Pharmaceutical & Biotechnology Investigator Jobs Now Hiring

To support healthcare claims analysis and reimbursement strategies, the full-time remote Associate Data Analyst will assist in analyzing medical and pharmacy claims data, summarize reimbursement models, and build financial models under the...

Employment Type:Part timeShift:Rotating ShiftDescription:Pharmacy Intern (PRN/Casual) Are you a pharmacy student eager to gain valuable hands‑on experience in a dynamic healthcare environment? Join our team as a...

Joining a dynamic team remotely, the full-time Fraud and Disputes Associate will investigate disputes for card and ACH transactions, manage the chargeback lifecycle, and analyze suspicious account activity to mitigate fraud while ensuring...

Job Title: Nurse Educator (NPDP) – Inpatient Oncology Department (Health System Shared Services, HS Nursing Enterprise Leadership)Scope of Position The Nursing Professional Development (NPD) practitioner provides ongoing and constant support to...

Employment Type: Full time Shift: Day Shift Description:Purpose Health Informatics (HI) is the specialty that integrates health care science, computer science, and information science to manage and communicate data, information, knowledge and...

Seeking a freelance On-Screen Host, the role offers a fully remote opportunity to lead viewers through investigations of real-world engineering failures and safety events, collaborating closely with a research team to create engaging narratives...

Pharmacy Patient Assistance Coordinator The Ohio State University Medical Center is committed to improving access and service to customers. The Medication Assistance Program Coordinator (MAPC) functions as an integral member of the health...

Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...

To support a growing legal team, the full-time Case Manager Assistant will manage client communications, assist with case documentation, and perform initial investigations in a remote environment.Key responsibilitiesOpen claims, send letters of...

To support the growth of a leading prediction market, the full-time Fraud Risk Specialist will investigate multi-accounting, bonus abuse, and suspicious betting patterns, utilizing data analysis to ensure marketplace integrity, either remotely or...

Program Integrity Clinical Compliance Auditor Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately...

Working remotely, the full-time RN Utilization Management will review and document member case histories and prior authorization requests, utilizing clinical judgment to determine coverage eligibility while ensuring compliance with policies and...

Care Ambassador In Optum Frontier Therapies This position is national remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that...

Proactively investigating fraud attacks, the full-time remote Fraud Data Analyst will quantify their impact, propose rule-based mitigations, and build reporting dashboards to monitor trends and performance metrics.Key responsibilitiesInvestigate...

Serving as the first point of contact for patients navigating their digestive health journey, the full-time Remote Care Coordinator will manage high-volume inbound communications across phone, email, chat, and SMS, ensuring a seamless and...

To support a dedicated team in delivering quality patient care, the full-time remote Employee Relations Manager will lead complex internal investigations, serve as a subject matter expert in employee relations compliance, and provide strategic...

Investigating and responding to medical, pharmacy, and dental grievances, the full-time Government Programs Appeal Coordinator will manage complaints and appeals while working from home.Key responsibilitiesResearch and review grievances,...

Responsible for filing insurance claims with accuracy and timeliness, the full-time Revenue Cycle Claims Associate will work remotely to verify patient insurance eligibility, investigate account discrepancies, and communicate with insurance...

To enhance customer security, the full-time Fraud Investigator will focus on investigating account takeover (ATO) incidents and third-party fraud, managing high-risk cases remotely while providing empathetic support to customers during critical...

Providing phone, email, and chat-based customer service, the full-time Health Navigator I will assist members of specific groups by analyzing inquiries related to benefits and health program options while working from home.Key...

Working remotely on a full-time basis, the Claims Specialist will manage and resolve pharmacy claims to ensure clients receive optimal reimbursement and support in a non-retail pharmacy environment.Key responsibilitiesManages a portfolio of...

Supporting employee relations initiatives, the full-time Regional Team Member Employee Relations Specialist will conduct investigations, manage corrective actions, and provide guidance to HR operations teams, all while working remotely.Key...

Providing telephonic clinical support, the full-time California Licensed Pharmaceutical Nurse will manage healthcare provider interactions, conduct clinical reviews for prior authorizations, and facilitate patient access to medications while...

As a quality control resource, the remote-friendly DHS Case Reviewer will review Reports of Investigation and supporting documentation to ensure accuracy, completeness, and compliance before submission to the government, while collaborating with...

To support the Compliance team, the full-time remote Trade Surveillance Analyst will conduct investigations into financial crimes, manage compliance reporting, and collaborate on regulatory adherence initiatives.Key ResponsibilitiesCollaborate...