Director, Client Coding Integration
$125K - $150K *
Lead strategic client coding integration initiatives, ensuring alignment with corporate objectives and regulatory compliance while driving operational excellence and innovation across the revenue cycl...
1 week ago
Utilization Management Clinician
$70K - $106K *
Lead the charge in coordinating healthcare delivery by collaborating with diverse professionals to optimize member care, assess health plan benefits, and ensure quality, cost-effective outcomes throug...
3 weeks ago
Practice Consultant Liaison (Pennsylvania resident)
$90K - $110K *
Drive effective revenue management by collaborating with clinicians and leadership to optimize workflows, enhance communication, and deliver educational initiatives aimed at improving charge capture a...
2 weeks ago
Medical Director, Clinical Informatics (Remote)
$210K - $250K *
Partner with us to enhance our clinical decision support tools by guiding content development, collaborating across teams, and leveraging your clinical expertise to impact healthcare operations and in...
2 weeks ago
Claim Consultant - Medical Professional Liability
$87K - $118K *
Transform claims management by delivering expert evaluation and resolution for complex MPL and General Liability claims, ensuring exceptional service for policyholders through meticulous investigation...
1 week ago
Director of Value Based Care Regulatory Compliance
$120K - $150K *
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 5 days ago
$80K - $95K *
Lead our credential management efforts to ensure secure access across client systems, supporting operations and compliance for healthcare providers. Ideal for organized professionals committed to cybe...
3 weeks ago
Customer Success Manager, Cohort
$80K - $95K *
Optimize customer success by building lasting relationships and driving software adoption. Engage with healthcare organizations to ensure satisfaction and retention while aiding in strategic onboardin...
Reposted 1 week ago
$120K *
Support key cybersecurity compliance initiatives, including CMMC certification. Collaborate with teams to develop and maintain security documentation, conduct assessments, and ensure adherence to regu...
Reposted 5 days ago
Medical Director, Utilization Management-Remote
$262K - $393K *
Unlock potential by managing effective utilization of medical services through expert clinical reviews, collaboration with healthcare professionals, and ensuring compliance with regulatory guidelines...
1 week 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...
Reposted 3 weeks ago
$89K - $107K *
Oversee and optimize credentialing operations ensuring regulatory compliance, efficient processes, and effective leadership of a dynamic team dedicated to transforming healthcare experiences for provi...
2 weeks ago
Clinical Guide: (UM) Utilization Management Nurse (Outpatient Prior Authorization)
$82K - $96K *
Pioneer clinical excellence as you conduct outpatient authorization reviews, ensuring members receive appropriate care by utilizing evidence-based criteria and navigating complex guidelines. Your insi...
Reposted today
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...
Reposted 1 month ago
Principal Clinician - Revenue Cycle Management (RCM)
$120K - $150K *
Lead the charge in advancing clinical revenue cycle management initiatives, ensuring accurate documentation and coding while driving performance improvements across diverse stakeholders to enhance rev...
3 weeks ago
Senior Manager, Audit Operations (CCV Training)
$122K - $147K *
Pioneer innovative training programs for audit teams, driving excellence in quality and compliance through comprehensive learning interventions that enhance performance and utilize cutting-edge AI too...
Reposted today
Compliance Specialist III - TPA/DPS
$71K - $94K *
Champion compliance excellence by preparing and reviewing complex filings, mentoring team members, and ensuring adherence to service standards while fostering a collaborative environment for continuou...
2 weeks ago
$108K - $130K *
Join a team that's driving innovations in Veterans healthcare through expert clinical informatics. You'll enhance clinical decision support and workflow standardization, implementing solutions that im...
2 weeks ago
$92K - $145K *
Transform coding operations by leading data strategy and analytics, optimizing performance, and ensuring compliance. Collaborate with cross-functional teams to provide actionable insights and drive co...
Reposted 2 weeks ago
$90K - $110K *
Contribute to transformative change management initiatives by developing strategies, assessing readiness, and driving stakeholder engagement. Collaborate with teams to enhance veteran healthcare servi...
1 week ago
Medical Review Nurse, Clinical Appeals Auditor
$80K - $95K *
Unlock potential by conducting thorough Appeals reviews and audits. This role requires expertise in medical documentation and claim analysis, fostering continuous improvement in audit practices and en...
5 days ago
Clinical Product Specialist (PharmD)
$110K - $130K *
Elevate clinical outcomes by serving as the key pharmacist liaison among partners, translating real-world issues into actionable insights, driving resolution of clinical concerns, and enhancing produc...
4 weeks ago
Manager, Coding Quality & RADV Audits
$108K - $120K *
Join a team that provides strategic oversight for audit activities, optimizing operations within Medicare Advantage and Commercial sectors while ensuring compliance and driving continuous improvement...
2 weeks ago
$90K - $115K *
Join a team that's committed to enhancing patient care through effective management of a diverse clinical team. Lead initiatives, collaborate with care providers, and ensure quality service delivery w...
4 weeks ago
Credentialing & Payer Operations Manager
$80K - $90K *
Develop scalable credentialing processes for provider onboarding and payer relations. This hands-on role ensures compliance and optimizes operations, driving efficiency in a dynamic healthcare environ...
2 weeks ago