$130K - $140K *
Champion the development of impactful medical content and strategy, leading a team to drive excellence in scientific communication. Partner cross-functionally to enhance client relationships and ensur...
3 weeks ago
System SVP Support Services Resource Management
$150K - $200K *
Lead the charge in strategic supply management across our national system, ensuring cost-effective sourcing, contracting, and logistics, while enhancing customer service and caregiver support through...
2 weeks ago
Content Analyst II - Drug and Biological Policy
$100K - $125K *
Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...
3 weeks ago
$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
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
Thought Leader Liaison Director - Hematology
$199K - $249K *
Develop strategic thought leader engagement for hematology to enhance pre-launch readiness for enzomenib. Collaborate cross-functionally, synthesize insights, and drive relationships with key opinion...
Today
Director Facilities Operations
$90K - $120K *
Transform your career by leading facilities operations, ensuring optimal maintenance of systems, driving improvement, and mentoring teams to achieve excellence across multiple projects within the orga...
4 weeks ago
Clinical Documentation Integrity Supervisor
$110K - $159K *
Drive the success of Clinical Documentation Integrity teams by overseeing training, quality assurance, and performance management. Engage in coaching to empower staff and enhance associate development...
Today
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