$120K - $150K *
Advance client satisfaction and operational excellence by leading the Group Health Division, overseeing team performance, enhancing processes, and ensuring profitability while managing key metrics and...
3 weeks ago
Denials & Appeals Administrator (RN)
$89K - $130K *
Unlock your potential by managing the denial and appeal process in healthcare. Collaborate with clinical teams and payers to ensure accurate patient placements and optimize reimbursement while mitigat...
1 week ago
Clinical Pharmacist I - Remote
$113K - $169K *
Drive Clinical Excellence by reviewing coverage determinations and conducting Medication Therapy Management (MTM) for Medicare Advantage members, ensuring compliance with CMS regulations and enhancing...
Reposted today
$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
Staff Physician, Primary Care Telemedicine
$245K *
Partner with us to redefine virtual primary care, delivering exceptional patient services through innovative telehealth solutions. Join our dedicated team to enhance health accessibility and effective...
1 week ago
$90K - $105K *
Oversee facilities operations, ensuring compliance, safety, and maintenance efficiency. Lead management programs, coordinate emergency responses, and enforce standards for hospital systems and environ...
Reposted 3 weeks ago
Product Owner, Hospital/Provider Revenue Cycle (Remote) (USC or GC req'd)
$90K - $120K *
Unlock potential by leading product development initiatives while collaborating with global teams to enhance technology solutions in revenue cycle management. Drive the vision, ensure quality, and mee...
1 week ago
Medical Review Auditor (Fraud Waste and Abuse)
$70K - $91K *
Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...
3 weeks ago
Director, Product Manager, Risk Adjustment
$152K - $183K *
Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...
Today
Sr. Analyst, Financial Systems: Oracle EPM and FP&A
$113K - $169K *
Unlock potential by leading the design and administration of Oracle EPM systems. Collaborate with finance teams to ensure accurate planning models and reporting tools that drive insight for strategic...
1 week 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
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 today
Director Strategy - Academic/Research
$120K - $150K *
Elevate your career by leading enterprise strategy initiatives while collaborating with business unit leaders. This role focuses on translating enterprise direction into actionable plans, fostering al...
3 weeks ago
Senior Staff Medical & Scientific Affairs Liaison - Cardiometabolic
$180K - $200K *
Join a team that's pivotal in advancing cardiometabolic diagnostics through strategic KOL engagement, insightful research, and collaboration within the medical community to improve patient outcomes gl...
2 weeks ago
Telephonic RN Case Manager, SNP (Bilingual Preferred)
$77K - $116K *
Drive comprehensive care coordination for members with chronic needs, optimizing health outcomes through effective nursing assessments, collaboration, and education while maintaining a strong focus on...
1 week ago
Region Manager Revenue Cycle Inpatient Coding-NW
$90K - $120K *
Inspire excellence by overseeing inpatient coding teams, ensuring compliance and performance alignment with enterprise goals while fostering collaborative relationships across multiple departments...
4 weeks ago
Consultant - Healthcare Compliance Auditor - HTS
$70K - $150K *
Shape the future of healthcare compliance by auditing claims and documentation. Collaborate with teams, develop methodologies, and deliver expert analyses to enhance compliance for providers and gover...
2 weeks ago
Manager II, Performance Integrity Office
$144K - $155K *
Champion operational excellence by leading a dynamic team focused on quality governance, process improvement, and stakeholder engagement, ensuring KPIs are not just met but exceeded through discipline...
1 week ago
Functional Medical Director, Operations & Performance
$320K - $360K *
Lead innovative initiatives in clinical operations, driving excellence in primary care delivery while overseeing medical directors. Optimize participant satisfaction and operational metrics to enhance...
2 days ago
Primary Care Advanced Practice Provider (NP OR PA)
$120K - $155K *
Develop innovative virtual primary care solutions, managing chronic conditions and promoting patient engagement through technology. Collaborate with a multidisciplinary team to enhance care coordinati...
1 week ago
$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...
Reposted 5 days ago
$154K - $215K *
Engage key healthcare payers by driving sales of BPaaS and EPaaS solutions. Leverage industry knowledge to strategize and execute account growth plans, focusing on achieving revenue goals while managi...
3 weeks ago
RN, Care Manager (Home Health) Full Time
$75K - $95K *
Empower patients by delivering comprehensive home care services through assessment, coordination, and patient education, while effectively managing a caseload with a focus on quality care and collabor...
Reposted 2 days ago
VP Clinical Oncology Solutions, Access Experience Team
$196K - $275K *
Lead transformative oncology access strategies, leveraging clinical insights and real-world data to optimize client engagement and improve product adoption within the U.S. healthcare landscape. Drive...
3 weeks ago
Representative, Disability Management
$67K - $97K *
Empower employee health through comprehensive disability management, facilitating early and safe returns to work while coordinating with stakeholders to support and enhance rehabilitation initiatives...
Yesterday