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$68K - $105K *

Advance healthcare quality by implementing utilization management strategies. Analyze data for provider enhancement and member satisfaction, while promoting efficient care delivery through collaborati...

RemoteRemote

Reposted 5 days ago

  •   Less than 5 years exp.  •   Healthcare

$67K - $115K *

Join a team that's dedicated to providing telephonic care management for members with complex health needs. Leverage your clinical expertise to assess, coordinate, and implement tailored care plans ac...

Reposted 3 days ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$79K - $119K *

Transform healthcare delivery by managing complex care needs through telephonic assessments, care plan development, and resource coordination, ensuring optimal member health outcomes across multiple s...

1 week ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$80K - $120K *

Reimagine care management by leading integrated health services for dually eligible enrollees. Collaborate with interdisciplinary teams to enhance health outcomes and quality of life through community...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead patient placement decisions by assessing clinical needs and coordinating care across facilities. Collaborate with teams to ensure efficient patient flow and high-quality care, while mentoring sta...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$75K - $90K *

Oversee unit operations by mentoring staff, ensuring care standards, and implementing policies. Collaborate with management to enhance resident care and address concerns, fostering a supportive enviro...

2 weeks ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$72K - $97K *

Manage member-centered care transitions by assessing needs, coordinating services, and connecting resources. Ensure safe discharges and follow-ups to reduce healthcare costs and improve outcomes for d...

United StatesRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $118K *

Advance patient care by coordinating services for complex cases, ensuring effective communication among healthcare teams, and advocating for families throughout the care continuum. Collaborate to achi...

3 days ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$75K - $119K *

Unlock potential by managing complex care needs for members through telephonic assessments, care plan development, and resource coordination, ensuring optimal health outcomes and access to necessary s...

5 days ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$73K - $125K *

Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$104K - $143K *

Join a dynamic team to lead Quality Assurance efforts in Long-Term Services and Supports. Oversee compliance, collaborate with external partners, and drive operational excellence while ensuring adhere...

RemoteRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $112K *

Partner with us to navigate complex patient cases and ensure seamless access to care. Utilize critical thinking and communication skills to manage authorizations and appeals, collaborating with divers...

United StatesRemote

Reposted today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$125K - $138K *

Engineer operational excellence by leading the Problem Management team, driving post-incident processes, and fostering continuous improvement initiatives to enhance platform stability and customer exp...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Drive your career with a dynamic role focused on enhancing client success through strategic account management, operational assessments, and tailored solutions, while collaborating with cross-function...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$82K - $111K *

Serve as the primary client liaison, driving satisfaction and retention while fostering partnerships and implementing effective client strategies for healthcare products. Collaborate cross-functionall...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$77K - $116K *

Join a dedicated team as a Telephonic RN Case Manager, providing vital support to seniors and complex care patients. Utilize your nursing expertise to navigate care journeys, create personalized plans...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$69K - $100K *

Empower quality care by managing and evaluating behavioral health service requests, utilizing critical judgment in decision-making. Collaborate with multidisciplinary teams to enhance service delivery...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$73K - $130K *

Drive the acquisition and usability of clinical data to enhance healthcare outcomes. Collaborate with diverse teams to analyze data gaps, implement integrations, and optimize processes, ensuring timel...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$78K - $113K *

Join us to lead the Professional Coding Operations team, ensuring accurate coding practices and compliance. Collaborate with stakeholders, mentor staff, and drive improvements in coding efficiency and...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $120K *

Elevate client relationships by managing healthcare accounts, leveraging product knowledge, and driving adoption of solutions to enhance outcomes and satisfaction. Collaborate with teams to address cl...

United StatesRemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Transform client relationships by leading a dynamic team to achieve financial growth and enhance client experiences across a diverse portfolio. Drive strategic initiatives and foster collaboration to...

United StatesRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$100K - $140K *

Reimagine client success by managing relationships and ensuring seamless communication across teams. Drive operational excellence and enhance client satisfaction through proactive updates, coordinatio...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$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...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers