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$78K - $107K *

Shape the future of health plan accreditation by ensuring compliance with NCQA standards, collaborating cross-functionally, and presenting documentation for evaluations. Utilize critical thinking to d...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$223K - $313K *

Join our team to utilize your extensive clinical expertise in reviewing complex Medicare drug appeals while ensuring compliance and quality care for members. Collaborate with interdisciplinary teams t...

US-AnywhereRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$262K - $393K *

Unlock potential by managing effective utilization of medical services through expert clinical reviews, collaboration with healthcare professionals, and ensuring compliance with regulatory guidelines...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$242K - $315K *

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$180K - $220K *

Join a team that's committed to providing exceptional primary care. Leverage your medical expertise to diagnose, treat, and manage patient care, while participating in multidisciplinary activities to...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$87K - $108K *

Champion transformative therapy services for seniors, enhancing their independence through tailored care plans, collaborative assessments, and wellness check-ins. Join a supportive environment focused...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$238K - $322K *

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

US-AnywhereRemote

Reposted 4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$253K - $330K *

Provide strategic clinical leadership to cross-functional teams, ensuring product designs effectively address primary care needs, enhance user experience, drive quality, and leverage industry trends t...

US-AnywhereRemote

2 days ago

  •   8 - 10 years exp.  •   Healthcare

$310K - $500K+*

Drive revenue enhancement and strategic transformation for healthcare clients. Navigate complex contract negotiations and implement managed care solutions, improving financial performance across multi...

US-AnywhereRemote

Reposted 2 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$280K - $345K *

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

US-AnywhereRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$86K - $106K *

Lead the charge in coordinating patient care by managing cases, ensuring seamless communication among patients, families, and providers, and resolving barriers to therapy. Focus on optimizing the pati...

US-AnywhereRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$71K - $97K *

Shape the future of patient care as you lead assessments and coordination for members transitioning from hospital to home, ensuring a seamless experience and improving health outcomes through collabor...

US-AnywhereRemote

Reposted 3 days ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $97K *

Lead the charge in ensuring seamless patient transitions by assessing needs, educating families, and coordinating care with healthcare professionals for optimal outcomes and reduced readmissions...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$71K - $97K *

Join a team that's dedicated to enhancing patient care through comprehensive assessments and coordinated discharge planning. Elevate the healthcare experience by collaborating with providers to ensure...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$210K - $260K *

Join a fast-paced team of medical professionals to evaluate and enhance service appropriateness through evidence-based guidelines, impacting quality patient outcomes across multiple specialties while...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$210K - $250K *

Join a dynamic team to lead clinical studies, ensuring strategic execution and oversight in neuropsychiatric drug development. Drive collaboration across departments and contribute to regulatory frame...

US-AnywhereRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Oversee and innovate the performance, strategy, and governance of a multi-channel contact center, leading a dynamic team to drive operational excellence across diverse markets while enhancing customer...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Business Services

$105K - $120K *

Empower clinical excellence by leading a dynamic team of behavioral health providers. Collaborate with operations to optimize care delivery, enhance patient experiences, and cultivate a supportive, mi...

US-AnywhereRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$210K - $290K *

Drive comprehensive care for patients with eating disorders in a dynamic virtual team setting. Engage collaboratively across disciplines to deliver assessments, treatment, and leadership, ensuring med...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$86K - $118K *

Shape strategic direction and execution of consumer product initiatives, collaborating across teams to enhance operational efficiency and drive transformative projects essential to the organization’s...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$250K - $300K *

Empower patients with eating disorders through comprehensive psychiatric evaluations and treatment plans in a fully virtual platform. Collaborate within a multidisciplinary team to ensure holistic car...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$113K - $197K *

Join a team that's pivotal in managing extensive care programs, ensuring cross-functional coordination, delivering effective outcomes, and leading improvements in project management processes across t...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$198K - $297K *

Drive transformative strategies for enterprise risk adjustment, overseeing operations to achieve financial and operational goals while fostering collaboration across teams and providers for sustainabl...

US-AnywhereRemote

Yesterday

  •   8 - 10 years exp.  •   Healthcare

$227K - $385K *

Lead the charge in enhancing behavioral health strategies and compliance, providing clinical consultation and oversight to ensure high-quality care and outcomes within a collaborative healthcare envir...

US-AnywhereRemote

Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$174K - $374K *

Unlock potential by leading medical management for spine-related care, providing clinical expertise, supporting utilization review, and ensuring quality assurance while liaising with providers to enha...

US-AnywhereRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare