$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 3 days 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...
3 days 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 1 week 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 2 days 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 6 days 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 1 week 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...
6 days ago
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...
Today
$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...
3 days ago
$174K - $374K *
Transform health care delivery by leading clinical initiatives in orthopedic spine or neurosurgery. Enhance medical management programs through collaboration, expert evaluation, and strategic oversigh...
Reposted 1 week ago
$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...
1 week 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...
2 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...
Yesterday
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...
1 week 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...
2 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 2 weeks ago
Sr. Director, CDO Strategic Growth
$149K - $224K *
Champion growth initiatives to drive membership and enrollment across four key markets, leveraging data-driven strategies and cross-functional collaboration to optimize performance and market expansio...
2 weeks ago
$168K - $231K *
Champion solution innovation for health plans, driving lifecycle management, pricing, and market strategies while collaborating with cross-functional teams to enhance customer satisfaction and operati...
1 week ago
Clinical Reviewer, Inpatient RN
$94K - $141K *
Lead utilization management efforts in a dynamic inpatient setting, ensuring appropriate care and resource allocation for complex member cases while collaborating closely with providers and interdisci...
1 week ago
Utilization Management, Medical Director
$186K - $223K *
Partner with us to lead clinical excellence and quality outcomes in healthcare. Drive utilization management strategies, enhance provider engagement, and support population health initiatives as a tru...
2 weeks ago
$66K - $100K *
Transform healthcare denials management by analyzing data and creating metrics, tracking trends, and identifying root causes. Collaborate across departments to enhance processes and ensure timely resp...
Reposted 3 weeks ago
Sr. Director, Care Delivery Org, Value Based Care Contracting
$149K - $224K *
Lead value-based contracting efforts to drive cost improvement and quality performance, managing complex provider relationships. Oversee contract lifecycle, strategic planning, and cross-functional co...
2 weeks ago
$149K - $224K *
Lead cross-functional transformation initiatives to enhance operational efficiency, quality, and scalability. Collaborate with business leaders to redesign processes and implement solutions that drive...
5 days ago
$222K - $267K *
Transform healthcare through effective utilization management and collaborative leadership. Play a key role in developing policies ensuring high-quality patient care and cost containment within a dyna...
5 days ago