$225K - $275K *
Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...
Reposted 1 week ago
Medical Director, Post-Service Review & Medical Claims Review (MCR)
$195K - $341K *
Engage in clinical oversight and support staff training while ensuring adherence to quality standards and regulatory compliance in a collaborative healthcare environment focused on member care and ope...
1 week ago
Medical Director, Utilization Management-Remote
$262K - $393K *
Oversee clinical reviews and collaborate with medical teams to ensure optimal service utilization, enhancing patient care quality while ensuring compliance with regulatory guidelines and internal stan...
Reposted 2 weeks ago
Remote Director of Clinical Reimbursement
$110K - $130K *
Unlock potential by leading clinical reimbursement strategies across skilled nursing facilities, ensuring compliance and optimal performance through collaboration with multidisciplinary teams to enhan...
Reposted 1 week ago
Remote Medical Director, Pharmacy
$236K - $449K *
Innovate medical quality improvement and management processes while directing utilization review activities. Collaborate with clinical teams to enhance care quality and optimize health outcomes for di...
1 week ago
$250K - $300K *
Lead the charge in transforming cardiovascular care. Oversee clinical teams, ensuring high standards, build partnerships, and shape value-based care strategies to improve patient outcomes and provider...
Reposted 1 week ago
Medical Director - Medical Oncology - Evicore - Remote
$207K - $346K *
Elevate patient care by leveraging your clinical expertise in specialized medical case reviews, collaborating with physicians to ensure evidence-based services and treatments, all while enjoying the f...
Reposted 2 weeks ago
Senior Director, Risk Management
$160K - $200K *
Transform risk management by leading a national team focused on claims, clinical risk reduction, and innovative AI solutions to improve outcomes. Drive strategic oversight and implement best practices...
1 week ago
Regional Medical Director, Non-Acute UM (Raleigh, Charlotte, NC)
$262K - $393K *
Shape the future of non-acute care by leading utilization management initiatives, optimizing clinical outcomes, and enhancing provider engagement across diverse healthcare networks to drive quality an...
Today
Medical Director Medical Operations- Geisinger Health Plan
$210K - $250K *
Transform healthcare delivery by leading a dedicated medical team in implementing quality improvement initiatives across multiple inpatient services, ensuring optimal patient care and outcomes in a co...
1 week ago
$212K - $354K *
Join a team that's dedicated to enhancing healthcare quality through expert clinical insights and collaborative case management. This role supports dual objectives of patient advocacy and operational...
5 days ago
Remote Inpatient Medicare Medical Director
$215K - $408K *
Lead the charge in medical management and quality improvement initiatives, ensuring effective utilization and cost containment while collaborating with clinical teams to enhance patient care and outco...
Yesterday
$195K - $341K *
Empower healthcare delivery by leading clinical reviews, provider education, and quality improvement initiatives. Collaborate with teams to enhance member care standards and support compliance with re...
1 week ago
Medical Director - Inpatient Review
$223K - $313K *
Collaborate with a dedicated team of physicians to ensure high-quality inpatient care through clinical expertise, thorough reviews, and utilization management. Advance patient outcomes by utilizing st...
Reposted yesterday
$67K - $114K *
Drive compliance initiatives as a HIPAA Privacy Analyst, conducting thorough investigations on privacy breaches and ensuring adherence to stringent healthcare regulations. Collaborate across departmen...
2 weeks ago
Medical Director - Medicaid Appeals
$174K - $374K *
Unlock potential by leading Medicaid appeals for a dynamic health care delivery system. Collaborate with medical management teams to ensure efficient resolution of member and provider appeals, while p...
Reposted 2 days ago
Medical Director, Clinical Development – MRD Portfolio (Solid Tumors)
$320K - $340K *
Lead clinical development strategies for minimal residual disease (MRD) technologies in solid tumors, pioneering evidence generation and market adoption through collaborative partnerships across resea...
3 weeks ago
$126K - $189K *
Join a team that's leading provider enrollment operations, ensuring timely onboarding, compliance, and accuracy. Drive strategic initiatives and enhance operational efficiency across networks while co...
6 days ago
Managing Consultant - Clinical Documentation Integrity (CDI) - Healthcare
$120K - $165K *
Drive the successful transfer of CDI best practices by mentoring client teams, conducting record reviews, and delivering education. Collaborate with healthcare professionals to enhance documentation a...
4 days ago
Medical Director-Physical Health (Full-time Remote, North Carolina Based)
$211K - $269K *
Lead the charge in clinical oversight and development of care standards while guiding a team to ensure exemplary service quality in medical management. Embrace a pivotal role in shaping patient care t...
1 week ago
Medical Director-Physical Health (Full-time Remote, North Carolina Based)
$211K - $269K *
Transform clinical oversight by developing service criteria and managing care standards. Collaborate effectively with healthcare professionals to ensure compliance and promote a positive, inclusive wo...
1 week ago
Director, Pre-bill DRG Validation Program
$125K - $150K *
Drive optimized clinical documentation improvement strategies and oversee a multidisciplinary team to enhance pre-bill validation processes, ensuring compliance and accuracy while supporting client ou...
2 weeks ago
$115K - $135K *
Shape the future of clinical trials by leading site monitoring efforts, ensuring compliance, and fostering collaboration across teams. Drive quality and efficiency in trial execution while mentoring j...
2 days ago
Director, Data Engineering Analysis
$172K - $258K *
Unlock potential by leading data operations and analytics in Medicare Advantage, driving quality improvements and stakeholder collaboration to ensure accurate and actionable data insights for informed...
3 weeks ago
$98K - $147K *
Support data governance practices to ensure data quality, accuracy, and compliance across healthcare operations. Collaborate with stakeholders to resolve data issues and maintain comprehensive metadat...
Reposted 3 weeks ago