Kentucky Licensed Clinical Reviewer

A company is looking for a Clinical Reviewer SME. Key Responsibilities Scopes, plans, and manages data model work streams, ensuring quality and delivery requirements are met Leads clinical review meetings and develops clinical review outcomes Identifies value add-on opportunities and mentors team members Required Qualifications Active or prior Pharmacist or RN degree required; advanced degree preferred (PharmD, MBA, MHA, MS, PMP) Minimum of 7-10 years of hospital/health system experience, with at least 3 years in a relevant role Alternatively, a minimum of 5 years in a supervisory or consulting role within healthcare Relevant experience or certification in Lean, Six Sigma, or Project Management highly preferred

Apr 17, 2025 - 23:26
 0
Kentucky Licensed Clinical Reviewer
A company is looking for a Clinical Reviewer SME. Key Responsibilities Scopes, plans, and manages data model work streams, ensuring quality and delivery requirements are met Leads clinical review meetings and develops clinical review outcomes Identifies value add-on opportunities and mentors team members Required Qualifications Active or prior Pharmacist or RN degree required; advanced degree preferred (PharmD, MBA, MHA, MS, PMP) Minimum of 7-10 years of hospital/health system experience, with at least 3 years in a relevant role Alternatively, a minimum of 5 years in a supervisory or consulting role within healthcare Relevant experience or certification in Lean, Six Sigma, or Project Management highly preferred