Director, Utilization Management Operations
$182K - $248K *
Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...
1 week ago
$112K - $170K *
Join a dynamic team as you manage payer relationships and contracts, ensuring alignment with strategic priorities. Collaborate with stakeholders to drive efficient operations and meet organizational g...
Reposted 3 weeks ago
Medical Director - Health Plan
$200K - $250K *
Empower healthcare quality by leading our utilization management efforts. As a key physician advisor, you'll guide policy, conduct analyses, and enhance clinical practices to ensure optimal patient ca...
1 month ago
$120K - $150K *
Advance client satisfaction and operational excellence by leading the Group Health Division, overseeing team performance, enhancing processes, and ensuring profitability while managing key metrics and...
3 weeks ago
Director of Provider Contracting
$120K - $150K *
Engage in strategic provider contracting to enhance healthcare networks. Oversee negotiations, manage budgets, and ensure compliance while collaborating across departments to improve member experience...
1 week ago
Medical Director, Medical Management
$227K - $385K *
Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...
Reposted 5 days ago
Director of Utilization Management
$118K - $132K *
Lead the Utilization Management team, overseeing operations for inpatient, outpatient, and long-term services. Innovate programs for quality and cost-effectiveness while ensuring compliance with regul...
3 weeks ago
Director of Commercial Strategy
$180K - $225K *
Advance transformative AI initiatives in healthcare by spearheading commercial strategy and key partnerships. Collaborate with C-suite leaders to build impactful business cases and streamline innovati...
3 weeks ago
$126K - $191K *
Shape the future of sales by leading strategic development and execution for key brands. Drive revenue growth and team performance while managing P&L. Collaborate cross-functionally to innovate and en...
Reposted 1 week ago
$163K - $215K *
Shape the future of provider operations by leading strategic initiatives that optimize processes, drive operational excellence, and enhance team performance while collaborating cross-functionally to e...
2 weeks ago
Medical Director II, Utilization Management
$280K - $345K *
Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...
3 weeks ago
$165K - $200K *
Transform healthcare data environments by developing advanced cloud data platforms. Lead a technical team to innovate, assess, and build robust solutions that enhance AI deployment, effectively removi...
3 weeks ago
Medical Director of Utilization Management
$201K - $227K *
Drive your career with a leadership role overseeing utilization management, ensuring quality and compliance in healthcare services while collaborating with clinical teams to improve patient outcomes a...
3 weeks ago
Health Plan Managing Consultant
$130K - $170K *
Unlock potential by leading healthcare operations consulting engagements, optimizing claims processing, and driving improvements across client workflows. Collaborate with diverse teams in a dynamic en...
2 weeks ago
$90K - $120K *
Grow and lead the Integrated Care Team to enhance care coordination for members with complex needs, ensuring high-quality clinical oversight and regulatory compliance while driving operational excelle...
4 days ago
Vice President, Medical Management
$244K - $275K *
Develop and lead Medical Management strategies, ensuring effective quality initiatives and engagement with providers to optimize health outcomes, while managing compliance issues and organizational de...
3 weeks ago
$130K - $180K *
Drive the establishment of our Quality function, overseeing CMS ACO programs and ensuring cohesion across all business units. As a subject matter expert, impact strategic decisions through quality imp...
3 weeks ago
$143K - $184K *
Strategize the growth and management of teams in account management and sales, enhancing existing relationships and pursuing new business opportunities. Drive profitability and execution, while ensuri...
Reposted 3 days ago
Senior Director, Health Systems & Strategy
$150K - $200K *
Advance healthcare strategy and provider partnerships to enhance member outcomes and reduce costs. Lead negotiations and oversight while driving organizational transformation and innovation within the...
3 weeks ago
National Medical Director, Episodic Care
$275K - $380K *
Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...
4 weeks ago
Vice President of Utilization Management
$201K - $227K *
Transform utilization management through strategic leadership, ensuring service access and cost optimization while enhancing clinical outcomes and member satisfaction across various care settings...
3 weeks ago
$75K - $95K *
Contribute to advancing care quality through data analysis, reporting, and compliance monitoring in support of health programs catering to HIV-positive members, while working collaboratively with vari...
2 days ago
Vice President, Quality & Clinical Informatics
$175K - $190K *
Elevate healthcare quality by leading improvement initiatives, ensuring compliance, and optimizing clinical informatics in a critical leadership role that drives patient safety and operational excelle...
2 weeks ago
Director, Business Services (Medicaid Operations)
$150K - $195K *
Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...
1 month ago
$275K *
Unlock your potential by driving enterprise sales in healthcare AI, leading strategic initiatives, and fostering partnerships to enhance patient outcomes. Your expertise will shape market strategies w...
3 weeks ago