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
$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 2 days ago
$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
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
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...
2 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...
2 days ago
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...
2 weeks 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 month ago
General Cardiology - Nurse Practitioner
$124K - $166K *
Elevate patient care as a General Cardiology Nurse Practitioner, supporting both inpatient and outpatient services in a dynamic, collaborative environment dedicated to excellence and quality healthcar...
2 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 2 days ago
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
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
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
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...
Yesterday
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...
Yesterday
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...
3 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
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
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...
4 days 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 1 week 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 4 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