Complex Claims Specialist - Remote
$124K - $160K *
Contribute to managing complex Abuse/Molestation Liability claims, including coverage analysis, negotiation, and litigation support, while maintaining exceptional performance standards and collaborati...
1 week ago
$70K - $95K *
Unlock the potential of our revenue cycle operations by managing payer networks, optimizing workflows, and ensuring compliance. Collaborate across teams to drive initiatives that improve efficiency an...
1 week ago
Director, State Licensure and Home Care Compliance - Remote
$100K - $130K *
Champion compliance and regulatory strategies for multi-state home care operations, ensuring readiness and accountability. Drive policy development and oversee audits while leading a dedicated team to...
1 week ago
Registered Nurse (RN), Home Health Utilization Management
$92K - $120K *
Manage the utilization of Home Health services through clinical reviews and collaborate with providers to ensure members receive medically necessary care. Optimize care plans while adhering to CMS reg...
Yesterday
$90K - $120K *
Lead the development and management of clinical appeals teams, driving operational excellence, quality assurance, and strategic initiatives to improve service delivery and client engagement in a fast...
Reposted 2 days ago
Program Manager, Specialty Care Program Office Support
$90K - $120K *
Lead effective program management for the Veterans Health Administration, driving strategic specialty care initiatives and empowering cross-functional teams to meet healthcare delivery goals with prec...
3 days ago
Director Revenue Cycle Management - Remote
$120K - $150K *
Drive operational excellence by leading revenue cycle management initiatives. Collaborate with cross-functional teams to enhance efficiency, quality, and financial performance while fostering an inclu...
3 weeks ago
Associate Director, eDiscovery Review Solutions
$120K - $150K *
Drive operational excellence as you oversee diverse review services, ensuring quality delivery and client satisfaction. Lead and mentor review teams while implementing strategic initiatives to optimiz...
2 weeks ago
Data Quality Engineer (Remote)
$175K - $195K *
Optimize your career as a Data Quality Engineer, supporting the VA's Data Modernization initiative by ensuring data integrity, collaborating across teams, and enhancing user satisfaction through excep...
2 weeks ago
Senior Director, Enterprise Process Improvement & Customer Service
$166K - $225K *
Unlock potential by leading strategic operations in process improvement and customer service. Oversee cross-departmental initiatives, streamline workflows, and enhance service delivery while fostering...
2 weeks ago
$111K - $167K *
Champion cash recovery excellence by leading enterprise-wide strategies and optimizing revenue cycle operations. Drive process improvement initiatives, align teams, and leverage insights to enhance fi...
2 weeks ago
Appeals & Grievances Clinical Specialist
$73K - $120K *
Grow your career with a dynamic role focused on resolving clinical appeals and grievances. Collaborate across departments to ensure adherence to policies while managing caseloads in a fast-paced envir...
Reposted 1 week ago
HB Second Level Reviewer - Remote - 137607
$83K - $124K *
Join a team that's dedicated to ensuring compliance in inpatient facility coding, providing training, auditing, and fostering collaboration across departments to uphold the highest data integrity stan...
Reposted 2 weeks ago
$75K - $95K *
Oversee clinical trial activities, ensuring adherence to protocols and regulations, enhancing quality, and providing support across sites for optimal trial execution and compliance...
Yesterday
$100K - $120K *
Help us operationalize data governance and Master Data Management practices by collaborating across teams, ensuring consistency and trust in data assets, and driving initiatives that enhance data qual...
Reposted 6 days ago
Director, Client Coding Integration
$90K - $120K *
Join a team that's dedicated to ensuring accurate coding and compliance for clinical services, leveraging your expertise to enhance revenue cycle management and contribute to optimal healthcare outcom...
Reposted 2 days ago
Senior Clinical & Population Health Analyst
$79K - $127K *
The Senior Clinical & Population Health Analyst is responsible for creating data-driven insights to identify actionable opportunities that align with the Quadruple Aim of Healthcare. This role involve...
Reposted 1 week ago
$85K - $110K *
Empower your career by leading a dedicated team in Case Management, enhancing patient care and outcomes while managing daily operations and compliance, and promoting effective collaboration with healt...
Reposted 2 days ago
$90K - $120K *
Join a team that's dedicated to enhancing coding services, ensuring operational excellence, and fostering positive client relationships. Manage resources effectively while mentoring staff to meet prod...
Reposted 1 week ago
Clinical Pharmacist I - Remote
$113K - $169K *
Drive Clinical Excellence by reviewing coverage determinations and conducting Medication Therapy Management (MTM) for Medicare Advantage members, ensuring compliance with CMS regulations and enhancing...
Reposted 1 week ago
CenterWell Process Improvement Lead
$94K - $130K *
Transform operational efficiency by leading process improvement initiatives to enhance patient experience and achieve cost savings. Analyze workflows, apply engineering principles, and drive measurabl...
2 weeks ago
Senior Consultant - Epic Revenue Cycle - Healthcare Technology
$102K - $170K *
Contribute to healthcare transformation by optimizing Epic revenue cycle implementations. Leverage your hands-on expertise to enhance operations, support client success, and drive measurable improveme...
1 week ago
Senior Technical Claim Specialist - Large Loss
$85K - $110K *
Shape complex insurance claims management by overseeing high-stakes cases and ensuring compliance with state and federal regulations. Collaborate with legal teams, set reserves, mentor peers, and stay...
Yesterday
$51K - $114K *
Accelerate the billing process by ensuring accurate invoices, managing client inquiries, and maintaining relationships with attorneys and clients while coordinating billing cycles to meet deadlines an...
Reposted 2 weeks ago
Quality Analyst - Diagnosis-Related Group (DRG), Healthcare
$70K - $110K *
Lead quality assurance for clinical DRG audits, ensuring accuracy and consistency in coding. Mentor auditors, recommend process changes, and analyze errors to enhance performance. Collaborate effectiv...
2 weeks ago