Director, PBM PSAO/Indy Pharmacy Network Contracting
$142K - $177K *
Lead the charge in pharmacy network contracting, overseeing negotiations, contracts, and provider relationships. Drive strategic contract execution, ensuring alignment with financial goals and regulat...
4 days ago
Medical Director – Physical Medicine & Rehabilitation – Evicore - Remote
$207K - $346K *
Lead with your clinical expertise to conduct evidence-based medical reviews, collaborating with healthcare providers to enhance patient care. This role offers growth while ensuring high standards and...
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...
2 weeks ago
$140K - $160K *
Advance your career by leading enterprise risk management and compliance assurance initiatives. Guide strategic oversight on risk identification, audits, and corrective actions while collaborating wit...
4 days ago
Director, Revenue Cycle Management
$120K - $150K *
Create and operationalize a comprehensive insurance revenue cycle for behavioral health. Lead processes from eligibility verification to payment collection, focusing on multi-state expansion and compl...
2 days ago
Epic Systems Analyst– Resolute Hospital Billing & Claims
$68K - $105K *
Join us to support and enhance the Epic Resolute Hospital Billing application, driving process improvements and user engagement through analysis, configuration, and problem resolution within dynamic h...
2 weeks ago
Physician Medical Reviewer M.D. or D.O. (Remote U.S.)
$184K - $204K *
Elevate your career by conducting independent medical reviews and offering expert testimony. Collaborate with healthcare teams to ensure compliance with protocols and improve service quality for diver...
3 weeks ago
$185K - $352K *
Champion pharmacy operations across diverse markets, overseeing benefit management, contract administration, and strategic initiatives while ensuring quality service and compliance with performance st...
Yesterday
Sr. Auditing Consultant - Inpatient
$149K - $160K *
Transform healthcare coding audits by analyzing patterns, educating clients, and enhancing coder performance while ensuring compliance with federal and state regulations in a dynamic, customer-focused...
Reposted 2 weeks ago
Digital Application Analyst III, Imaging
$114K - $172K *
Collaborate with teams to implement and optimize imaging applications, driving operational goals. Engage in technical support and development, leveraging industry best practices for impactful contribu...
Today
Program Manager IV, Health Plan Accreditation
$114K - $172K *
Lead the NCQA accreditation strategy and ensure ongoing survey readiness. Drive cross-functional collaboration to maintain compliance with standards, manage timelines, and deliver training, while over...
Today
$64K - $96K *
Champion accurate coding by leading quality assurance audits, collaborating with teams to enhance data integrity, and driving compliance. Utilize your expertise to support Risk Adjustment initiatives...
4 days ago
Manager, Health Plan Technical Delivery (Remote)
$100K - $130K *
Lead high-impact healthcare data integration projects, ensuring successful implementation and delivery while managing teams and stakeholder relations in a fast-paced, dynamic environment. Drive proces...
2 weeks ago
Principal Technical Product Manager
$120K - $160K *
Advance enterprise product strategy for pharmacy-focused platforms, driving measurable impact through innovative and secure solutions. Oversee product vision and execution across various ecosystems wh...
1 week ago
Senior Service Delivery Analyst (Epic Clarity)
$90K - $120K *
Shape client interactions with actionable insights by leveraging extensive revenue cycle expertise, advanced SQL skills, and Epic Clarity knowledge to enhance analytics and operational performance acr...
Yesterday
$156K - $195K *
Empower the success of a high-performing Application Support team by leading strategic initiatives. Drive operational excellence and service performance while ensuring client satisfaction and team dev...
1 week ago
Academic Personnel Specialist (BLANK AST 4)
$71K - $92K *
Engage in administrative support for the Department Chair, facilitating faculty processes and managing departmental tasks to enhance operational efficiency while maintaining effective communication wi...
Reposted 2 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...
1 week ago
$125K - $153K *
Lead rehabilitation initiatives to enhance therapy program delivery, ensuring compliance and quality care for participants. Oversee staff performance and contribute to strategic planning and budget de...
2 weeks ago
Associate Director, Patient Support Services
$190K - $236K *
Join a team that's dedicated to enhancing patient access by managing end-to-end operations for support programs. Collaborate with diverse stakeholders to implement innovative strategies and improve pa...
4 days ago
Clinical Director, Training & Quality
$100K - $130K *
Lead the charge in enhancing clinical education and quality assurance in palliative care, shaping consistent, high-quality patient experiences while supporting a culture of excellence through strategi...
3 weeks ago
Executive Director, Strategic Client Engagement - Evidence/RWE
$150K - $200K *
Transform strategic client engagement and drive commercial growth through innovative solutions and senior-level relationship building to meet client objectives and enhance market positioning...
Reposted 5 days ago
Manager of Education Remote Imaging
$75K - $95K *
Drive educational innovation by developing and implementing training strategies for Remote Imaging Services, enhancing clinical quality and operational performance in a centralized virtual environment...
Reposted 6 days ago
$95K - $124K *
Champion strategic partnerships with key financial institutions to enhance loyalty, revenue growth, and market share. Utilize consultative sales techniques and strong industry knowledge to build relat...
Reposted 4 days ago
Lead Director, Pharmaceutical Contracting
$100K - $231K *
Elevate your career by leading strategic negotiations in high-value rebate contracts for branded pharmaceuticals, collaborating with cross-functional teams, and fostering relationships with manufactur...
1 week ago