VP, Risk Adjustment Performance
$227K - $341K *
Champion the Risk Adjustment strategy and execution, leading cross-functional teams to enhance Medicare Advantage program performance. Drive compliance, optimize revenue accuracy, and ensure organizat...
2 days ago
Senior Encounter Data Management Professional
$78K - $107K *
Transform data management processes by enhancing Medicare and Medicaid encounter submissions. Lead a team to improve operational efficiency and compliance while leveraging data analysis to drive impac...
2 days ago
Complex Claims Specialist (Remote)
$124K - $160K *
Manage complex claims by analyzing coverage, negotiating resolutions, and collaborating with stakeholders. Lead litigation activities and ensure compliance with regulations while delivering exceptiona...
4 days ago
$71K - $104K *
Join a team that's focused on aligning technology solutions with business strategies. As an Applications Analyst II, you'll serve as a key liaison, leveraging technology to enhance business processes...
5 days ago
$175K - $200K *
Drive impactful health program initiatives by collaborating with client and internal teams to ensure effective strategy execution and sustainable outcomes across major health systems...
2 weeks ago
Clinical Specialist, New York City
$86K - $161K *
Tackle clinical needs by collaborating with sales and providing product expertise to enhance patient care, drive product adoption, and support sales growth through effective case coverage and innovati...
3 weeks ago
Director, Governance Risk and Compliance
$154K - $209K *
Manage governance, risk, and compliance efforts by leading assessments, advising teams, and ensuring adherence to security standards. Collaborate with stakeholders to enhance information security and...
2 weeks ago
Executive Director, Strategic Client Engagement - Evidence/RWE
$150K - $200K *
Transform strategic client engagement and drive commercial growth through innovative solutions and senior-level relationship building to meet client objectives and enhance market positioning...
Reposted 3 days ago
$100K - $135K *
Lead the charge in ensuring compliance across business units by providing expert support, managing risks, and fostering collaboration for regulatory adherence in a dynamic, hybrid work environment...
4 days ago
$100K - $130K *
Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...
1 week ago
$86K - $129K *
Unlock potential by architecting and developing data integration processes for enterprise data warehousing. Collaborate with teams to support BI functions and ensure data management best practices are...
Yesterday
$75K - $95K *
Optimize patient-centered care by leading virtual nursing teams. Transform vulnerable environments with your critical care expertise and communication skills while ensuring quality outcomes for divers...
1 week ago
Case Manager, Registered Nurse
$60K - $129K *
Lead the charge in coordinating care for members with complex needs, conducting assessments, developing individualized care plans, and collaborating with interdisciplinary teams to ensure optimal heal...
6 days ago
$90K - $120K *
Champion the execution and oversight of diverse clinical studies, ensuring efficient project management across oncology and hematology trials while collaborating with vendors and research teams to del...
Reposted 3 days ago
$92K - $112K *
Join us to oversee and execute audits while mentoring junior staff and collaborating with compliance teams. You'll shape strategic audit plans to ensure regulatory adherence and risk mitigation across...
Today
Medicare Cost Report Auditor III
$57K - $110K *
Drive the future of auditing by conducting comprehensive financial, compliance, and operational audits, providing actionable insights, and enhancing internal controls to ensure organizational accounta...
Reposted 2 weeks ago
Senior Technical Claim Specialist - Large Loss
$85K - $110K *
Tackle complex, high exposure claims and litigation issues while mentoring team members. Manage investigations, reserves, and negotiations to ensure ethical, fair resolutions in compliance with state...
Reposted 3 weeks ago
Senior Director, Quality, Reinforcement and Performance Insights - Remote
$180K - $300K *
Drive excellence in quality performance across operations by defining standards, harnessing AI tools, and leading collaborative teams to elevate customer experiences and operational outcomes at scale...
2 days ago
Telephonic RN Case Manager, SNP (Bilingual Preferred)
$77K - $116K *
Drive comprehensive care coordination for members with chronic needs, optimizing health outcomes through effective nursing assessments, collaboration, and education while maintaining a strong focus on...
1 week ago
Project Director, Clinical Trials Operations - RWE/Phases II-IV
$120K - $150K *
Join a dynamic team as you provide strategic leadership in project operations, oversee cross-functional teams, ensure project delivery meets client expectations, and drive business development to expa...
Reposted today
Director Client Services - Healthcare (Remote)
$100K - $130K *
Shape client experiences and strategies as a key leader, driving growth and partnership engagement while collaborating with cross-functional teams to enhance service delivery and operational excellenc...
2 days ago
Registered Nurse (RN), Community Health Nurse, Hospice Care (Full-Time, Weekends)
$75K - $101K *
Empower the community by delivering personalized nursing care and education, ensuring optimal health outcomes. Collaborate with clients and families to tailor care plans, perform skilled interventions...
Reposted 2 weeks ago
Manager - Health Information Management
$75K - $95K *
Transform health information management by ensuring the integrity, security, and compliance of patient data. Lead HIM operations, collaborate with key stakeholders, and drive best practices in record...
4 weeks ago
Medical Account Specialist II - HEMATOLOGY- WASHINGTON, DC
$158K - $220K *
Join a team that drives engagement with Hematologists to effectively promote and support the launch of a groundbreaking Multiple Myeloma product, leveraging strong account management skills and collab...
2 days ago
Forward Deployed Engineer, Epic Specialist
$150K - $200K *
Lead the charge in transforming clinical workflows by embedding as a trusted engineer within health systems, collaborating on AI integration with Epic teams and driving seamless technology adoption at...
2 weeks ago