$99K - $166K *
Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...
Today
Product Manager - Clinical Member Data
$86K - $138K *
Serve as a key driver in defining product vision and strategy, collaborating with stakeholders to ensure successful execution. Leverage clinical data expertise to create a single source of truth, opti...
Reposted 2 weeks ago
Utilization Management Director - Inpatient (Hybrid)
$135K - $250K *
Transform inpatient utilization management by leading a strategic team that enhances member engagement, optimizes quality care, and streamlines health resources in accordance with regulatory standards...
Today
Registered Nurse- Clinical Manager--Washington, DC
$75K - $95K *
Join our team to guide clinical operations, enhance patient care, and foster a culture of excellence in home health. Lead a talented group of professionals while ensuring compliance and promoting inno...
3 weeks ago
$80K - $110K *
Contribute to the success of multiple clinical research sites by leading operations, ensuring compliance with regulations, and fostering team development to enhance patient care and operational excell...
3 weeks ago
SIU Major Case Manager (Medical Provider)
$119K - $228K *
Advance your career by leading a team focused on fraud prevention, investigation, and compliance in insurance claims, ensuring adherence to regulations and driving effective case management to mitigat...
5 days ago
Director, Utilization Management Operations
$182K - $248K *
Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...
4 days ago
Director, Utilization Management Operations
$182K - $248K *
Lead the charge in driving clinical excellence and operational efficiency within Utilization Management. Oversee teams, enhance technology solutions, and ensure compliance, fostering a culture of inte...
4 days ago
Manager, AI Strategy & Governance
$90K - $120K *
Lead the charge in shaping AI strategies to enhance operational efficiency and compliance within a multi-facility healthcare environment, ensuring a scalable and responsible implementation of AI initi...
Today
Product Manager, Senior Care - Prior Authorization and Concurrent Review
$115K - $128K *
Optimize healthcare delivery by leading product management efforts focused on authorizations and coverage processes. Collaborate cross-functionally to improve workflows, enhance user experience, and d...
3 weeks ago
$89K - $162K *
Unlock your potential by joining a dynamic team focused on delivering exceptional patient-centered care. Leverage your RN expertise to enhance discharge planning and care coordination from admission t...
1 week ago
Manager, Compliance (Program Integrity)
$109K - $144K *
Lead the evolution of a comprehensive FWA Prevention Program, enhancing compliance, reducing risk, and empowering compliance culture within a dynamic healthcare organization while collaborating across...
1 week ago
CenteringPregnancy Program Coordinator
$59K - $101K *
Transform health outcomes by leading the CenteringPregnancy Program, driving patient access, service delivery, and care management. Collaborate with stakeholders to enhance quality, track metrics, and...
5 days ago
$190K - $220K *
Unlock potential by leading complex customer implementations, collaborating with cross-functional teams, and enhancing the client experience on our innovative platform. Be the strategic partner that d...
3 weeks ago
Behavioral Health Care Manager II - ABA
$66K - $125K *
Lead the management of ABA health benefits through telephonic reviews, ensuring quality care and optimal member health outcomes while collaborating with healthcare teams to support complex cases and i...
4 days ago
Clinical Manager, Virtual Care
$90K - $120K *
Shape the future of healthcare as you lead and empower a remote team of Nurse Practitioners. This managerial role blends clinical excellence with leadership, ensuring high-quality patient care while f...
2 weeks ago
$116K - $145K *
Take ownership of EPMO operations, leading project management teams to ensure successful delivery of enterprise projects. Foster efficiency through established operational standards and continuous imp...
1 week ago
Intensive Outpatient Care Coordinator
$61K - $111K *
Join a team that's committed to transforming patient care through coordination and support! As an Intensive Outpatient Care Coordinator, you will empower patients by facilitating access to resources a...
5 days ago
RN Case Manager, Transition of Care (TOC) - PG County
$90K - $100K *
Champion seamless post-discharge transitions for members, ensuring comprehensive care coordination with hospital teams, and facilitating access to community resources to enhance recovery and prevent r...
Reposted 2 weeks ago
$106K - $146K *
Transform the customer journey by engaging with strategic employer clients, delivering impactful results and solutions. Leverage your collaboration skills to foster relationships and drive satisfactio...
2 weeks ago
Utilization Management Nurse - Emergency Department
$70K - $114K *
Accelerate progress at the forefront of patient care by conducting detailed chart reviews and denying management. Collaborate across teams to enhance efficiency, improve outcomes, and ensure proper ut...
Reposted 3 weeks ago
$68K - $110K *
Pioneer comprehensive care management, coordinating clinical activities for primary care patients to ensure effective treatment plans, education, and support for improved health outcomes. Collaborate...
2 days ago
$100K - $110K *
Elevate resident care by overseeing the MDS process, ensuring compliance and accuracy. Collaborate with an interdisciplinary team to enhance clinical outcomes and provide training on documentation and...
Today
Mobile Nurse Assessment Coordinator (NAC)
$95K - $120K *
Join a dynamic team as you travel to skilled nursing centers, enhancing resident care through thorough assessments and coordination of services. Make a difference in the well-being of patients while e...
1 week ago
Health Plan Managing Consultant
$130K - $170K *
Unlock potential by leading healthcare operations consulting engagements, optimizing claims processing, and driving improvements across client workflows. Collaborate with diverse teams in a dynamic en...
1 week ago