility

Maintaining a good working knowledge of the Adverse event/Safety profile of assigned products, labeling documents, data handling conventions, client’s guidelines and procedures, and global drug safety regulations and guidelines
Maintaining an awareness of global regulatory requirements, reporting obligations and organizing workload to ensure compliance with internal and regulatory timelines for adverse event reporting
Performing medical review of cases not limited to (including complex and challenging cases requiring expert judgement)), clinical trial, and literature cases including combination products {drug-device}) according to client/Parexel Standard Operating Procedures (SOPs
as applicable) and liaising with the client, as require
Writing Pharmacovigilance/Marketing Authorization Holder (MAH) comment and assessing company causality
Review appropriateness of medical content in narrative for medical coherence
Assessing seriousness, listedness / expectedness of reported events
Providing medical inputs to case processing team
Raising appropriate follow-up queries for relevant information from the reporter/HCP (Health Care Professional)
Review and verify appropriate selection of adverse events from source documents, assign appropriate Medical Dictionary for Regulatory Activities (MedDRA) code, review narrative

What we offer

Flexible approach to work that meets your personal needs
Work from home
Benefits vary by country
Investment in your professional and personal development

Bladder and Bowel Nurse Specialist

In conjunction with the Clinical Nurse Manager, the Clinical Nurse Specialist co...

Location

United Kingdom , South Yorkshire

Salary:

Not provided

Clinisupplies

Expiration Date

Until further notice

Requirements

Registered Nurse
Post registration experience within a urology / continence environment
First level degree in a health-related subject or working towards
Demonstrable experience of teaching or delivering training
Qualification and /or evidence of working with adults who have complex continence issues
Passion to win
a self-starter and has a sense of urgency to achieve results
Competitive and works hard to exceed targets
Ability to self-motivate when needed
Ability to demonstrate sound knowledge and application of NMC Code of Conduct and Scope of Professional Practice

Job Responsibility

Promote the use of Nightingale home delivery service for patients requiring specialist products
Actively seek potential business opportunities on behalf of the organization
Ensure individuals are offered a holistic assessment and their individual needs are managed appropriately
Manage patient referrals of individuals requiring support and management of their continence need
Work in collaboration to develop a service for individual clients in their own home or in a clinic environment
Work autonomously with individuals to ensure high standards of care are delivered in the promotion of continence and management of incontinence
Undertake clinical procedures, investigations, or interventions competently whilst maintaining a safe, dignified, and confidential environment for the client
Participate in delivering training for the development of others
Maintain a high standard of professional competency within a framework of clinical governance
Always maintain a professional attitude in the best interest of the clients and professionals in accordance with the NMC Code of Conduct

What we offer

26 days holiday (increasing with service) plus a day off for your birthday
pension
access to private healthcare
profit related pay

Fulltime

Medical Appeals/Grievance Specialist II - Registered Nurse

Responsible for utilizing clinical acumen and managed care expertise related to ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

1 year experience in clinical and health insurance or other healthcare related field
3 years experience in clinical and health insurance or other healthcare related field AND 1 year Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
5 years experience in clinical and health insurance or other healthcare related field AND 2 years Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
8 years experience in clinical and health insurance or other healthcare related field AND 3 years above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Associate’s Degree in a healthcare field of study or Nursing Diploma
Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) or a compact state as a Registered Nurse (RN), a Physical Therapist (PT) or a Licensed Master Social Worker LMSW.
Intermediate PC proficiency
Intermediate skill using office equipment, including copiers, fax machines, scanner and telephones
Maintain confidentiality and privacy
Advanced clinical knowledge

Job Responsibility

Perform in-depth analysis, clinical review and resolution of provider appeals/inquiries, corrected claims and subscriber reconsiderations, member appeals, corrected claims and provider grievances for all lines of business
Identify, research, process, resolve and respond to customer inquiries primarily through written / verbal communication.
Respond to a diverse and high volume of health insurance appeal related correspondence on a daily basis.
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of appeal, grievance and reconsideration requests.
Maintain complete and accurate records per department policy.
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
Demonstrate ability to apply plan policies and procedures effectively.
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
Attend staff and interdepartmental meetings.
Participate in continuing education and current developments in the fields of medicine and managed care.

Fulltime

Bladder and Bowel Nurse Specialist

In conjunction with the Clinical Nurse Manager, the Clinical Nurse Specialist co...

Location

United Kingdom , East & Northeast London

Salary:

Not provided

Clinisupplies

Expiration Date

Until further notice

Requirements

Registered Nurse
Post registration experience within a urology / continence environment
First level degree in a health-related subject or working towards
Demonstrable experience of teaching or delivering training
Qualification and /or evidence of working with adults who have complex continence issues
Passion to win
a self-starter and has a sense of urgency to achieve results
Competitive and works hard to exceed targets
Ability to self-motivate when needed
Ability to demonstrate sound knowledge and application of NMC Code of Conduct and Scope of Professional Practice

Job Responsibility

Promote the use of Nightingale home delivery service for patients requiring specialist products
Actively seek potential business opportunities on behalf of the organization
Ensure individuals are offered a holistic assessment and their individual needs are managed appropriately
Manage patient referrals of individuals requiring support and management of their continence need
Work in collaboration to develop a service for individual clients in their own home or in a clinic environment
Work autonomously with individuals to ensure high standards of care are delivered in the promotion of continence and management of incontinence
Undertake clinical procedures, investigations, or interventions competently whilst maintaining a safe, dignified, and confidential environment for the client
Participate in delivering training for the development of others
Maintain a high standard of professional competency within a framework of clinical governance
Always maintain a professional attitude in the best interest of the clients and professionals in accordance with the NMC Code of Conduct

What we offer

26 days holiday (increasing with service) plus a day off for your birthday
Pension
Access to private healthcare
Profit related pay

Manager, Clinical Relations

This non-academic post will provide day-to-day supervision of the clinical coord...

Location

United States , Tysons

Salary:

61720.78 - 111584.97 USD / Year

Adtalem Global Education

Expiration Date

Until further notice

Requirements

Bachelor's Degree in a related discipline Required
3+ years professional experience in an administrative and/or supervisory capacity Required
2+ years Coordination experience Preferred
Ability to lead teams including talent management in hiring, holding accountabilities, growth and development of direct reports
Excellent computer and written and oral communication skills
Strong leadership and in-depth knowledge of standard operating procedures and policies relative to clinical experiences
Ability to influence peers, superiors and indirect reports in a matrix organization
Ability to learn quickly and adapt to change

Job Responsibility

Hire, train and develop Clinical Coordination Specialists
Manage the workload of the team and complete Clinical Coordination Specialist tasks when short-staffed
Maintain a high level of quality clinical services through supervision of Clinical Coordination Specialists
Review and prioritize of student clinical escalations
Complete performance review evaluations for direct reports
Participate in quality assurance tasks, including review of placement records, accreditation site visits, etc.
Plan, develop and present trainings for partners and internal colleagues
Maintain a flexible schedule, with a willingness to participate in university activities and events
Maintain relationships with community partners
Assist in budget preparation, tracking program/division expenses

What we offer

Health, dental, vision, life and disability insurance
401k Retirement Program + 6% employer match
Participation in Adtalem’s Flexible Time Off (FTO) Policy
12 Paid Holidays

Fulltime

Manager, Clinical Relations

This non-academic post will provide day-to-day supervision of the clinical coord...

Location

United States , St. Louis

Salary:

61720.78 - 111584.97 USD / Year

Adtalem Global Education

Expiration Date

Until further notice

Requirements

Bachelor's Degree in a related discipline Required
3+ years professional experience in an administrative and/or supervisory capacity Required
2+ years Coordination experience Preferred
Ability to lead teams including talent management in hiring, holding accountabilities, growth and development of direct reports
Excellent computer and written and oral communication skills
Strong leadership and in-depth knowledge of standard operating procedures and policies relative to clinical experiences
Ability to influence peers, superiors and indirect reports in a matrix organization
Ability to learn quickly and adapt to change

Job Responsibility

Hire, train and develop Clinical Coordination Specialists
Manage the workload of the team and complete Clinical Coordination Specialist tasks when short-staffed
Maintain a high level of quality clinical services through supervision of Clinical Coordination Specialists
Review and prioritize of student clinical escalations
Complete performance review evaluations for direct reports
Participate in quality assurance tasks, including review of placement records, accreditation site visits, etc.
Plan, develop and present trainings for partners and internal colleagues
Maintain a flexible schedule, with a willingness to participate in university activities and events
Maintain relationships with community partners
Assist in budget preparation, tracking program/division expenses

What we offer

Health, dental, vision, life and disability insurance
401k Retirement Program + 6% employer match
Participation in Adtalem’s Flexible Time Off (FTO) Policy
12 Paid Holidays

Fulltime

Clinical Reviewer Specialist

NTT DATA

Location:
Philippines , Metro Manila

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
March 03, 2026

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