$107K - $160K *
Empower patients by evaluating clinical status to ensure safe transitions in care. Utilize evidence-based criteria to assess medical necessity and support acute care needs, enhancing patient outcomes...
1 week ago
Healthcare Claims Payment Policy Managing Consultant
$113K - $188K *
Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...
1 week ago
$110K - $130K *
Manage and lead field-based medical teams, ensuring client delivery and team performance while fostering scientific engagement and program growth. Collaborate with cross-functional teams to achieve st...
3 weeks ago
RN Care Manager, Care Management, Full Time, Days
$85K - $100K *
Join a team that's dedicated to enhancing patient care through collaboration with healthcare providers, focusing on education, problem-solving, and effective discharge planning to ensure optimal outco...
1 week ago
$140K - $185K *
Unlock the power of enterprise data as you design and implement Master Data Management solutions that enhance healthcare operations, drive analytics, and enable AI-driven decision-making with trusted...
Reposted 2 weeks ago
$88K - $105K *
Transform provider networks by negotiating contracts, managing relationships, and resolving complex issues. Collaborate cross-functionally to enhance provider engagement and ensure effective service d...
Reposted 3 days ago
Senior Manager, Vendor Contract and Performance Management
$135K - $216K *
Lead the charge in managing complex provider and vendor relationships, ensuring excellence in contract negotiations, performance management, and operational efficiency. Drive strategic alignment and f...
1 week ago
$120K - $145K *
Elevate healthcare through strategic AI product management, driving innovation and lifecycle management of AI solutions. Collaborate cross-functionally to align business objectives with customer needs...
1 week ago
Clinical Documentation Educator
$82K - $132K *
Champion the future of clinical documentation education by developing and implementing training for healthcare providers. Collaborate with teams to enhance quality metrics and ensure compliance with d...
1 week ago
Senior Solutions Consultant - Risk Adjustment
$142K - $177K *
Champion innovative risk adjustment solutions by leveraging deep expertise to enhance payer and provider strategies. Collaborate with cross-functional teams to deliver impactful presentations and driv...
6 days ago
$95K - $115K *
Champion the successful delivery of projects and technology initiatives by coordinating cross-functional teams and managing risks, ensuring timely and high-quality outcomes that align with business ob...
2 weeks ago
$136K - $218K *
Transform patient care delivery by leading clinical nursing operations, ensuring compliance, and fostering interdisciplinary collaboration to achieve excellence in service and patient satisfaction...
1 week ago
$136K - $218K *
Drive excellence in clinical nursing management, overseeing patient care delivery, resource management, and compliance. Collaborate with interdisciplinary teams to enhance service quality and achieve...
1 week ago
$117K - $188K *
Drive quality data management by leading a skilled team to optimize operations, ensuring compliance and accuracy in delivering HEDIS and Survey data to stakeholders while fostering performance improve...
Reposted 2 weeks ago
Delegated Network Audit Manager
$90K - $110K *
Elevate your career by managing audit and compliance activities within a delegated network. Collaborate with stakeholders to ensure regulatory adherence, support quality improvement, and enhance opera...
2 weeks ago
$88K - $105K *
Champion provider network development through strategic contract negotiations, relationship management, and issue resolution. Collaborate with cross-functional teams to enhance provider engagement and...
Reposted 3 days ago
Technology/Healthcare Delivery Lead Manager - Payer
$94K - $266K *
Lead the charge in managing complex technology programs for healthcare clients, ensuring high-quality delivery and measurable outcomes. Collaborate with cross-functional teams to drive success from pl...
3 days ago
Manager, Product Management, Member Interaction & Engagement Data
$108K - $180K *
Shape the future of product development, leading cross-functional teams to execute strategic initiatives and optimize customer engagement through innovative data solutions and market insights. Drive i...
Reposted 3 weeks ago
$87K - $157K *
Unlock compliance excellence by managing auditing, monitoring, and reporting processes to ensure adherence to regulatory standards and enhance operational efficiency across contracts and collaboration...
3 weeks ago
Access Manager - Healthcare Claims, PAs, Reimbursement & Appeals
$74K - $87K *
Unlock patient access by managing the insurance verification process, addressing barriers to care, and ensuring seamless coordination among stakeholders to facilitate timely therapy access and support...
2 days ago
Clinical Documentation Manager
$111K *
Unlock potential by leading Clinical Documentation Integrity operations, enhancing physician engagement, and driving performance improvement. Collaborate with diverse teams to ensure compliance and op...
2 weeks ago
$83K - $126K *
Drive seamless client implementations by leading project planning, communication, and execution. Collaborate with internal teams to ensure successful onboarding and enhance client experiences through...
3 days ago
Sr. Manager, Central Monitoring, Data Analysis
$120K - $145K *
Drive impactful data analysis and risk management for global clinical trials, interpreting complex data to identify trends and risks. Lead cross-functional teams in enhancing study quality and patient...
4 days ago
AVP, Utilization and Care Management Strategy
$203K - $279K *
Drive strategic leadership for Medicaid utilization and care management. Lead development and execution of initiatives aimed at enhancing quality, access, and cost management while collaborating with...
Reposted today
$92K - $138K *
Lead client provisioning operations in Revenue Cycle Management, ensuring secure and efficient access throughout the user lifecycle. Collaborate with cross-functional teams to enhance service delivery...
1 week ago