$72K - $109K *
Join a team that's dedicated to accurate outpatient coding and risk adjustment oversight. Engage in comprehensive medical record reviews, ensuring compliance with CMS guidelines while supporting healt...
1 week ago
$85K - $97K *
Shape the future of healthcare by conducting clinical case reviews and enhancing product quality for an AI-driven clinical platform. Collaborate with care teams to ensure accurate alert functionality...
Today
Senior Support Analyst-Payment Clarity
$70K - $92K *
Partner with us to enhance data operations by troubleshooting and resolving technical issues, collaborating with cross-functional teams, and driving improvements in production support processes. Shape...
4 weeks ago
$75K - $100K *
Empower your career by providing exceptional client service and support to enhance gross profit margins and customer satisfaction. Engage with internal teams and clients, driving strong relationships...
2 weeks ago
$95K - $115K *
Reimagine healthcare delivery by enhancing clinical workflows and decision support systems for Veterans. Collaborate with diverse teams to evaluate, implement, and refine EHR solutions that enhance cl...
3 days ago
$82K - $111K *
Serve as the primary client liaison, driving satisfaction and retention while fostering partnerships and implementing effective client strategies for healthcare products. Collaborate cross-functionall...
4 days ago
$85K - $117K *
Lead the execution of client implementation projects, ensuring alignment across cross-functional teams to enhance operational efficiency and exceed client expectations while driving process improvemen...
3 weeks ago
Supervisor, Quality Practice Advisor
$70K - $126K *
Transform healthcare delivery by leading clinical quality initiatives, supervising field staff, and driving value-based contracts to enhance member care and manage risks while ensuring program effecti...
3 weeks ago
$69K - $104K *
Unlock your potential as a coding auditor, ensuring accurate documentation and coding while promoting compliance and reimbursement optimization. Collaborate with coders and specialists to enhance proc...
2 days ago
Manager, Complex Clinical Review
$115K - $130K *
Join a team that's dedicated to leading clinical review audits, managing operations, and ensuring quality outcomes. Utilize your nursing expertise to support remote staff and drive strategic initiativ...
4 weeks ago
Complex Denials Consultant (Complex Claims)
$90K - $112K *
Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...
Reposted 2 weeks ago
$78K - $95K *
Transform compliance through expertise in HR regulations, policy management, and training. Support a culture of accountability while navigating multi-state employment laws across diverse teams, ensuri...
Reposted 2 days ago
Director, Inpatient Coding and Compliance
$110K - $130K *
Shape the future of health information management by leading coding, compliance, and documentation enhancement efforts. Ensure high-quality data management and accurate coding practices to support pat...
Reposted 3 days ago
Appeals and Grievances Clinical Specialist
$83K - $120K *
Unlock potential by managing clinical case development and resolutions for member grievances and appeals, ensuring compliance with regulations while collaborating across divisions to resolve issues ef...
Reposted today
Case Manager - Healthcare Appeals & Patient Access Advocate
$83K - $112K *
Partner with us to navigate complex patient cases and ensure seamless access to care. Utilize critical thinking and communication skills to manage authorizations and appeals, collaborating with divers...
2 days ago
Director, Pre-bill DRG Validation Program
$125K - $150K *
Drive optimized clinical documentation improvement strategies and oversee a multidisciplinary team to enhance pre-bill validation processes, ensuring compliance and accuracy while supporting client ou...
2 weeks ago
Clinical Reviewer, Inpatient RN
$94K - $141K *
Lead utilization management efforts in a dynamic inpatient setting, ensuring appropriate care and resource allocation for complex member cases while collaborating closely with providers and interdisci...
1 week ago
Remote Director of Clinical Reimbursement
$110K - $130K *
Unlock potential by leading clinical reimbursement strategies across skilled nursing facilities, ensuring compliance and optimal performance through collaboration with multidisciplinary teams to enhan...
Reposted 2 days ago
Business Intelligence Developer III
$114K - $150K *
Architect innovative data warehouse solutions and deliver insightful business intelligence in healthcare analytics, collaborating with cross-functional teams to optimize performance and ensure complia...
1 month ago
Clinical Pharmacy Specialist Phrm Residency Credentialed SCH
$110K - $130K *
Shape the future of clinical pharmacy services by leading comprehensive patient care initiatives and educational programs in critical areas such as Emergency Medicine, Critical Care, and Oncology whil...
Reposted 5 days ago
Senior Manager, Document Services
$110K - $150K *
Lead transformative Document Services operations and strategy, driving efficiency across Inbound Correspondence and Print Production. Collaborate with cross-functional teams to enhance member support...
2 weeks ago
Senior Revenue Integrity Analyst
$80K - $95K *
Develop analytics to enhance revenue integrity while overseeing month-end controls. Collaborate with cross-functional teams to resolve discrepancies and mentor junior analysts, ensuring accurate finan...
2 weeks ago
Senior Revenue Integrity Analyst
$80K - $95K *
Transform revenue analysis processes by leading month-end controls, investigating discrepancies, and developing insights to enhance financial reporting. Collaborate across teams to resolve complex cli...
2 weeks ago
Senior Support Analyst-CCV/PPM
$70K - $92K *
Empower operational excellence by liaising between teams to analyze and resolve complex technical issues, enhancing data platform performance and driving process improvements for business stakeholders...
1 month ago
LTSS & Dual Eligible Program Report Developer IV
$94K - $164K *
Empower healthcare outcomes by engaging in data analytics and reporting. This senior role manages complex datasets, collaborates with cross-functional teams, and creates dashboards to enhance operatio...
4 days ago