Decision Support Specialist 3 - UCI Health Plan Administration - FT Days
$85K - $102K *
Analyze complex medical economics data to identify risks, optimize financial performance, and enhance strategic decision-making across healthcare operations and support multifaceted projects collabora...
1 week ago
Complex Denials Consultant (Complex Claims)
$90K - $112K *
Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...
Reposted 1 week ago
Clinical Reviewer, Inpatient RN
$94K - $141K *
Lead utilization management efforts in a dynamic inpatient setting, ensuring appropriate care and resource allocation for complex member cases while collaborating closely with providers and interdisci...
Yesterday
Remote Director of Clinical Reimbursement
$110K - $130K *
Unlock potential by leading clinical reimbursement strategies across skilled nursing facilities, ensuring compliance and optimal performance through collaboration with multidisciplinary teams to enhan...
6 days 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...
3 weeks ago
$80K - $168K *
Manage and enhance quality assurance initiatives within claims operations, ensuring compliance and performance standards while leading a dedicated team focused on delivering superior customer service...
Reposted 1 week ago
$80K - $168K *
Empower claims operations by leading audit and quality assurance efforts. Ensure compliance, enhance efficiency, and uphold high standards while mentoring teams to achieve performance goals and delive...
Reposted 1 week ago
Senior Manager, Document Services
$110K - $150K *
Lead transformative Document Services operations and strategy, driving efficiency across Inbound Correspondence and Print Production. Collaborate with cross-functional teams to enhance member support...
1 week ago
Senior Provider Dispute Resolution Analyst
$79K - $111K *
Champion complex provider dispute resolutions by analyzing claims, interpreting contracts, and guiding teams. Collaborate across departments to enhance operational accuracy and efficiency through expe...
4 weeks ago
Senior Revenue Integrity Analyst
$80K - $95K *
Develop analytics to enhance revenue integrity while overseeing month-end controls. Collaborate with cross-functional teams to resolve discrepancies and mentor junior analysts, ensuring accurate finan...
1 week ago
Senior Revenue Integrity Analyst
$80K - $95K *
Transform revenue analysis processes by leading month-end controls, investigating discrepancies, and developing insights to enhance financial reporting. Collaborate across teams to resolve complex cli...
1 week ago
Access Supervisor, Patient Access Organization
$73K - $149K *
Lead the charge in optimizing healthcare operations, enhancing patient access and driving high-performing teams in a dynamic environment, ensuring excellence through innovation and effective leadershi...
Reposted 3 weeks 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...
3 weeks ago
$110K - $120K *
Empower your career by delivering essential care management services to individuals with complex medical needs, fostering collaboration with care teams to enhance outcomes and ensure personalized, hig...
Reposted 3 days ago
$132K - $147K *
Lead clinical management and care strategies for complex member populations to enhance outcomes and coordinate across providers. Drive comprehensive assessments and develop tailored care plans in comp...
1 week ago
$117K - $188K *
Drive quality data management by leading a skilled team to optimize operations, ensuring compliance and accuracy in delivering HEDIS and Survey data to stakeholders while fostering performance improve...
Today
RN Clinical Supervisor - Home Health
$110K - $125K *
Join our team to lead clinical operations in home health, overseeing patient care coordination, mentoring staff, ensuring compliance, and driving quality improvements. Your leadership will enhance car...
1 week ago
Clinical Laboratory Scientist (CLS) Educator - Chuck Lorre School of Allied Health Sciences
$80K - $95K *
Transform educational experiences through innovative curriculum design and delivery. Lead the development of allied health programs that meet accreditation standards. Foster student success and readin...
4 days ago
$85K - $145K *
Elevate your skills by designing impactful training and e-learning programs that engage and empower employees, enhancing their knowledge in internal processes and product offerings. Collaborate with e...
1 week ago
Senior Analyst Business Operations
$72K - $108K *
Unlock potential by leading data-driven solutions to enhance operational efficiency. Collaborate with stakeholders to tackle complex challenges, optimize processes, and drive strategic insights that f...
Yesterday
Outpatient Hospital Coding Supervisor - Remote
$41K - $134K *
Optimize coding team operations by promoting accurate and compliant practices, managing performance, and implementing process improvements to achieve organizational goals and enhance patient care outc...
Reposted 3 weeks ago
$160K - $170K *
Optimize legal strategies and counsel across complex employment, regulatory, and corporate matters while leading litigation efforts and guiding executive leadership to mitigate risks and enhance opera...
1 week ago
Registered Nurse Care Manager (RNCM)
$85K - $100K *
Empower healthcare delivery by leading care management efforts, reviewing clinical data, and ensuring quality support for members. Drive collaboration with multidisciplinary teams, enhancing care coor...
2 weeks ago
Clinical Quality Improvement Advisor
$77K - $96K *
Shape the future of healthcare by driving quality improvement and compliance initiatives across clinical practices. Collaborate with diverse teams to enhance care delivery, standardize processes, and...
2 weeks ago
CA Work Comp Insurance Adjuster
$85K - $95K *
Drive the resolution of Workers' Compensation claims by managing investigations, evaluating compensability, and coordinating with stakeholders to ensure a fair outcome. This role offers potential grow...
3 weeks ago