Medical Director Aetna Duals Center of Excellence
$174K - $374K *
Reimagine healthcare delivery as a Medical Director, overseeing utilization management and appeals. Collaborate with teams to improve member services while working remotely across the US, ensuring com...
4 weeks ago
Clinical Application Administrator
$70K - $95K *
Manage and optimize critical clinical integrations to enhance patient care. You will monitor HL7 and DICOM systems, resolve issues, and support client onboarding while collaborating cross-functionally...
1 week ago
Lead Program Manager, RPM/CCM/RCM
$100K - $130K *
Drive the strategy and roadmap for RPM, CCM, and RCM programs, ensuring alignment across teams and accountability for performance. Innovate to scale operations while maintaining quality and compliance...
2 weeks ago
Director Medicare Compliance Officer
$100K - $130K *
Pioneer Medicare compliance by leading program design, implementation, and oversight. Ensure adherence to federal and state regulations, fostering a culture of ethical conduct while providing strategi...
5 days ago
$110K - $147K *
Drive the strategic optimization and integration of our financial tech stack, providing essential support for application administration. Collaborate across teams to enhance internal controls, process...
2 weeks ago
Program Claim Manager, Workers Compensation
$87K - $120K *
Support the effective management of Workers Compensation claims through the oversight of Third Party Administrators, ensuring compliance and optimal outcomes while fostering strong relationships with...
1 week ago
Epic Applications Analyst [Professional Billing]
$80K - $100K *
Lead the charge in optimizing healthcare IT systems by becoming a Subject Matter Expert in Epic applications, driving projects, troubleshooting issues, and guiding workflow improvements that enhance p...
1 week ago
MGR, Contracting - Health Plan Relations (East Region)
$90K - $120K *
Partner with us to enhance managed care contracting by leading negotiations and supporting payer relationships to advance center priorities and ensure client satisfaction while driving operational per...
3 weeks ago
$89K - $130K *
Unlock your potential by leading a dynamic team focused on optimizing Epic Radiant and clinical applications. Drive successful implementations, improve workflows, and ensure high system availability w...
2 weeks ago
Director, Virtual Utilization Review
$120K - $150K *
Transform client partnerships and operational efficiency by leading innovative multi-client utilization review initiatives. Drive strategic oversight, change management, and analytics to enhance perfo...
2 weeks ago
Manager, CDE Governance - Remote
$105K - $134K *
Optimize governance processes by leading a skilled team to develop industry-best standards and enhance project delivery through effective knowledge management, while ensuring compliance and driving op...
Today
Vice President & Head of Payer Strategy
$220K - $275K *
Shape the future of children's mental health services as you lead national payer strategy, negotiate key contracts, and build partnerships that drive both clinical quality and financial success. Join...
2 weeks ago
Denials Management Appeals Nurse (Anesthesia)
$75K - $95K *
Manage medical denials efficiently by analyzing clinical records, filing compliant appeals, and collaborating with healthcare staff to maintain billing accuracy and compliance with third-party payor c...
2 weeks ago
$124K - $190K *
Transform product strategy by leveraging real-world data analytics and Agile methodologies to drive innovative healthcare solutions. Collaborate with cross-functional teams to deliver market-ready pro...
Today
Director, Patient & Provider Services
$100K - $130K *
Elevate patient support services by leading teams to provide exemplary care, driving operational efficiency and performance metrics while fostering a culture of continuous improvement and collaboratio...
1 week ago
AVP, GTM & Commercial Strategy - Real World Data
$180K - $260K *
Pioneer the commercial strategy for a robust RWD business, driving execution and strategic direction. Collaborate with senior leaders across various functions to enhance growth, ensure market competit...
Today
$110K - $120K *
Collaborate to drive member retention and satisfaction through exceptional service delivery. Lead a multifunctional team, develop data-driven strategies, and foster cross-functional partnerships to en...
Today
Senior Vice President (SVP), Ambulatory RCM - Northeast
$225K - $300K *
Drive innovative solutions in ambulatory revenue cycle management by partnering with healthcare clients to enhance operational performance, implement transformation strategies, and analyze business me...
2 days ago
Director, Enhanced Care Management
$100K - $130K *
Help us lead our Enhanced Care Management program, ensuring optimal performance and collaboration while driving quality patient care and cost efficiency through innovative management and strategic ove...
1 week ago
Director, McKesson Total Care Solutions Operations
$153K - $256K *
Shape the future of healthcare operations! Oversee service delivery across pharmacy teams, ensuring high-quality, efficient, and compliant operations while collaborating with cross-functional departme...
Today
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...
5 days ago
Editorial Supervisor, Market Access
$80K - $110K *
Lead the editorial services for aligned accounts, guiding requests and freelancers while optimizing efficiencies and aligning with Market Access teams to meet evolving needs effectively...
3 weeks ago
$70K - $95K *
Empower the healthcare sector by optimizing Epic applications in billing systems. Work collaboratively on system configuration, project management, and user support while mentoring others in a dynamic...
1 month ago
Claim Manager Clinician (Remote)
$79K - $90K *
Oversee the management of Long Term Care claims, ensuring eligibility, communicating with stakeholders, and facilitating resolutions in a remote, fast-paced environment while maintaining compliance wi...
2 days ago
$100K - $120K *
Make your mark at a fast-growing company as an Account Manager, responsible for renewals and expansion across academic institutions. Drive revenue growth through relationship-building, strategic plann...
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