Clinical Denials and Appeals RN
$68K - $113K *
Join us to conduct medical necessity reviews and appeals, enhancing care quality through collaboration and expert analysis of clinical documentation and payer regulations, ensuring compliance and impr...
2 weeks ago
Case Manager Registered Nurse- San Antonio, TX
$60K - $129K *
Engage in a crucial role supporting members through personalized care management. You'll assess healthcare needs, coordinate resources, and enhance wellness outcomes while collaborating with interdisc...
2 weeks ago
NRES Project Delivery Project Manager
$90K - $120K *
Oversee and deliver complex real estate projects with strategic leadership, ensuring budgets, schedules, and quality standards are met. Act as primary contact with senior leadership, driving communica...
3 weeks ago
Prescriber Relations Manager - California
$90K - $135K *
Lead the charge in enhancing prescriber relationships through engagement and education, ensuring quality referrals and a seamless patient experience while driving collaboration within a growing health...
2 weeks ago
Prescriber Relations Manager - New York/New Jersey/Baltimore
$90K - $135K *
Empower prescribers with exceptional support through strong relationships, ensuring timely access to patient services. Forge trusted partnerships and enhance healthcare delivery while driving improvem...
2 weeks ago
Medical Director – Pediatric Endocrinology – Evicore - Remote
$207K - $346K *
Unlock potential by conducting peer-to-peer consultations and evidence-based medical reviews, collaborating with a network of physicians to enhance patient care and promote best practices in Pediatric...
3 weeks ago
Virtual Critical Care Registered Nurse - Pulse Center - Full Time - days
$81K - $112K *
Join a team that's redefining critical care nursing through innovative telehealth solutions. Provide vital support to ICU patients and nurses, utilizing advanced technology to ensure high-quality, com...
Reposted 2 weeks ago
$79K - $90K *
Join a team that's dedicated to providing exceptional hospice care, coordinating vital support for patients and families during critical times. Your compassionate expertise will make a direct impact o...
3 weeks ago
Physician Liaison- West Region
$77K - $115K *
Develop and maintain strong physician relationships to enhance referral networks. Conduct assessments to identify strategic opportunities, deliver exceptional service, and execute outreach initiatives...
3 weeks ago
Associate Submission and Assessment Specialist, Full-Service REMS
$110K - $149K *
Lead strategic execution for global Risk Management initiatives, managing projects and delivering high-quality documentation across cross-functional teams while ensuring compliance with regulatory sta...
1 week ago
YM New Provider Auditor and Educator
$82K - $131K *
Advance compliance practices by implementing regulatory programs and training. Collaborate with teams to ensure adherence to policies, conduct audits, and enhance internal processes for optimal compli...
3 weeks ago
$78K - $88K *
Elevate the quality of life for adults and seniors by delivering in-home physical therapy while enjoying a flexible schedule and caseload stability in a supportive team environment...
3 weeks ago
Case Manager Registered Nurse - San Antonio, TX
$60K - $129K *
Join a dynamic team as you coordinate care and support health outcomes for members, utilizing clinical expertise to develop personalized plans and engage with members, all while enjoying fully remote...
3 weeks ago
Patient & Community Educator (PACE)- Missouri Territory
$195K - $220K *
Drive impactful education initiatives for caregivers and healthcare professionals on Prader-Willi syndrome. Engage with the community to enhance understanding and treatment adherence while collaborati...
3 weeks ago
Medical Review Nurse - SNF/MDS Auditor
$75K - $95K *
Empower the quality of healthcare by reviewing SNF claims. Join a dynamic audit team to analyze medical data, ensure compliance, and enhance healthcare processes while working remotely in an impactful...
1 week ago
Case Manager Registered Nurse- San Antonio, TX
$60K - $129K *
Join a dynamic team helping members achieve better health through personalized care and case management. This remote role offers work-life balance while collaborating with multidisciplinary teams to d...
1 week ago
Epic Application Analyst, Clinical
$80K - $100K *
Lead the analysis and improvement of Epic applications to enhance clinical workflows. Collaborate with diverse teams to implement technology solutions that address business needs and support the effic...
2 weeks ago
Senior Network Provider Manager, National Medicaid Ancillary Contracting Remote
$67K - $149K *
Optimize provider networks by managing negotiations and contract performance for various healthcare services. Drive initiatives for network expansion while ensuring regulatory compliance and developin...
3 weeks ago
Senior Counsel, Regulatory - Pharmacy Services
$177K - $295K *
Elevate pharmacy regulatory compliance by providing strategic legal counsel, navigating complex laws, and partnering with cross-functional teams to support operations and mitigate risks for business g...
4 days ago
VA Leadership SME/Medical Health Services Manager (Team Lead)
$90K - $120K *
Transform the delivery of women's healthcare services by leading quality improvement initiatives within the VA system. Utilize extensive expertise in healthcare administration to guide strategic decis...
1 week ago
Associate Medical Director, Gynecologic Oncology
$188K - $235K *
Lead the charge in advancing gynecologic oncology through strategic clinical development, collaborating with cross-functional teams to enhance patient care with innovative molecular diagnostics and tr...
5 days ago
Clinical Account Executive (RPh)
$116K - $145K *
Unlock growth by managing clinical client relationships. Enhance care quality while controlling costs through effective program implementation and evaluation. Collaborate with diverse teams to drive i...
Today
$50K - $114K *
Unlock potential by leading client analytics setups to create impactful reporting for health systems, enhancing revenue cycle efficiency through data processes, and driving implementation improvements...
2 weeks ago
$212K - $354K *
Join a team that's dedicated to improving health outcomes through expertise in medical reviews and case management. This role offers a blend of clinical insight, education, and collaboration aimed at...
3 weeks ago
$70K - $95K *
Unlock potential by leading epidemiological research, forecasting disease prevalence, and collaborating across teams. Leverage your expertise to conduct literature reviews, analyze datasets, and suppo...
1 week ago