$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...
3 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 1 week ago
Clinical Research Specialist - Leading Protocol Development Exp. Req. (Job 1416)
$80K - $90K *
Drive clinical trial excellence by leading protocol development, coordinating teams, and ensuring effective communication for successful implementation of Phase I-III studies in the HIV and infectious...
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...
3 days 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...
2 weeks ago
$135K - $185K *
Champion financial transformation by leading diverse client engagements, optimizing accounting processes, and mentoring high-performing teams. Drive strategic initiatives while ensuring timely, accura...
4 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 5 days ago
LTSS Service Coordinator – RN Clinician (RN Case Manager)
$75K - $94K *
Elevate member health through effective case management; coordinate care, develop plans, and assess needs for individuals with chronic illnesses or disabilities to ensure high-quality, person-centered...
Reposted 1 week ago
$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
Supervisor Strategic Risk Adjustment and Quality
$86K - $138K *
Transform healthcare processes by leading Risk Adjustment and Quality/HEDIS initiatives. Manage and mentor teams, ensuring compliance and excellence in coding practices while implementing strategic im...
Reposted 3 days ago
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...
5 days ago
$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...
4 days 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...
2 days 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...
1 week 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...
5 days ago
Database Administration Specialist 3
$75K - $95K *
Transform data management through advanced database solutions, ensuring high availability and scalability. Collaborate with IT teams to optimize performance and guide strategic initiatives that drive...
4 weeks ago
Team Lead Senior Auditor CCV (Place of Service, Short-Stay, Readmission)
$112K - $132K *
Join a dynamic team as you lead Clinical Validation Auditors, ensuring quality outcomes, optimizing performance, and enhancing team capabilities. Drive success through effective training and managemen...
3 days ago
Clinical Implementation Specialist
$90K - $110K *
Lead impactful training and integration of healthcare AI, enhancing clinician workflows and adoption across Veterans Integrated Service Networks while ensuring patient care quality and operational eff...
1 week ago
$77K - $102K *
Optimize privacy compliance and risk management through incident response, investigations, and continuous monitoring. Collaborate with leadership to enhance privacy frameworks and ensure adherence to...
2 days ago
$75K - $95K *
Join a team that ensures compliance and quality in healthcare services. Lead accreditation, oversee client rights, manage evaluations, and coordinate funding to enhance support for clients while maint...
3 weeks ago
Senior Manager Quality Audit Operations
$120K - $160K *
Lead the charge in enhancing quality assurance programs by steering a talented team. Drive AI integration and continuous improvement to ensure accuracy, reduce risks, and optimize client outcomes thro...
3 days ago
Healthcare Programmer, Medicaid and Pharmacy
$130K - $160K *
Unlock your potential by applying advanced data programming skills to healthcare research, transforming complex datasets into actionable insights to improve quality and accessibility in the Medicaid a...
2 days ago
Medical Director - Pediatric Pulmonology - Evicore - Remote
$207K - $346K *
Join a team that's dedicated to providing evidence-based medical reviews and consultations, ensuring optimal patient care through collaboration with over 500 physicians while working 100% remotely in...
1 week ago
Consultant II - Epic Revenue Cycle - Healthcare Technology
$68K - $113K *
Advance your career by supporting Epic revenue cycle implementations and optimizations. Collaborate with teams to enhance healthcare client operations, ensuring seamless patient access, billing, and c...
Reposted 3 weeks ago
$109K - $125K *
Advance your career by supporting healthcare teams to maximize software utilization. You'll lead onboarding, provide expert training, and drive customer success through data analysis and collaboration...
4 days ago