$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 Medical Director, Appeals
$236K - $449K *
Join us to lead medical management and quality improvement initiatives, driving improvements in care and cost-effectiveness. Collaborate with clinical teams and participate in network development to e...
3 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 6 days 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
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
$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
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
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...
4 days 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 - 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 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
$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 2 weeks 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...
3 days 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...
Yesterday
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...
5 days 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
$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
$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...
2 weeks 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
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
$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...
1 week ago