Claims Manager, Audit & Complaints
$90K - $120K *
Drive operational excellence in claims management by overseeing audits and complaints, ensuring compliance through collaboration, and implementing corrective actions for improved quality and performan...
2 days ago
$75K - $95K *
Elevate staff performance through innovative educational strategies and effective communication. Drive professional development in a patient-centered care model, collaborating in multidisciplinary tea...
1 week ago
$80K - $85K *
Innovate your career with cutting-edge data integration workflows, utilizing Microsoft technologies. Collaborate with teams to enhance critical applications while ensuring high data quality and optima...
1 week ago
Medical, Legal & Regulatory (MLR) Specialist
$70K - $95K *
Contribute to the MLR process by coordinating reviews, ensuring compliance, and driving improvements across Marketing, Medical Affairs, and Corporate Communications while collaborating with internal t...
5 days ago
$100K - $141K *
Transform patient care by coordinating progress through the healthcare system, collaborating with clinical teams to ensure compliance and resource management, while addressing barriers to effective ca...
Reposted 1 week ago
$90K - $110K *
Empower healthcare excellence by overseeing nursing operations, enhancing patient care, and leading compliance initiatives. Collaborate effectively with teams to drive quality improvements and ensure...
Reposted 1 week ago
$90K - $120K *
Join a team that delivers exceptional primary care to residents, fostering collaboration and personalized care plans while ensuring compliance with legal standards and promoting professional developme...
Reposted 1 week ago
$80K - $120K *
Drive quality care delivery as a Nurse Practitioner in a skilled nursing facility, assessing patient health, managing treatment plans, and ensuring compliance with medical standards to support patient...
Reposted 5 days ago
$90K - $130K *
Unlock potential by leading security control assessments independently while driving effective solutions and compliance measures in a collaborative environment, ensuring robust cybersecurity practices...
1 week ago
Director, Supplemental Benefit Implementation
$148K - $274K *
Lead strategic projects and initiatives, driving cross-functional implementation of supplemental benefit programs while enhancing organizational alignment and accountability...
5 days ago
Clinical Support Specialist II
$96K - $132K *
Support clinical trial success by leading site engagement and patient recruitment globally. Ensure compliance and safety while providing expert insights and training. Collaborate with cross-functional...
3 weeks ago
Dialysis Hospital Services Nurse (Acute RN)
$95K - $128K *
Advance your nursing career by providing specialized renal care in an acute setting. Collaborate with a dedicated healthcare team to ensure top-quality patient outcomes and contribute to the dialysis...
Reposted 3 weeks ago
$88K - $125K *
The RN Case Manager at Stony Brook Medicine is responsible for providing clinical services and ensuring optimal patient care through effective communication and collaboration with healthcare teams. Th...
Reposted 6 days ago
Quality Performance Clinical Pharmacist
$107K - $199K *
Partner with us to enhance pharmacy quality performance across health plans. Engage with internal teams and external partners to develop and implement strategies that drive quality initiatives and ele...
Reposted 1 week ago
Quality Performance Clinical Pharmacist
$107K - $199K *
Champion pharmacy quality performance by partnering with health plans and driving initiatives across multiple channels. Leverage expertise in quality measures to enhance care and facilitate impactful...
Reposted 1 week ago
Registered Nurse, Clinical Delivery
$70K - $100K *
Manage critical lab result communications with patients. Drive patient education initiatives, ensure compliance, and escalate complex inquiries. Collaborate with clinical teams for efficient patient c...
2 weeks ago
Clinical Nurse Associate 8 west / 7 west
$75K - $95K *
Transform patient care by providing strategic clinical leadership across shifts. Collaborate with multidisciplinary teams to enhance operational efficiency, patient safety, and quality outcomes, ensur...
3 weeks ago
Medical Review Nurse - Clinical Validation
$75K - $95K *
Optimize healthcare outcomes by performing detailed audits of medical claims and supporting clinical documentation. Join a dynamic, multi-location team to enhance audit efficiency while minimizing app...
6 days ago
$78K - $105K *
Join a team that's dedicated to delivering compassionate oncology care by utilizing nursing expertise, critical thinking, and effective communication to assess, educate, and support patients throughou...
3 weeks ago
Pre-Authorization Unit Supervisor
$101K - $126K *
Manage daily operations of pre-authorization functions, overseeing data compliance, guiding complex case reviews, and enhancing staff education on criteria trends in a dynamic healthcare environment...
4 days ago
Physician Practice Compliance Specialist
$97K *
Join a team that's dedicated to ensuring compliance across physician practices through auditing, training, and collaboration. Play a key role in navigating regulatory changes while optimizing document...
2 days ago
Pre-Authorization Unit Supervisor
$101K - $126K *
Shape the future of healthcare by leading the daily operations of pre-authorization functions. You will oversee regulatory compliance, support staff education, and direct complex case management in a...
3 days ago
Pre-Authorization Unit Supervisor
$101K - $126K *
Elevate operational standards by supervising MLTC/DSNP pre-authorization functions, ensuring compliance and guiding staff through complex cases while facilitating interdepartmental communication and e...
5 days ago
$110K - $143K *
Lead the charge in outpatient dialysis care by overseeing treatment and guiding clinical teams to ensure top-quality care and safety for patients living with end-stage renal disease. Build relationshi...
3 days ago
$104K - $137K *
Elevate outpatient dialysis care by coordinating patient treatment plans, leading clinical staff, and ensuring safe, compassionate service for individuals with end-stage renal disease in a dynamic, fa...
3 weeks ago