Auditor Clinical Validation (Place of Service, Short Stay & Readmission)
$95K *
Transform healthcare auditing by leveraging your clinical expertise to conduct thorough reviews, ensuring compliance with care standards. Join a dynamic team dedicated to improving outcomes through pr...
3 weeks ago
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...
6 days ago
Account Executive Healthcare Clinical Documentation Services Remote
$100K - $125K *
Unlock potential by driving healthcare solutions sales, navigating complex relationships, and securing partnerships. Manage full sales cycles and collaborate with diverse stakeholders to enhance clien...
2 weeks ago
Medical Review Auditor (Fraud Waste and Abuse)
$70K - $91K *
Shape the future of healthcare by conducting thorough audits of medical records to ensure coding accuracy and compliance, while providing actionable insights to enhance processes for Fraud, Waste & Ab...
2 weeks ago
Clinical Database, SME - Strategy (CDI Specialist)
$130K - $165K *
Champion innovative clinical solutions by translating complex scenarios into actionable, clinically grounded input for engineering and product teams. Collaborate cross-functionally and engage with cli...
1 week ago
Applications Analyst II - Epic Inpatient ClinDoc/Stork
$71K - $104K *
Tackle the integration of technology and business processes. As an Applications Analyst II, you'll enhance operations by leveraging systems solutions, collaborating with diverse teams, and driving pro...
Reposted 3 weeks ago
Senior Payment Accuracy Specialist
$78K - $83K *
Design audit concepts and processes, mentor teams, and ensure quality control while developing innovative solutions in the healthcare auditing domain to generate recoverable claims for clients...
Reposted 1 week ago
Integrated Care Program Manager - CSSBB required
$113K - $197K *
Join a team that's pivotal in managing extensive care programs, ensuring cross-functional coordination, delivering effective outcomes, and leading improvements in project management processes across t...
1 week 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...
6 days ago
Outpatient Audit Specialist PRN - Remote
$72K - $93K *
Lead the charge in optimizing outpatient facility coding audits, enhancing compliance, and educating coders. This remote role combines customer service with expert coding analysis to uplift healthcare...
1 week ago
Inpatient Medical Coding Auditor
$71K - $97K *
Shape the future of healthcare by ensuring accurate medical coding for claims. In this role, you'll review inpatient records to facilitate proper reimbursements and enhance operational efficiency in a...
2 weeks ago
$80K - $110K *
Elevate efficiency in the Revenue Cycle team, leveraging data analytics to optimize claims management and enhance customer satisfaction while developing a high-performance team committed to excellence...
1 week ago
Training Specialist, Medical Review Audit - Clinical RN
$80K - $95K *
Champion the development and delivery of specialized training programs for clinical audit staff focused on IPF and IRF claims, ensuring compliance and improved accuracy through expert guidance and inn...
Reposted 2 weeks ago
$100K - $120K *
Elevate your expertise in commercial contracting by overseeing legal reviews, drafting and optimizing agreements, and collaborating across teams to drive efficiency within a dynamic healthcare technol...
3 weeks ago
$117K *
Join our team to lead ambulatory care surveys nationwide, ensuring compliance with Joint Commission standards. Engage with healthcare staff, provide insightful feedback, and contribute to quality impr...
5 days ago
Senior Coding Compliance Auditor - Outpatient
$76K - $131K *
Elevate your career by leading coding compliance audits and enhancing healthcare standards. You'll conduct thorough reviews, coach auditors, and drive continuous improvement initiatives while ensuring...
2 weeks 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 week ago
Credentialing & Payor Enrollment Supervisor
$69K - $104K *
Lead and enhance credentialing and payor enrollment operations, ensuring compliance and accuracy while supervising specialists and streamlining processes to improve provider readiness and operational...
6 days ago
$68K - $103K *
Join us to enhance long-term care services by leveraging your nursing or social work expertise. You'll improve care plans, assess claimant needs, and collaborate with healthcare professionals in deliv...
2 weeks ago
Senior Denials Prevention Process Improvement Advisor
$69K - $104K *
Drive improvements in denial prevention by analyzing clinical and technical data, leading process assessments, and collaborating with stakeholders to enhance operational efficiency and client relation...
2 weeks ago
Clinical Adjudication Project Lead
$110K - $130K *
Elevate the clinical adjudication process by leading cross-functional teams to ensure timely, high-quality project delivery while optimizing workflows and achieving strategic milestones in the pharmac...
6 days ago
Clinical Adjudication Project Lead
$110K - $130K *
Join a team that's driving project success in healthcare by leading clinical adjudication initiatives, enhancing workflows, and collaborating across departments to ensure quality and efficiency in pro...
6 days 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 week ago
Senior Coding Compliance Auditor - Inpatient
$76K - $131K *
Shape the future of healthcare compliance by conducting thorough audits, mentoring auditors, and driving initiatives that foster a culture of excellence. Leverage your expertise to enhance coding accu...
2 weeks ago
Medical Director Utilization Management, Clinical Specialty
$210K - $250K *
Transform healthcare navigation through analytical insights and hands-on clinical support. Drive optimal member outcomes by collaborating with cross-functional teams while enhancing best practices in...
Reposted 2 weeks ago