Average Salary: $131,762
Enterprise Medical Director, Post-Service Review & Medical Claims Review (MCR)
$195K - $341K *
Transform clinical standards and quality initiatives across the enterprise, ensuring compliance with established protocols. Lead medical direction, drive operational improvement, and foster partnershi...
2 days ago
LTSS & Dual Eligible Program Report Developer IV
$94K - $164K *
Empower healthcare outcomes by engaging in data analytics and reporting. This senior role manages complex datasets, collaborates with cross-functional teams, and creates dashboards to enhance operatio...
2 days ago
Hybrid RN Case Manager - Springfield
$80K - $120K *
Shape the future of healthcare by managing integrated care for complex needs. Collaborate with diverse teams and community resources to enhance health outcomes and enrich the lives of dually-eligible...
2 days ago
Director, Enrollment Operations(Duals Special Needs Enrollment Experience Required)
$113K - $197K *
Drive optimal enrollment operations through strategic leadership, overseeing member lifecycle processes, compliance, and data integrity while managing vendor partnerships and operational transformatio...
2 days ago
RN Clinical Care Manager - Brockton- $5K SIGN ON BONUS
$90K - $120K *
Join a dynamic team dedicated to transforming care for dually-eligible enrollees. Drive comprehensive clinical management by integrating health services and advocating for members' diverse needs in th...
2 days ago
Hybrid RN Clinical Care Manager - East Longmeadow - 5K Sign On Bonus
$80K - $120K *
Engage with diverse populations as a community-based nurse, managing complex care for dually-eligible individuals. Collaborate with providers to enhance health outcomes and integrate services, ensurin...
Reposted 2 days ago
Program Integrity Data Scientist III
$94K - $164K *
Transform payment integrity outcomes by leading advanced analytics initiatives. Drive anomaly detection and Fraud, Waste, and Abuse prevention while mentoring junior analysts and collaborating across...
2 days ago
Manager, Enrollment Operations (MCO/DSNP Enrollment experience required)
$83K - $132K *
Transform the Enrollment Operations team, ensuring quality execution and compliance while driving operational efficiency. Guide staff in delivering high-quality service and adapt to regulatory changes...
2 days ago
$83K - $132K *
Pioneer scalable AI applications using low-code platforms. Collaborate with data scientists and engineers to integrate AI solutions into business processes efficiently and effectively, enhancing opera...
2 days ago
Hybrid RN Care Manager-Springfield-$5k SIGN ON BONUS
$80K - $120K *
Join a team that’s dedicated to enhancing healthcare through innovative care coordination. Make a difference by managing complex medical, behavioral, and social needs for vulnerable populations, ensur...
2 days ago
$113K - $197K *
Unlock potential by leading the design and operationalization of advanced analytics and AI solutions to enhance healthcare operations and patient outcomes, while mentoring teams and influencing enterp...
2 days ago
$62K - $100K *
Join a team that's dedicated to enhancing claims management through data analysis, policy development, and system implementation, ensuring accuracy in clinical edits and reimbursement strategies for i...
2 days ago
Hybrid RN Clinical Care Manager - Springfield - 5K Sign On Bonus
$80K - $120K *
Lead the charge in improving health outcomes for dually-eligible enrollees by providing tailored clinical care management and support. Collaborate with healthcare providers and community resources to...
2 days ago
$62K - $100K *
Advance data analysis of health encounters to ensure compliance with SLAs while driving continuous process improvement. Collaborate across teams to enhance data usability and support regulatory initia...
2 days ago
Human Resources Business Partner III (New York residency required)
$83K - $132K *
Partner with us to drive strategic HR initiatives, aligning organizational culture and business objectives while fostering employee development and engagement in a collaborative environment...
2 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...
2 days ago
$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...
2 days ago
$100K - $120K *
Provide strategic project management leadership for large electric substation projects, ensuring successful execution across all phases with a focus on scope, schedule, and budget while fostering coll...
2 days ago
$115K - $143K *
Transform quality assurance processes by leading site quality initiatives, managing customer relations, and supervising quality teams to ensure compliance and optimize performance in medical device ma...
2 days ago
$100K - $120K *
Drive business analysis by gathering requirements, documenting processes, and validating Salesforce solutions to enhance customer satisfaction and operational efficiency through effective stakeholder...
Reposted 2 days ago
Regional Claims Director, North America Construction
$150K - $180K *
Champion strategic leadership in construction claims, enhancing client advocacy and support across various teams while driving innovation and collaboration for best-in-class service delivery...
2 days ago
Senior Program Manager - Quality Systems - Analytics - Remote
$110K - $130K *
Empower your career by leading cross-functional program management initiatives, driving process improvements, and ensuring compliance in a dynamic environment. Collaborate with key stakeholders to del...
Reposted 2 days ago
$160K - $235K *
Pioneer impactful change as you lead structured management initiatives, engaging clients with strategies that enhance technology and process adoption, while leveraging strong analytical skills and fos...
Reposted 2 days ago
$65K - $98K *
Empower a dedicated team in a fast-paced fulfillment center, driving efficiency and excellence in order fulfillment while fostering a safe, engaging work environment and supporting associates in their...
2 days ago
Supply Chain & Engineering- Engineering Systems PTC Windchill SLM Manager
$94K - $253K *
Empower innovative solutions by leading PTC Service Lifecycle Management implementations, bridging gaps in service operations, and enhancing technical documentation processes across diverse teams and...
Reposted 2 days ago