$100K - $120K *
Oversee all operations of the prior authorization team, ensuring timely submissions and appeals while maintaining compliance and achieving measurable outcomes. Collaborate across departments to enhanc...
2 weeks ago
Pharmacy Network Manager (Aetna)
$54K - $159K *
Join a dynamic team to optimize pharmacy networks through data analysis, relationship management, and compliance oversight. Influence performance measures and drive quality improvement initiatives, en...
4 weeks ago
District Manager, Pain - Mid-Atlantic
$148K - $222K *
Lead the charge in enhancing sales performance across the Mid-Atlantic district. Drive strategy to build customer relationships, develop talent, and implement effective sales plans while ensuring comp...
Reposted 2 weeks ago
$90K - $120K *
Lead the charge in aligning product delivery with company goals, driving roadmap execution, and enabling technical excellence within an agile environment to enhance team efficiency and product quality...
2 weeks ago
Advisor, Government Relations & Advocacy
$90K - $111K *
Help us lead impactful government relations and advocacy initiatives by monitoring policy trends, crafting strategic communications, and engaging stakeholders to advance organizational priorities in t...
3 weeks ago
$150K *
Empower the growth of children with diverse needs by providing expert occupational therapy, creating tailored treatment plans, and collaborating with families and a dedicated team to support each chil...
Today
Health Program Monitoring and Reporting Advisor
$120K - $141K *
Join the team to enhance global health security by developing metrics and oversight frameworks for impactful health programs. Collaborate with stakeholders to ensure data-driven decisions and effectiv...
6 days ago
Senior Healthcare Payer Performance Analyst
$89K - $148K *
Join us to analyze complex healthcare payer data and drive performance improvements. Leverage your expertise in reimbursement, contract management, and analytical skills to support business insights a...
Today
Care Manager RN - UM (Full-Time) Weekends (Remote)
$68K - $105K *
Advance healthcare quality by implementing utilization management strategies. Analyze data for provider enhancement and member satisfaction, while promoting efficient care delivery through collaborati...
Reposted 2 days ago
Access & Reimbursement Director (Central)
$189K - $246K *
Lead and mentor a team focused on access and reimbursement strategies, ensuring healthcare providers and patients have the resources to support therapy initiation and continuity within nephrology care...
Reposted 1 week ago
$85K - $141K *
Contribute to large-scale modernization efforts by providing analytical support, data modeling, and documentation to guide decision-making for software development and architecture in an agile environ...
Today
$90K - $120K *
Unlock potential by supporting Medicare Part B members and providers through accurate processing of medication coverage requests while ensuring compliance with guidelines and delivering best-in-class...
3 weeks ago
$137K - $183K *
Drive accurate revenue accounting and billing operations under IFRS 15/ASC 606. Ensure compliance, data integrity, and process improvements while collaborating with cross-functional teams to optimize...
Reposted today
$71K - $114K *
Join a team that's dedicated to delivering high-quality, coordinated care for members. Manage care plans effectively during off-hours and ensure all necessary services are provided, while collaboratin...
2 weeks ago
Senior Compliance Investigator
$70K - $126K *
Contribute to a dynamic Compliance Investigations Program by leading investigations, analyzing findings, and collaborating with cross-functional teams. Drive ethical standards and ensure regulatory co...
2 days ago
Medical Director - Nourish Medical
$200K - $250K *
Lead the charge in scaling a high-quality medical team, blending clinical expertise and operational acumen to enhance patient care and influence product development while fostering a collaborative cul...
Today
Senior Provider Network Operations Analyst
$80K - $95K *
Drive efficiency in provider network operations by analyzing data, ensuring compliance, and supporting implementations. Leverage insights to enhance system performance and support the success of netwo...
Reposted 1 week ago
AVP, Data & Analytics - Clinical informatics/Risk and Quality - Remote
$120K - $150K *
Drive comprehensive data initiatives that enhance payer strategies and clinical outcomes across various populations. Oversee reporting, implement AI solutions, and foster partnerships while building h...
1 week ago
Clinical Account Executive Rare Disease - NJ/NY
$120K - $140K *
Grow business and advocate for genetic diagnostic services, enhancing clinical outcomes in hospitals and clinics. Leverage expertise to drive sales, manage customer relationships, and expand product a...
2 weeks ago
$77K - $129K *
Lead and manage physician coding projects by overseeing global teams, coordinating training, and driving project development to enhance operational efficiency and coding accuracy in a dynamic healthca...
Reposted 3 weeks ago
Alliance Manager, Translational Medicine
$107K - $134K *
Join us to lead strategic alliances that integrate scientific innovations into oncology drug development. You will manage key relationships, oversee contract negotiations, and ensure compliance, maxim...
3 weeks ago
Clinical Account Manager- Northeast Region
$95K - $115K *
Elevate healthcare outcomes by driving the adoption of innovative technology. Collaborate with clinical teams to showcase product efficacy and provide exceptional support across your region, ensuring...
1 week ago
Aviation Industrial /Organizational Psychologist
$130K - $170K *
Analyze workforce impacts and drive change adoption strategies in a high-visibility initiative centered on aviation safety and operations, leveraging expertise in behavioral science and human factors...
3 weeks ago
Medical Director, Prior Authorization
$180K - $220K *
Champion quality care by leading clinical assessments for Medicare beneficiaries. Engage with teams to enhance compliance, improve service delivery, and ensure adherence to CMS guidelines while workin...
Reposted 1 week ago
$120K - $130K *
Support compliance by ensuring clinical programming meets payer requirements while optimizing processes. Lead strategic initiatives, enhance documentation, and drive performance across all care levels...
Reposted 2 weeks ago