DRG Coding Auditor - MS-DRG and APR-DRG
$92K - $160K *
Transform inpatient medical record auditing by ensuring coding accuracy and compliance. Leverage advanced coding expertise to enhance claim recoveries while supporting high-quality audits through coll...
2 weeks ago
$100K - $120K *
Elevate your career by developing advanced analytical models and data pipelines to combat fraud in Medicare and Medicaid. You'll collaborate with teams to turn complex data into actionable solutions w...
Reposted 1 week ago
Senior Manager, Statistical Innovation
$130K - $155K *
Join a team that provides statistical leadership to advance innovative projects in drug development. Collaborate with experts across multiple disciplines to implement sound methodologies, support regu...
1 week ago
Senior Manager, Clinical Data Systems
$130K - $155K *
Join a team that's dedicated to optimizing clinical trial data operations by managing technology evaluations and driving continuous improvement. You’ll ensure high performance in a collaborative envir...
6 days ago
$120K - $145K *
Lead efforts to ensure high-quality data management and execution across clinical studies. Drive strategy implementation, oversee data delivery, and facilitate cross-functional collaboration to meet k...
6 days ago
Payer Peer to Peer Physician Advisor
$150K - $199K *
Unlock the potential of compliant revenue by reviewing authorizations and guiding client facilities through complex clinical evaluations and documentation assessments in a fast-paced healthcare enviro...
Reposted 2 weeks ago
Assistant General Counsel/ Healthcare Generalist Attorney (Medicaid, Medicare & M&A)
$130K - $160K *
Engage as a legal expert providing comprehensive counsel on healthcare laws, including Medicare and Medicaid. Support corporate governance and compliance, contract negotiations, M&A activities, and ri...
Reposted 2 days ago
Medical Review Analyst - Medicare
$66K - $106K *
Join a team that's dedicated to analyzing medical claims to detect and prevent fraud, waste, and abuse. Utilize clinical judgment and strong investigative skills to support medical reviews and collabo...
1 week ago
$72K - $109K *
Join a team that ensures precise medical coding by reviewing outpatient records using ICD-10-CM and CPT guidelines. Enhance reporting accuracy and support clinical review processes for better patient...
Reposted 6 days ago
$72K - $109K *
Join a team that's dedicated to accurate outpatient coding and risk adjustment oversight. Engage in comprehensive medical record reviews, ensuring compliance with CMS guidelines while supporting healt...
6 days ago
Primary Care Provider, Nurse Practitioner / Physician Assistant
$150K - $190K *
Transform patient care by collaborating with a multidisciplinary team to provide value-based primary care, managing assessments and care plans for a dedicated population. Make a difference in the live...
2 weeks ago
$118K - $150K *
Empower participant care by leading assessments and personalized plans within a supportive interdisciplinary team, ensuring high-quality service delivery to the frail and elderly population in a struc...
1 week ago
$118K - $150K *
Elevate participant care through comprehensive assessments and tailored plans, collaborating with an interdisciplinary team to ensure seamless care transitions while fostering lasting relationships wi...
2 weeks ago
$118K - $150K *
Join a team that champions compassionate care for seniors by coordinating health services. As a Case Manager, RN, you'll provide pivotal support and build lasting relationships while ensuring personal...
1 week ago
Actuary (CMS Regulatory & Bid Pricing)
$110K - $130K *
Transform healthcare delivery by leveraging your actuarial expertise. Collaborate across functions to develop innovative strategies that enhance service to the senior population while positively impac...
Reposted 1 week ago
Reporting Developer - Tableau / Power BI
$110K - $130K *
Drive impactful reporting solutions by developing dashboards and analytics. Collaborate with stakeholders to transform data into insights, optimize performance, and ensure data accuracy. Leverage expe...
1 week ago
$120K - $150K *
Empower our data migration efforts by designing robust ETL processes that ensure seamless transitions from legacy systems to innovative healthcare solutions, collaborating across teams to maintain dat...
Reposted 3 days ago
$120K *
Support key cybersecurity compliance initiatives, including CMMC certification. Collaborate with teams to develop and maintain security documentation, conduct assessments, and ensure adherence to regu...
Reposted 1 week ago
Practice Consultant Liaison (Pennsylvania resident)
$90K - $110K *
Drive effective revenue management by collaborating with clinicians and leadership to optimize workflows, enhance communication, and deliver educational initiatives aimed at improving charge capture a...
3 weeks ago
$92K - $114K *
Drive excellence in application development, enhancing business solutions and governance across the Power Platform. Collaborate with teams to architect, implement, and maintain high-performing applica...
2 days ago
Senior PACS Administrator / Imaging Informaticist / Enterprise Imaging Architect - Full time
$120K - $145K *
Oversee the enterprise imaging architecture by administering and optimizing the Visage and Fujifilm platforms, ensuring seamless multi-organization integration and excellent patient care workflows to...
1 week ago
Business Analytics Advisor, Learning & Knowledge Management Analytics - Evernorth - Remote
$98K - $163K *
Champion data-driven decision-making by transforming analytics into actionable insights, enhancing customer experience and operational excellence through innovative digital solutions and collaborative...
Yesterday
$110K - $135K *
Advance the clinical execution of authorized pharmacy benefits, ensuring compliance and evidence-based decision-making while collaborating with internal teams to guarantee effective medication access...
Yesterday
$110K - $135K *
Join a team that's passionate about enhancing pharmacy benefits through clinical expertise. Collaborate across departments to drive safe and effective medication access, ensuring compliance with polic...
Yesterday
Associate VP, Clinical Program and Product Strategy
$184K - $254K *
Lead the transformation of clinical programs through strategic design and implementation, driving interdisciplinary collaboration to enhance health outcomes and member experiences across the enterpris...
1 week ago