Clinical Program Advisor - Express Scripts - Remote (Centene)
$95K - $159K *
Empower the future of healthcare by providing expert guidance in Clinical Program Management. Engage with stakeholders to elevate client experience, drive quality improvements, and lead strategic proj...
2 days ago
Provider Educator - Remote - 139952
$108K - $150K *
Unlock your potential as a Provider Educator, driving compliance and coding excellence in behavioral health and urgent care within an academic environment. Collaborate with physicians and leaders to e...
1 week ago
Supervisor, Behavioral Health Utilization Management
$75K - $135K *
Join a team that leads the behavioral health utilization review process, ensuring high-quality care for members while managing a skilled team. Play a crucial role in compliance, performance monitoring...
Yesterday
Manager, Operational Excellence (Remote)
$90K - $120K *
Drive operational excellence by leading process improvements and leveraging analytics to enhance efficiency, reduce costs, and improve outcomes in a dynamic healthcare environment...
1 week ago
Clinical Utilization Management Pharmacist
$100K - $130K *
Take ownership of drug utilization management by leading reviews, ensuring compliance, and collaborating with stakeholders. Enhance pharmacy operations through expertise and trend analysis, impacting...
4 days ago
$120K - $140K *
Engage in patient-centered care by delivering compassionate counseling and support for individuals undergoing multi-cancer early detection testing. Collaborate with cross-functional teams to ensure a...
3 weeks ago
Pharmacy Clinical Consulting Senior Advisor - Cigna - Remote (Nashville, TN area)
$123K - $205K *
Join a dynamic team as the primary pharmacy benefits expert, developing key relationships and supporting client retention. Drive initiatives to enhance pharmacy services across integrated medical and...
2 weeks ago
Case Manager, Registered Nurse - Remote
$54K - $116K *
Champion member wellness by implementing health strategies, benefits delivery, and clinical coverage. Collaborate with teams to ensure effective management of care processes, enhancing member experien...
Reposted today
Full Time Remote Telemedicine Physician - (CA and IMLC license required)
$120K - $200K *
Champion innovative virtual care delivery by providing high-quality clinical assessments and treatment across various specialties, enabling flexible work arrangements with a focus on patient outcomes...
Reposted 3 weeks ago
$220K - $245K *
Transform pediatric healthcare by joining a dynamic clinical team dedicated to integrated care. Collaborate with experts, innovate care models, and foster your professional growth while making a signi...
1 week ago
Network Resident Housing Liaison (RN or LPN)
$77K - $96K *
Engage in improving compliance and risk management for contracted housing facilities. Manage audits, collaborations, and corrective actions to ensure quality care for seniors while fostering productiv...
1 month ago
Pediatric Pharmacist (Remote) - MD Licensure
$140K - $150K *
Optimize pediatric medication management through remote consultations, collaborate with healthcare teams, and drive quality improvement initiatives to enhance patient outcomes in a fully remote settin...
1 week ago
Licensed Mental Health Counselor (LMHC)
$115K - $120K *
Join a team that's dedicated to enhancing emotional well-being through virtual counseling. Provide personalized support and therapeutic interventions to clients, helping them navigate life's challenge...
Reposted 3 weeks ago
Virtual Clinician Home Evaluations Physician Full Time - Kansas
$104K *
Lead impactful online Video Visits with health plan members, conducting thorough health reviews and educational sessions to enhance member care and engagement, all while managing compliance requiremen...
1 week ago
Therapeutic Nutrition Acute Care Specialist - Nashville East
$61K - $122K *
Empower healthcare professionals by executing sales strategies to enhance market share for leading nutrition brands. Drive impactful relationships with hospital accounts and outpatient clinics, delive...
Reposted 3 days ago
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...
4 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...
4 weeks ago
Licensed Clinical Social Worker (Remote)
$78K - $92K *
Champion mental health services by delivering virtual counseling and treatment plans, ensuring compliance with military healthcare standards, while promoting patient wellness and emotional resilience...
Reposted today
Remote Day Neuroradiologist - RP Helios
$500K+*
Transform your career by specializing in neuroradiology. Enjoy a fully remote role with flexible scheduling options and the opportunity to practice exclusively within your subspecialty, all while rece...
Reposted 1 week 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...
4 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...
3 weeks ago
$98K - $163K *
Drive transformation and operational excellence in healthcare consulting to enhance client strategies, improving efficiency and compliance while mentoring junior consultants and collaborating with div...
Reposted 6 days 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...
3 weeks ago
Supervisory Medical Director, National Physical Health Appeals Outpatient UM
$236K - $449K *
Transform healthcare delivery by leading medical directors and driving strategic initiatives, ensuring quality care and optimal outcomes for members while overseeing operational management and complia...
6 days 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...
4 weeks ago