$177K *
Lead impactful health initiatives by overseeing clinical programs and ensuring compliance. Collaborate with diverse teams to enhance public health services while providing clinical guidance and suppor...
2 weeks ago
$90K - $110K *
Analyze clinical documentation and risk adjustment for healthcare providers, ensuring accurate representation of patient acuity. Collaborate with physicians to identify documentation opportunities and...
3 weeks ago
Medical Director, Risk Adjustment
$250K - $300K *
Engage in strategic leadership and physician education to enhance risk adjustment, clinical documentation integrity, and improve value-based care initiatives across a collaborative healthcare environm...
Reposted 1 week ago
Director, Clinical Quality Lead
$194K - $253K *
Elevate quality standards by leading GxP compliance initiatives across R&D. Collaborate with cross-functional teams to ensure adherence to regulations, conduct audits, and drive a culture of continuou...
2 weeks ago
Clinical Risk Manager, C&F Stop Loss
$71K - $134K *
Drive clinical risk management strategies by leveraging advanced nursing expertise to assess complex medical data, mentor team members, and enhance underwriting decisions, ensuring optimal client serv...
2 days ago
CLINICAL LEAD - NURSE PRACTITIONER
$170K - $175K *
Champion patient care by leading a collaborative team of healthcare professionals, ensuring comprehensive assessments, tailored treatment plans, and effective chronic illness management to enhance pat...
2 weeks ago
Senior Case Manager, Reimbursement
$80K - $95K *
Lead the charge in case management by overseeing complex pharmacy reimbursement processes, ensuring timely completion of cases, and advocating for patients while collaborating with healthcare provider...
1 week ago
Care Manager I, Specialty Programs (Atlantic & Cape May Counties)
$70K - $94K *
Transform care coordination for specialty populations by implementing tailored interventions, ensuring efficient resource utilization, and advocating for members' needs across healthcare teams to enha...
3 days ago
Dialysis Registered Nurse (RN)
$87K - $101K *
Lead specialized nursing care in a dynamic dialysis unit, ensuring patient safety and quality outcomes. Collaborate with a dedicated care team to provide exceptional treatment and education, while fos...
4 days ago
$96K - $124K *
Elevate your career by expertly managing Ocean Marine and Energy claims. Drive investigations, evaluations, and resolutions while ensuring compliance and delivering exceptional service in a dynamic, h...
3 weeks ago
Clinical Nurse Specialist - Operating Room - Princeton Health
$95K - $151K *
Grow your career with a dynamic role focused on patient advocacy, clinical excellence, and team leadership. As a Clinical Nurse Leader, you'll enhance care delivery, manage outcomes, and educate patie...
6 days ago
$88K - $105K *
Transform your career by leading quality improvement initiatives, ensuring compliance, and fostering a culture of continuous enhancement in healthcare settings. Collaborate across departments to eleva...
Yesterday
Manager, Clinical Utilization Management
$88K - $149K *
Shape the future of healthcare by overseeing utilization management teams, ensuring quality care and resource allocation. Collaborate with medical staff to enhance patient outcomes while managing oper...
6 days ago
HEDIS Quality Programs, Principal
$127K - $157K *
Join a team that's redefining healthcare quality by owning HEDIS performance measures. You'll design and implement impactful programs, collaborate across teams, and drive improvements to enhance patie...
4 days ago
$79K - $105K *
Transform patient care by assessing clinical needs, coordinating services, and mentoring staff. Drive quality outcomes through effective communication and advocacy, ensuring a seamless continuum of ca...
4 days ago
$110K - $130K *
Accelerate clinician training and competency across East Coast clinics, ensuring adherence to global standards. Support onboarding, track progress, and enhance local education while maintaining active...
2 weeks ago
Principal Analyst, Clinical Data Ingestion
$170K - $200K *
Champion the strategy for clinical data acquisition, ensuring quality and relevance. Lead cross-functional collaboration to define data standards and influence product development, while serving as th...
5 days ago
$83K - $120K *
Lead the MDS/Clinical Reimbursement process, ensuring compliance and optimizing reimbursement strategies while collaborating with interdisciplinary teams to enhance resident care and facility ratings...
3 days ago
Hospital Inpatient Coding Manager
$77K - $121K *
Join a team that's redefining coding excellence by leading operational strategies, managing staff performance, and ensuring compliance in inpatient coding processes to enhance efficiency and quality a...
1 week ago
Director, Client Coding Integration
$120K - $145K *
Execute accurate coding practices to ensure compliance and optimal reimbursement in a dynamic healthcare environment. Collaborate with clinical teams to maintain integrity and efficiency in revenue cy...
Reposted 1 week ago
Medicaid Certification Consultant
$70K - $120K *
Lead transformative Medicaid initiatives by guiding project oversight, ensuring timely execution, and enhancing stakeholder engagement. Collaborate with teams to streamline operations and achieve stra...
6 days ago
$110K - $130K *
Join a mission-driven team as a Clinical Director, leading clinical services and fostering a culture of trauma-informed care while enhancing staff development and program effectiveness for individuals...
3 weeks ago
Clinical Application Specialist - Digital Implementation Services
$92K - $138K *
Join us as a Clinical Application Specialist, leveraging your expertise in maternal-infant care to deliver training and support for digital healthcare solutions. Collaborate with teams to enhance clin...
3 weeks ago
Assistant Director, Ambulatory Care Services
$100K - $120K *
Engage in the coordination and evaluation of ambulatory care services, driving policy implementation and program development to enhance healthcare delivery across facilities. Collaborate with stakehol...
6 days ago
Director, Claims Process Optimization ( Facets Required)
$113K - $197K *
Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...
1 week ago