Director of Fraud Waste & Abuse Special Investigations Unit
$122K - $177K *
Lead the charge in developing and executing the enterprise-wide fraud program, ensuring compliance across diverse healthcare lines through advanced analytics and strategic oversight while managing a s...
1 week ago
$180K - $210K *
Lead the charge in creating innovative physician compensation models that align performance metrics with enterprise goals, enhancing operational efficiency and financial transparency for a high-perfor...
Reposted 1 week ago
$174K - $374K *
Shape the future of healthcare by implementing clinical programs that enhance member care. Collaborate with medical teams and providers to optimize services, ensuring effective health management and s...
2 weeks ago
Sr. Case Manager, Reimbursement
$75K - $95K *
Empower patients by overseeing complex pharmacy reimbursement cases, coordinating timely actions, and ensuring seamless communications among stakeholders. Drive quality improvements and mentor colleag...
Reposted today
Associate Director - Life Sciences Advisory - Commercial
$135K - $225K *
Drive strategic initiatives at the intersection of healthcare and consulting. Lead teams through project management, deliver high-quality outputs, and cultivate client relationships while advancing yo...
3 weeks ago
Region Manager Revenue Cycle Inpatient Coding-Central
$90K - $120K *
Shape the future of coding by leading teams to achieve KPIs, fostering collaboration across departments, and ensuring the integrity of inpatient medical records through expert oversight and strategic...
4 weeks ago
RN / Director of Medical-Surgical Units
$90K - $120K *
Champion quality patient care and lead nursing excellence across multiple medical-surgical units. Drive initiatives to enhance clinical outcomes, patient experience, and team satisfaction through effe...
1 week ago
Behavioral Health Medical Director - Clinical Architect (Virtual Primary Care)
$275K - $325K *
Unlock innovative care as a vital leader in designing and delivering a groundbreaking Serious Mental Illness program while providing direct psychiatric care in a collaborative, tech-driven environment...
4 weeks ago
Medical Director, Medical Management
$227K - $385K *
Lead the charge in optimizing utilization management by assessing medical necessity, ensuring compliance with standards, and collaborating on case management strategies to enhance patient care outcome...
Reposted 4 days ago
Executive Director, Business Development - Patient HUB Services
$130K - $180K *
Lead strategic business development initiatives to drive growth in patient access services. Collaborate with internal partners and build strong client relationships to identify opportunities and deliv...
Reposted 1 week ago
Medicare/Medicaid Program Integrity Advisor
$75K - $95K *
Tackle Medicare/Medicaid Program Integrity challenges by developing educational materials, ensuring compliance, and guiding stakeholders on fraud, waste, and abuse strategies to enhance the integrity...
2 weeks ago
$113K - $188K *
Lead the charge in delivering performance improvement projects for healthcare systems. Manage and mentor teams, execute client engagements, and build strong relationships while ensuring project profit...
4 days ago
$113K - $188K *
Champion healthcare transformation by leading project teams to enhance performance. Utilize data analysis, client engagement, and deliver impactful solutions to drive client satisfaction and project s...
4 days ago
$63K - $140K *
Optimize transplant case management by overseeing patient needs, coordinating care, and ensuring compliance with medical policies while collaborating with teams and stakeholders for effective treatmen...
4 weeks ago
Senior Consultant Advisory Services
$90K - $150K *
Drive performance improvement in healthcare systems as a Senior Consultant, collaborating with team members to lead data analysis, client engagements, and solution development. Manage workstreams, pre...
4 days ago
Head of Growth, Physician Backed Longevity Care
$100K - $150K *
Transform health engagement by leading growth initiatives, building partnerships, and creating impactful content that resonates within the wellness community, ensuring sustainable member relationships...
3 weeks ago
$90K - $130K *
Join a team that's committed to excellence in guiding FedRAMP compliance and cloud security. Leverage your expertise to manage projects, mentor team members, and drive technical discussions while ensu...
Reposted today
Director, Enterprise Epic Applications- Clinical - SolutionHealth - Full Time
$130K - $180K *
Transform clinical application portfolios by providing strategic leadership and operational performance oversight to ensure high-quality patient care delivery, benefiting from a collaborative approach...
3 weeks ago
Clinical Analyst Appeals (Remote)
$93K - $124K *
Drive impactful clinical audit processes and appeals for compliance within a leading healthcare system. Collaborate with providers and management to enhance documentation and billing practices while e...
2 weeks ago
$130K - $140K *
Optimize risk and litigation support by managing claims, collaborating with stakeholders, and enhancing compliance initiatives, all while driving continuous improvement across claims and risk manageme...
1 week ago
$80K - $110K *
Elevate healthcare technology by implementing and supporting EPIC EHR systems. Collaborate with clinical teams, analyze requirements, and optimize workflows for enhanced patient care and operational e...
2 days ago
$100K - $120K *
Join a dynamic team to capture business requirements for healthcare systems, collaborating with clients and vendors. Lead requirement conversations and develop impactful solutions to enhance the core...
Yesterday
$100K - $120K *
Collaborate to define and implement business requirements within the healthcare payor ecosystem. Engage with diverse stakeholders to drive process improvements for core admin functions, leveraging you...
Yesterday
$200K - $250K *
Transform healthcare delivery by leading clinical strategy and Medicaid management while driving compliance, innovation, and strong outcomes for members across Pennsylvania and beyond. Engage partners...
3 weeks ago
$89K - $134K *
Champion training initiatives within healthcare, ensuring proficiency in SES products and clinical applications across internal teams and external customers for optimal outcomes...
Reposted 1 week ago