$90K - $130K *
Partner with us to lead legal initiatives by handling contracts, compliance, and transactional matters while ensuring effective governance and risk management across the organization...
3 weeks ago
Senior Medical Science Liaisons(MSL) - Cardiovascular, Detroit Region
$190K - $225K *
Elevate your career as a Senior Medical Science Liaison, driving scientific engagement with KOLs in your region. Support key medical initiatives while collaborating with cross-functional teams and fos...
2 weeks ago
Senior Healthcare Network Consultant
$78K - $107K *
Drive provider performance enhancements by leveraging your expertise in quality initiatives, collaboration, and data analysis to improve STAR ratings and overall provider outcomes while fostering mean...
3 days ago
Medical Director/Primary Care Physician
$150K - $200K *
Join a team that shapes health outcomes by providing leadership in primary care, oversight of health services, and direct patient care, promoting quality and efficient delivery of medical services for...
3 weeks ago
REGIONAL SUPERVISOR ORGANIZATIONAL DEV UM HEALTH REG NETWORK
$75K - $95K *
Lead and innovate organizational development initiatives to enhance team performance, engagement, and operational effectiveness while fostering organizational culture and continuous improvement across...
2 days ago
Senior Denials Prevention Process Improvement Advisor
$69K - $104K *
Join us to lead the analysis and improvement of denial prevention strategies within healthcare, employing data analytics and process improvement to enhance revenue cycle management and client relation...
1 week ago
Medical Director II, Utilization Management
$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...
2 weeks ago
Medical Director Behavioral Health, Medicaid
$223K - $313K *
Join a team that's redefining behavioral health care with your medical expertise. Drive clinical decision-making in a dynamic environment, ensuring compliance and excellence in service delivery. Eleva...
1 week ago
$90K - $110K *
Empower a dynamic team by leading our NICU management, enhancing patient care, and driving operational excellence. Collaborate with multidisciplinary staff to foster a supportive environment ensuring...
3 weeks ago
$71K - $97K *
Empower healthcare outcomes by leveraging clinical expertise to guide utilization management decisions, ensuring optimal care delivery. Collaborate with providers and members to interpret treatment cr...
3 days ago
VP, Risk Adjustment Performance
$227K - $341K *
Champion the Risk Adjustment strategy and execution, leading cross-functional teams to enhance Medicare Advantage program performance. Drive compliance, optimize revenue accuracy, and ensure organizat...
2 days ago
Manager Patient Services - ICU
$75K - $95K *
Champion nursing excellence by managing critical functions, ensuring regulatory compliance, and enhancing patient services through effective leadership in collaboration with the healthcare team, enhan...
2 weeks ago
$100K - $120K *
Transform MLR review processes by coordinating multi-functional workflows, enhancing efficiency and compliance, and securing timely approvals for promotional materials across teams, ensuring regulator...
2 weeks ago
Bilingual (Spanish/English) Advanced Practice Provider: Complex Geriatric Care
$120K - $150K *
Deliver comprehensive care as a skilled APP, managing complex patients remotely. Collaborate with a multidisciplinary team to enhance patient outcomes through tailored health plans, leveraging telehea...
1 week ago
$87K - $118K *
Investigate and adjust complex MPL and General Liability claims. Collaborate with insureds and stakeholders, develop negotiation strategies, and ensure timely documentation while maintaining strong co...
Reposted 2 weeks ago
HB Outpatient Second Level Reviewer - Remote - 138000
$79K - $143K *
Transform healthcare auditing by ensuring compliance, educating staff, and maintaining data integrity. Contribute to a mission-driven team dedicated to enhancing patient care through meticulous oversi...
Reposted 2 weeks ago
$200K - $215K *
Shape the future of medical policy by leading payer strategy and engagement initiatives, driving access for innovative oncology solutions, and collaborating across teams to enhance patient care and re...
3 days ago
Provider Contract Specialist Lead
$85K - $110K *
Lead the charge in developing and negotiating complex healthcare contracts. Collaborate with cross-functional teams, manage communications, and employ critical thinking to enhance strategies that driv...
3 weeks ago
RN - Patient Clinical Services
$68K - $111K *
Transform patient care by delivering expert nursing support through effective triage and communication. Collaborate with primary care teams to ensure high-quality, timely access to healthcare for all...
Reposted yesterday
$329K - $409K *
Inspire and execute clinical development strategies in Hematology. Lead collaborations with vendors and teams to ensure studies are completed on time and within budget while advancing innovative resea...
Yesterday
Inpatient Medical Coding Auditor
$71K - $97K *
Engage in complex inpatient medical coding audits to ensure accuracy in claims reimbursement. Utilize coding knowledge to analyze clinical data and provide support in a metrics-driven environment, imp...
1 week 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 today
Vascular Clinical Specialist (Central GA)
$80K - $120K *
Unlock potential by collaborating with sales teams to enhance service quality, expand market share, and deliver clinical support through education, training, and customer engagement in a fast-paced, p...
2 weeks ago
Compliance Manager - Registered Nurse
$75K - $95K *
Advance compliance standards by executing clinical audits, ensuring adherence to regulations, and supporting educational initiatives across hospice locations. Collaborate with leadership to implement...
Reposted 1 week ago
ASSISTANT CLINICAL SERVICES MANAGER/ONCOLOGY - Registered Nurse
$75K - $95K *
Pioneer efficient clinical operations in oncology, leading staff and ensuring exceptional patient care while collaborating across teams. Drive safety initiatives, staffing, and quality improvements in...
4 weeks ago