Complex Clinical Audit Business Solutions Lead
$100K - $130K *
Unlock potential by driving payment integrity through robust auditing solutions. Collaborate across teams to enhance product capabilities and ensure compliance while improving operational efficiency i...
3 weeks ago
SVP Enterprise Client Engagement and Strategy
$275K - $345K *
Unlock the future of client engagement. Drive innovative client strategies, enhance relationships with health plan executives, and shape enterprise growth through thought leadership in healthcare anal...
2 weeks ago
Medicaid Program Integrity Senior Consultant
$85K - $100K *
Drive Medicaid program integrity initiatives as a Senior Consultant. Conduct audits and forensic reviews to identify compliance issues, assess risk, and enhance operational controls, collaborating wit...
1 week ago
$129K - $183K *
Advance clinical excellence by standardizing workflows, leveraging data, and enhancing patient safety. Drive efficiency, quality, and regulatory readiness across clinical practices while embedding evi...
Reposted today
$90K - $115K *
Join a dynamic clinical leadership team to manage interdisciplinary professionals, enhance patient care delivery, and lead strategic initiatives for quality improvement, all while working remotely and...
2 weeks ago
$80K - $95K *
Elevate your career by managing e-discovery projects, collaborating with attorneys, and ensuring quality deliverables. Utilize your expertise to drive project success while overseeing multiple, comple...
Today
Senior Process Engineering Specialist
$105K - $140K *
Empower your career by leading transformation initiatives that enhance operational excellence, optimize business processes, and implement automation strategies across functions. Collaborate with teams...
2 weeks ago
Medical Review Nurse II - SNF/MDS Auditor
$85K - $100K *
Join a team that's dedicated to performing skilled nursing facility audits, ensuring accurate claim evaluations. Leverage your nursing expertise in a dynamic, collaborative, remote environment focused...
6 days ago
$86K - $138K *
Develop and implement innovative healthcare data solutions by leveraging your expertise in clinical informatics. Collaborate with teams to address research questions and enhance clinical decision-maki...
2 weeks ago
Inpatient Hospital Coding Manager
$95K - $115K *
Lead the charge in optimizing coding operations to enhance financial performance. Collaborate closely with leadership to streamline processes, ensure compliance, and drive departmental success in achi...
Reposted 1 week ago
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
Specialty Care Data Management and Analytics Support Specialist
$75K - $95K *
Analyze complex healthcare data to provide insights that enhance the Veterans Health Administration's Specialty Care Program. Collaborate across teams to drive operational improvements and deliver imp...
1 month 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
$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
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
Nurse Practitioner/Physician Assistant
$95K - $115K *
Drive high-quality in-home and telehealth care for patients with multiple chronic conditions, collaborating in a multidisciplinary team to enhance patient outcomes and continuity of care. Focus on man...
Today
$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
$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
$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...
Today
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...
1 week ago