Project UM Audit & Documentation Director
$90K - $120K *
Shape the future of healthcare operations by optimizing compliance and reimbursement strategies through expert guidance and collaborative leadership. Drive success in clinical documentation integrity...
1 week ago
$75K - $95K *
Advance patient care by coordinating social services, ensuring adherence to policies while addressing psychosocial needs through community outreach and interdisciplinary collaboration. Lead a dedicate...
1 week ago
$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
$99K - $166K *
Shape data-driven strategies to enhance managed care outcomes through executive advisory insights, leveraging analytics and market knowledge to drive program performance and address evolving client ne...
Today
$114K - $135K *
Elevate healthcare standards by leading nursing operations, ensuring compliance, and enhancing quality initiatives. Collaborate across disciplines to promote patient care and cultivate strong referral...
2 weeks ago
Associate Operations Director - Integrated Care
$90K - $120K *
Transform operational dynamics in Integrated Care by leading a cohesive team, enhancing process efficiency, and executing strategic initiatives. Inspire continuous improvement while ensuring service e...
2 weeks ago
Program Supervisor - Mental Health
$78K - $82K *
Lead the Wraparound team by coordinating operational activities, ensuring compliance, and fostering a collaborative environment. Supervise staff while enhancing clinical leadership skills and impactin...
2 weeks ago
$236K - $449K *
Champion medical leadership by directing quality improvement and utilization management initiatives. Collaborate with clinical teams to enhance care, optimize outcomes, and implement performance strat...
Yesterday
$80K - $95K *
Transform clinical practices by mentoring and leading Clinical Supervisors, ensuring excellence in service delivery and fostering continuous improvement across diverse teams and locations...
1 week ago
Director of Case Management Full Time
$125K - $160K *
Join a dynamic team to oversee case management and utilization activities, ensuring quality patient care and resource optimization while collaborating with leadership and external stakeholders for eff...
1 week ago
Senior Manager, Claims Adjustments
$117K - $188K *
Lead a dynamic team in optimizing claims adjustments, ensuring compliance and operational efficiency while managing complex disputes and high-stakes reviews. Collaborate with executive management to d...
Reposted 1 week ago
$100K - $130K *
Transform patient care by leading care coordination and social services, enhancing transitions within healthcare while ensuring compliance with regulations. Collaborate with departments to optimize qu...
Reposted 3 weeks ago
Senior Staff Analyst - Director of Security
$98K - $142K *
Shape a safe healthcare environment by leading comprehensive security operations, ensuring compliance, and managing multiple security systems across a large medical facility while collaborating with d...
1 week 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
Medical Director, Child and Adolescent Psychiatrist (New York, Remote - Full time)
$250K - $280K *
Champion the evolution of pediatric mental health services by leading a multidisciplinary team, driving clinical excellence and innovative care models in a rapidly growing, technology-driven environme...
Reposted 3 weeks ago
Manager, MN Physician Compensation
$100K - $130K *
Shape the future of healthcare compensation by leading strategy and implementation for physician pay practices, ensuring compliance and fairness while driving performance and productivity across medic...
3 weeks ago
$105K - $120K *
Empower a team of behavioral health providers to deliver exceptional care while driving clinical quality and optimizing patient experiences in a dynamic, fully remote environment. Lead with empathy an...
1 week ago
Supervisory Medical Director, National Physical Health Appeals Outpatient UM
$236K - $449K *
Transform healthcare delivery by leading medical directors and driving strategic initiatives, ensuring quality care and optimal outcomes for members while overseeing operational management and complia...
6 days ago
$93K - $104K *
Manage outpatient case management to optimize member care, ensuring medical, environmental, and psychosocial needs are met while preventing unnecessary admissions and re-admissions, collaborating with...
Reposted 2 days ago
$93K - $104K *
Join a dedicated team as you manage high-risk members' care in an outpatient setting. Collaborate with physicians and healthcare providers to develop effective care plans, ensuring members receive the...
Reposted 2 days ago
$93K - $104K *
Engage with multidisciplinary teams to oversee case management for high-risk members. Assess needs, create care plans, and implement strategies to improve health outcomes while preventing unnecessary...
Reposted 2 days ago
Director of Fraud Waste & Abuse Special Investigations Unit
$122K - $177K *
Lead the charge in developing and executing the enterprise-wide fraud program, ensuring compliance across diverse healthcare lines through advanced analytics and strategic oversight while managing a s...
1 week ago
$85K - $110K *
Lead a dynamic care team, driving performance and operational success while ensuring high-quality member engagement and care. Collaborate cross-functionally to enhance workflows and achieve key perfor...
1 week ago
$75K - $105K *
Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...
2 days ago
Supervisor Outpatient Case Management (RN)
$130K *
Oversee and enhance outpatient case management programs, ensuring compliance and quality outcomes. Lead staff coaching and program operations, collaborating across teams to deliver effective care coor...
1 week ago