DRG (Diagnosis-Related Group) Business Solutions Lead
$100K - $130K *
Champion innovative healthcare audit solutions by translating DRG expertise into scalable product capabilities. Collaborate with cross-functional teams to enhance payment integrity, defining audit log...
4 weeks ago
$120K - $150K *
Transform the delivery of accreditation and certification by leading a dedicated team, enhancing organizational engagement, and driving mission expansion while achieving strategic business objectives...
4 weeks ago
$153K - $193K *
Transform client success strategies across diverse regions, driving innovation and fostering a results-driven culture. Ensure operational excellence and develop strong client relationships to boost re...
Reposted 1 week ago
$87K - $114K *
Join a team that's dedicated to coordinating quality care for ESRD and CKD patients by working autonomously within a collaborative healthcare environment while ensuring effective communication and car...
Reposted 1 week ago
$72K - $93K *
Drive quality outcomes by reviewing medical records for compliance and reimbursement. Collaborate with clinical teams and external agencies to evaluate care levels and ensure adherence to established...
4 weeks ago
Medical Director - Pathology - EviCore
$207K - $346K *
Engineer patient-centered care by conducting medical case reviews and consultations. Leverage clinical expertise in collaboration with a diverse team to ensure evidence-based treatments. Enjoy a suppo...
Reposted 2 weeks ago
Director, Provider Risk Adjustment
$120K - $150K *
Shape the future of healthcare operations by leading coding services across global teams. Drive quality and efficiency in Risk Adjustment and Value-Based Care initiatives, while ensuring client succes...
3 days ago
Clinical Quality Assurance Manager
$110K - $130K *
Lead the strategic oversight of GCP Quality Management Systems, ensuring compliance across global clinical operations, fostering continuous improvement, and managing a dynamic QA team. Drive quality i...
1 week ago
Medical Bill Review Supervisor (Working Supervisor & Legal Expert)
$75K - $95K *
Lead exceptional medical bill review operations and expert analysis. Manage a skilled team while directly handling complex billing cases to ensure accuracy and compliance in legal contexts, providing...
3 weeks ago
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
$80K - $95K *
Advance your career by guiding a team in processing medical claims. Ensure compliance with laws and standards while identifying process improvements to enhance performance and quality in medical neces...
Reposted 1 week ago
Acute Dialysis Services Program Manager - RN
$80K - $95K *
Grow your career with a leadership role overseeing patient care, managing staff efficiency, and ensuring compliance within a healthcare setting while driving quality and cost management initiatives...
Reposted 4 days ago
Certified Epic Cadence Analyst [Must Have Visit types, Decision Trees]
$95K - $115K *
Champion your career by engaging in impactful projects that enhance ADT/Cadence/Prelude functionality, ensuring smooth implementation and collaboration across applications teams for optimal healthcare...
Yesterday
$110K - $130K *
Join our team to lead claims management, enhancing risk strategies while building strong relationships with legal partners and stakeholders. Drive performance metrics and educate on claims practices t...
1 week ago
$85K - $109K *
Contribute to complex compliance investigations by applying expertise in AML, CTF, and fraud risk management while collaborating with a dedicated team to enhance transaction monitoring processes and r...
Today
$80K - $110K *
The Senior Claims Specialist is responsible for managing and overseeing various commercial and financial lines claims, including D&O, E&O, and EPL claims. This role involves direct interaction with cu...
Reposted 2 weeks ago
$80K - $95K *
Join a team that's enhancing healthcare through EHR optimization, driving quality initiatives, and ensuring compliance. Collaborate with diverse stakeholders to improve clinical workflows and support...
1 week ago
Cardiac Cath Lab Clinical Supervisor
$85K - $100K *
Grow with us as a Clinical Supervisor, leading nursing operations, ensuring quality patient care, and collaborating within a dynamic team to enhance unit performance and support staff development...
Reposted 1 week ago
$80K - $95K *
Lead the charge in strategic service line integration, ensuring high-quality clinical documentation integrity. Collaborate with teams to enhance outcomes, drive compliance, and mentor staff while perf...
Yesterday
Director of Value Based Care Regulatory Compliance
$153K - $191K *
Lead compliance for Medicare Advantage and ACO programs, overseeing regulatory adherence and operational excellence. Collaborate with internal teams and external partners to ensure effective complianc...
Reposted today
$150K - $175K *
Lead the implementation of data governance standards across platforms, ensuring quality, compliance, and access control while collaborating with engineering teams to embed governance into data product...
1 week ago
Sr Healthcare Data Architect (EHR Experience Required)
$113K - $188K *
Lead the charge in transforming healthcare data for robust analytics capabilities. Collaborate with IT and stakeholders to optimize data mapping, enhance data quality, and implement technical solution...
1 week ago
Complex Case Manager, Behavioral Health
$98K - $126K *
Contribute to comprehensive case management by evaluating, coordinating, and monitoring member care plans while ensuring quality outcomes and adherence to standards. Engage with healthcare teams to su...
1 week ago
Senior Product Manager, Clinical Content
$120K - $145K *
Unlock your potential as you drive product strategy and execution within our Clinical Content portfolio, collaborating with cross-functional teams to enhance healthcare delivery and maximize user expe...
2 weeks ago
Manager, DRM Systems - Business Administrator (Vault Clinical)
$110K - $130K *
Accelerate progress at the intersection of system administration and clinical trial technology. Lead optimization of Veeva Vault Clinical while partnering with stakeholders to enhance operations and d...
2 weeks ago
US- Software Implementations Consultant II (EHR For Practice Groups)
$80K - $90K *
Serve as the primary consultant for implementing best practices in EHR systems, optimizing workflows within LTPAC environments, ensuring data integrity, and delivering tailored training to enhance use...
1 week ago