Director, Claims Process Optimization ( Facets Required)
$113K - $197K *
Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...
1 week ago
Clinical Documentation Integrity Supervisor
$110K - $159K *
Inspire excellence in clinical documentation by leading a team of specialists, ensuring quality assurance, and fostering professional development. Collaborate with stakeholders to enhance operational...
1 week ago
Clinical Documentation Integrity Supervisor
$110K - $159K *
Lead the charge in enhancing clinical documentation integrity by supervising staff, conducting quality reviews, and fostering professional development. Collaborate with teams to implement effective st...
1 week ago
$95K - $115K *
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...
Reposted 3 weeks ago
$78K - $106K *
Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...
1 week ago
Product Manager - Vendor Oversight
$113K - $197K *
Lead the charge in defining product strategy and roadmap, translating business objectives into actionable plans. Collaborate with cross-functional teams to ensure successful implementation and operati...
1 week ago
Revenue Cycle Management Transformation Manager
$78K - $113K *
Join us in transforming Revenue Cycle Management by leveraging analytical skills to enhance operational excellence across various RCM functions, driving process improvements and supporting financial p...
1 week ago
Provider Clinical Operations Consultant, Manager
$99K - $232K *
Manage client service workstreams in provider clinical operations, leading teams to enhance operational effectiveness and support modernization initiatives through process improvement and technology i...
1 week ago
Case Manager, Registered Nurse (Remote)
$60K - $129K *
Transform healthcare delivery by providing comprehensive case management services. Engage with members through assessments and care planning to enhance wellness and ensure smooth transitions to necess...
2 days ago
Director, Core Admin, Claims & Medicare
$156K - $215K *
Transform quality engineering practices across a technology portfolio by leading teams to enhance delivery quality, test automation, and continuous improvement, ensuring alignment with enterprise stan...
5 days ago
Product Manager, Benefits Strategy - Core Care Delivery
$155K - $170K *
Drive the strategy and execution of core benefit lines, ensuring operational excellence and revenue growth. Collaborate with cross-functional teams to enhance offerings and protect key accounts in a d...
2 weeks ago
Program Specialist, Care Management
$74K - $119K *
Transform healthcare delivery by coordinating strategic programs that enhance clinical and operational excellence. Collaborate with diverse teams to implement innovative solutions, ensuring compliance...
3 days ago
Sr. Manager, Claims Operations - Archimedes
$100K - $120K *
Elevate operational excellence by leading claims operations, ensuring compliance and efficiency while driving process improvements and team development. Collaborate across functions to meet client com...
3 days ago
$80K - $95K *
Transform credentialing operations by leading a dedicated team to ensure compliance, enhance efficiency, and support provider network growth through strategic oversight and process improvement initiat...
1 week ago
Nurse Manager - Care at Home Clinical Services
$88K - $105K *
Engage with a dynamic team as a crucial leader in home-based care services. Oversee clinical and operational excellence in Remote Patient Monitoring and Home Infusion, while ensuring high-quality pati...
3 weeks ago
Manager, Patient Services - Client Program Mgmt, Patient Access
$102K - $130K *
Lead the charge in optimizing patient services through effective team management, strategic collaboration, and continuous improvement initiatives. Drive operational efficiencies while ensuring high-qu...
3 days ago
Senior Case Manager, Reimbursement
$80K - $95K *
Lead the charge in case management by overseeing complex pharmacy reimbursement processes, ensuring timely completion of cases, and advocating for patients while collaborating with healthcare provider...
1 week ago
$80K - $90K *
Join a team that's dedicated to optimizing revenue cycle management in healthcare. Lead billing and collections efforts, drive performance, and enhance processes while supporting a high-performing tea...
2 days ago
$98K - $164K *
Champion client success by leading post-sale implementations and ensuring ongoing account performance. Collaborate with cross-functional teams to translate client needs into actionable insights, drivi...
2 days ago
Client Delivery Manager - Revenue Cycle (REMOTE)
$80K - $95K *
Champion operational excellence by managing client accounts, translating performance data into actionable insights, and fostering strong relationships to align expectations with capabilities. Drive co...
6 days ago
Medicare Risk Adjustment Compliance Auditor (CPC, CCS, or CCS-P Required) (Remote)
$64K - $96K *
Engage in comprehensive risk adjustment audits and compliance reviews, ensuring accurate data submission to CMS. Collaborate with coding teams and management to uphold regulatory standards and improve...
Reposted 5 days ago
$115K - $125K *
Transform client relationships by leading account management initiatives, ensuring satisfaction and operational excellence. Collaborate with cross-functional teams to drive success and support busines...
3 days ago
$54K - $129K *
Join a team that's dedicated to delivering personalized care coordination. In this fully remote role, leverage your clinical expertise to support members in achieving optimal health outcomes through e...
Reposted today
Pharmacist, Clinical Utilization Management - Archimedes
$110K - $130K *
Join a team that's shaping the future of clinical utilization management. As a clinical expert, you'll engage with healthcare professionals to optimize specialty medication management and enhance pati...
1 week ago
$132K - $178K *
Advance your career by leading claims and litigation management. Oversee claims handling, evaluate staff performance, manage reserves, and collaborate cross-functionally to enhance department efficien...
1 month ago