$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 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 yesterday
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's dedicated to accurate outpatient coding and risk adjustment oversight. Engage in comprehensive medical record reviews, ensuring compliance with CMS guidelines while supporting healt...
5 days 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 5 days ago
$118K - $150K *
Join a dedicated interdisciplinary team that enhances participant care through personalized strategies, assessments, and care plans while fostering important relationships without weekend or on-call h...
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
$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
Senior Director, Government Relations - CA
$170K - $253K *
Join a team that's redefining government relations for senior healthcare. Lead strategy development across multiple levels, advocate for critical policies, and strengthen relationships with key stakeh...
2 days ago
$90K - $120K *
Accelerate progress at our dynamic finance team by supporting budgeting and forecasting, analyzing financial performance, and translating insights for strategic decisions within a growing healthcare o...
3 weeks 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
$110K - $130K *
Champion quality care by leveraging clinical expertise in a dynamic pharmacy benefit team, impacting access to essential medications in compliance with regulatory standards while supporting a diverse...
Yesterday
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...
Today
$110K - $135K *
Join a team that's committed to enhancing pharmacy benefits through clinical expertise and innovative solutions. Collaborate to ensure safe medication access while adhering to regulatory standards and...
Yesterday
$112K - $135K *
Join a team that's dedicated to ensuring safe access to medications by applying clinical expertise in pharmacy benefit management. Collaborate with healthcare professionals to implement evidence-based...
Yesterday
Senior Coding Compliance Auditor - Inpatient
$76K - $131K *
Shape the future of healthcare compliance by conducting thorough audits, mentoring auditors, and driving initiatives that foster a culture of excellence. Leverage your expertise to enhance coding accu...
1 month ago
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
Senior HCM Analytics & BI Developer
$105K - $231K *
Optimize enterprise analytics solutions to provide real-time insights and reporting for federal HR stakeholders, driving strategic decision-making and compliance in a fast-paced modernization initiati...
2 weeks ago
Senior 340B Client Success Analyst
$100K - $115K *
Unlock your potential as a Senior Analyst supporting 340B operations. Drive technical deployments, optimize program compliance, and mentor junior team members while working remotely and collaborating...
2 weeks ago
$120K - $130K *
Take ownership of complex data analytics projects within a dynamic team, enhancing public health through expert analysis and programming. Collaborate on Medication Safety initiatives while providing m...
1 week ago
Regional Health and Wellness Director (RN)
$130K - $150K *
Manage clinical operations across multiple senior living communities, ensuring high-quality resident care and compliance with regulations. Leverage your RN expertise to provide guidance, support leade...
6 days ago
$110K - $130K *
Drive impactful healthcare solutions by leading outcome research studies on COA effectiveness. Collaborate across teams to develop strategies, execute research, and ensure regulatory compliance, all a...
1 week ago