$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...
2 weeks ago
$85K - $95K *
Empower your career by ensuring quality assurance and training for DRG Reviewers. Contribute to improving clinical documentation and auditing processes while fostering an environment of continuous lea...
3 weeks ago
$70K - $95K *
Partner with us to deliver tailored onboarding and implementation solutions, ensuring customers maximize the value of their products through expert guidance, collaboration, and ongoing support in thei...
3 weeks ago
Clinical Guide Part A: Utilization Management Nurse
$85K - $95K *
Lead the charge in Utilization Management by reviewing inpatient, behavioral health, and post-acute services to ensure compliance with CMS and Medicare Advantage standards while evaluating medical nec...
3 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...
2 weeks ago
$100K - $145K *
Unlock your potential as you implement and configure healthcare solutions, manage integrations, and ensure technical alignments. Utilize your expertise to drive client success and support seamless tra...
Yesterday
Account Development Liaison - Hospital/Physicians
$67K - $106K *
Engage with referral sources to build relationships and increase admissions. This role involves education, marketing, and public relations efforts in the healthcare community, ensuring timely access t...
3 days ago
Diagnosis-Related Group (DRG) Auditor III, Healthcare -Remote US
$75K - $110K *
Unlock potential by driving accuracy in DRG coding and reimbursement audits. Leverage your expertise in MS-DRG/APR-DRG guidelines to support impactful findings and ensure compliance within a dynamic...
Reposted 1 week 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 1 week ago
Audit & Reimbursement III and Senior
$63K - $125K *
Engage in advanced auditing and reimbursement analysis for Medicare contracts, enhancing your expertise within a dynamic healthcare environment. Collaborate on projects as you develop your skills in f...
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...
1 week ago
Utilization Management Clinician
$70K - $106K *
Transform healthcare by coordinating services across various medical professionals, ensuring quality care and optimal resource utilization to achieve member wellness and outcomes...
3 days ago
$135K - $185K *
Champion financial transformation by leading diverse client engagements, optimizing accounting processes, and mentoring high-performing teams. Drive strategic initiatives while ensuring timely, accura...
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 today
Medical Director-Payment Integrity
$223K - $313K *
Champion comprehensive care by leveraging your medical expertise to evaluate and authorize inpatient services while adhering to national guidelines and regulations, all within a supportive and collabo...
Reposted 4 days ago
$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...
3 days ago
Supervisor Strategic Risk Adjustment and Quality
$86K - $138K *
Transform healthcare processes by leading Risk Adjustment and Quality/HEDIS initiatives. Manage and mentor teams, ensuring compliance and excellence in coding practices while implementing strategic im...
Reposted 1 week ago
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...
Today
Senior Managing Consultant - Clinical Quality Improvement - Healthcare
$125K - $200K *
Engage as a senior leader in healthcare transformation. Drive complex clinical quality initiatives across acute care settings, ensuring sustainable execution and measurable outcomes in collaboration w...
3 weeks ago
Manager, DRM Systems - Business Administrator (Vault Clinical)
$110K - $130K *
Accelerate progress at the intersection of system administration and clinical trial technology. Lead optimization of Veeva Vault Clinical while partnering with stakeholders to enhance operations and d...
6 days ago
US- Software Implementations Consultant II (EHR For Practice Groups)
$80K - $90K *
Serve as the primary consultant for implementing best practices in EHR systems, optimizing workflows within LTPAC environments, ensuring data integrity, and delivering tailored training to enhance use...
Today
Technical Developer (CA:GEN & Healthcare Claims)
$90K - $120K *
Shape the future of healthcare technology by developing essential components for the MetaVance platform, focusing on claims, benefits, and pricing enhancements while ensuring alignment with critical b...
3 weeks ago
Sr. Manager Payment Integrity - Health Plan Concierge
$107K - $199K *
Transform payment integrity operations by leading teams to enhance claims accuracy, implement effective governance, and drive market engagement. Collaborate cross-functionally to resolve complex issue...
Today
Clinical Implementation Specialist
$90K - $110K *
Lead impactful training and integration of healthcare AI, enhancing clinician workflows and adoption across Veterans Integrated Service Networks while ensuring patient care quality and operational eff...
3 days ago
$85K - $90K *
Optimize patient care experience by coordinating seamless administrative support, ensuring physicians can focus on clinical excellence. Use your attention to detail and hospitality mindset to enhance...
Reposted 3 weeks ago