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...
4 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
$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...
Yesterday
Senior Product Manager - Behavioral Health
$125K - $145K *
Shape product strategy as a Senior Product Manager, bridging teams to drive innovative solutions in behavioral health and absence management. Collaborate with cross-functional experts to deliver impac...
4 days ago
$60K - $129K *
Deliver comprehensive case management support, assess member needs, and coordinate care to enhance overall wellness through clinical expertise and integrated planning within a fully remote environment...
Reposted today
$163K - $234K *
Lead the charge in managing compensation strategies and policies, overseeing a dedicated team. Collaborate with leadership to streamline initiatives ensuring competitive offerings in base and incentiv...
3 weeks ago
Sr. Case Manager, Reimbursement
$70K - $95K *
Empower patients by overseeing complex pharmacy reimbursement cases, coordinating timely actions, and ensuring seamless communications among stakeholders. Drive quality improvements and mentor colleag...
2 days ago
$225K - $275K *
Transform healthcare delivery by serving as a coding and medical payment policy expert, guiding clients through data-driven medical policy implementation and fostering strong relationships to enhance...
6 days ago
Managing Clinical Director - Licensed Psychologist - Bilingual (Spanish) - Arlington, TX
$167K - $192K *
Shape the future of outpatient mental health services by overseeing clinic operations, leading a team, and ensuring exceptional client care while aligning with corporate strategies and community engag...
3 weeks ago
Claims Director(WC & TPA Oversight)
$97K - $189K *
Join us to lead diverse teams overseeing high-exposure Workers’ Compensation claims while driving operational excellence and compliance with best practices in partnership with Third-Party Administrato...
3 days ago
Executive Director / Healthcare Administrator (Growth & Scaling Focus)
$120K - $150K *
Elevate your leadership in home healthcare by spearheading growth initiatives and optimizing operations. Leverage existing infrastructure to expand services and enhance care quality, ensuring success...
3 weeks ago
$120K - $150K *
Champion daily operations of a new MDR site, fostering leadership and ensuring exceptional client experiences while scaling resources and processes thoughtfully as demand grows...
2 weeks ago
SIU Major Case Manager (Medical Provider)
$119K - $228K *
Lead high-stakes investigations into medical provider fraud, ensuring compliance and operational efficiency. Drive teams to reduce fraud risks and enhance claims management while fostering collaborati...
4 days ago
Managing Clinical Director - Licensed Psychologist - Bilingual (Spanish) - Dallas, TX
$167K - $192K *
Drive clinic success by leading a multidisciplinary team, overseeing daily operations, and ensuring top-tier client care while engaging with the community and collaborating with corporate leadership...
3 weeks ago
Transitions of Care RN Case Manager
$85K - $100K *
Partner with us to enhance patient care through telephonic case management, ensuring follow-up and support for recently discharged patients. Your advocacy will play a key role in improving health outc...
Yesterday
$75K - $95K *
Elevate clinical trial delivery by managing virtual patient support while ensuring compliance and excellence. Collaborate with sites to enhance participant experience and maintain project oversight fo...
2 weeks ago
Behavioral Health Care Manager II - ABA
$66K - $119K *
Join a team that's dedicated to managing ABA pre-certification health benefits through effective assessments, ensuring members access quality behavioral healthcare while maximizing productivity and wo...
3 days ago
Remote National Medical Director
$236K - $449K *
Pioneer medical leadership and quality improvement initiatives, driving utilization management and coordination of care for diverse populations. Collaborate across teams to enhance patient outcomes an...
Reposted 4 days ago
Medical Director, Medical Management
$227K - $385K *
Advance the standards of care by ensuring compliance with medical policies and regulations in a collaborative multidisciplinary team environment. Conduct critical reviews of medical necessity for trea...
Reposted 3 days ago
Medical Director, Medical Management
$227K - $385K *
Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...
Reposted 4 days ago
Claims Director, Casualty (Remote, US)
$154K - $183K *
Drive the transformation of complex Auto Casualty claims operations by leading innovative strategies, optimizing processes, and ensuring regulatory compliance, all while championing a culture of teamw...
2 weeks ago
$212K - $287K *
Bring your expertise to a transformative role integrating medical knowledge with insurance principles. Collaborate with diverse teams to shape risk assessment and decision-making that drives customer...
3 days ago
$211K - $287K *
Elevate your career by leveraging your medical expertise to influence insurance practices. Collaborate with diverse teams, apply innovative strategies, and contribute to risk management while supporti...
4 days ago
Director of Account Management
$90K - $130K *
Join a team that's dedicated to enhancing client relationships through strategic account management and exceptional service, ensuring satisfaction and retention while driving operational excellence an...
3 days ago
Behavioral Health Medical Director - ABH KY
$174K - $374K *
Transform health care by providing psychiatric leadership and oversight in managing behavioral health services, ensuring quality care and efficiency. Collaborate with an interdisciplinary team to elev...
Reposted 2 weeks ago