Medical Review Analyst - Medicare
$66K - $106K *
Lead the charge in conducting medical record reviews and applying clinical judgment to ensure accurate claim payment decisions while supporting fraud investigations and compliance efforts...
Yesterday
$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...
2 weeks 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 1 week 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...
3 weeks 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 3 weeks ago
AVP, Medicare Risk Adjustment Performance
$198K - $297K *
Drive transformative strategies for enterprise risk adjustment, overseeing operations to achieve financial and operational goals while fostering collaboration across teams and providers for sustainabl...
Reposted 5 days ago
Associate Manager, Clinical Health Services
$88K - $190K *
Lead the charge in designing and implementing Clinical Health services, ensuring high-quality care through effective management of healthcare teams and compliance with regulations while driving operat...
3 days ago
$119K - $194K *
Elevate data engineering capabilities by designing and implementing scalable data solutions on AWS Lakehouse, ensuring high-quality data products through DataOps practices and collaboration with cross...
Today
$148K - $222K *
Develop and lead strategic initiatives for medical staff operations while ensuring compliance with regulations. Foster collaboration among teams to enhance processes and achieve organizational goals e...
3 weeks ago
$148K - $222K *
Shape the strategic direction of medical staff operations and education. Lead initiatives that enhance collaboration, optimize processes, and ensure compliance with regulations. Partner with leadershi...
3 weeks 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 2 weeks ago
$134K - $249K *
Optimize financial outcomes through advanced data analytics and actuarial expertise, collaborating with senior leadership to transform analyses into impactful insights. This role bridges data validati...
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 weeks ago
Integration Analyst Engineer (Remote)
$115K - $125K *
Empower your career by driving the integration and migration of data for a vital financial management system. Collaborate with experts to enhance system reliability and operational efficiency in a ful...
Today
Medicare Risk Adjustment Compliance Auditor (CPC, CCS, or CCS-P Required) (Remote)
$64K - $96K *
Engage in comprehensive risk adjustment audits and compliance reviews, ensuring accurate data submission to CMS. Collaborate with coding teams and management to uphold regulatory standards and improve...
1 week ago
Senior Analyst, Commercial Operations & Analytics
$104K - $167K *
Join a team that's dedicated to delivering strategic insights through analytics. This role supports commercial operations by providing data-driven forecasts, dashboards, and actionable insights to enh...
4 days 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...
3 weeks 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...
4 weeks ago
$135K - $170K *
Shape pediatric healthcare by leveraging data science to enhance clinical outcomes for children with special needs. Collaborate with teams to build models and insights that drive impactful patient car...
1 week ago
HEOR Asset Scientist - Advisor
$141K - $206K *
Unlock potential by leading strategic HEOR initiatives to enhance patient access, integrating health outcomes research throughout drug development, and collaborating across teams to deliver impactful...
1 week ago
$109K - $144K *
Reimagine healthcare technology as an Application Analyst supporting Epic Professional Billing. Leverage your expertise in revenue cycle operations to optimize billing accuracy and enhance workflow ef...
1 week ago
Inpatient Clinical Pharmacist, Oncology
$190K - $267K *
Champion patient-centered pharmaceutical care in oncology. Leverage clinical expertise to optimize medication therapy, educate patients, and supervise residents, ensuring compliance with regulations w...
2 weeks ago
Recruiting Manager, IT & Non-Clinical
$140K - $150K *
Champion strategic IT staffing initiatives and lead a team of recruiters to optimize non-clinical recruiting processes, improve performance metrics, and enhance client satisfaction across various prof...
Reposted 1 week ago
Head of Health, Economics & Outcomes Research (HEOR)
$328K - $451K *
Join a team dedicated to generating impactful health economics evidence that drives strategic decision-making across a growing pharmaceutical portfolio. Collaborate globally to enhance patient care an...
2 weeks ago
$239K - $276K *
Transform patient care delivery by leading best practices, managing clinical operations, and fostering collaboration among healthcare teams to ensure optimal patient outcomes across multiple locations...
4 days ago