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
Clinical Pharmacist / ICU/Critical Care
$90K - $120K *
Collaborate with healthcare teams as a clinical pharmacist, providing expert pharmaceutical care in critical settings. Engage in patient assessments, optimize drug therapies, and contribute to quality...
3 days ago
Clinical Supervisor, Progressive Care Unit
$75K - $95K *
Shape the future of nursing by leading a dynamic clinical team, overseeing operations, and ensuring quality care for our specialized patient population while fostering a collaborative environment...
1 week ago
Cardiovascular Operating Room Registered Nurse
$70K - $95K *
Engage in patient-centered care in a dynamic CVOR environment, collaborating with multidisciplinary teams to deliver high-quality nursing services and uphold safety standards while adapting to individ...
Reposted today
$75K - $95K *
Engineer public health solutions through epidemiological expertise, data management, and surveillance support. Collaborate with CDC experts to enhance disease prevention strategies and contribute to i...
Reposted 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
$250K - $350K *
Unlock potential by joining a leading breast cancer program dedicated to providing exceptional care. Collaborate with a multidisciplinary team in a supportive environment that prioritizes patient outc...
3 weeks 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
Physical Therapist - Emory PT Miller Grove
$78K - $85K *
Champion personalized care by evaluating patients and developing effective treatment plans. Collaborate with a team to deliver hands-on therapies and ensure patients achieve optimal recovery and well...
Reposted 2 weeks ago
Associate General Counsel - Litigation
$181K - $298K *
Shape legal strategies by managing complex litigation, collaborating with internal teams and external counsel to mitigate risks while providing sound legal guidance in alignment with business objectiv...
Reposted 1 week 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
$90K - $120K *
Join a team that's dedicated to delivering comprehensive pharmaceutical care. This role involves direct patient interaction, monitoring drug therapies, and engaging in quality improvement initiatives...
1 week ago
$90K - $120K *
Elevate patient care by providing expert clinical pharmacy services across multiple areas. Ensure optimal drug therapy, engage in quality improvement, and educate patients and staff while fostering co...
1 week 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
Nurse Practitioner/Physician Assistant
$90K - $110K *
Join a team that takes ownership of patient care, providing critical healthcare to a unique population in a dynamic correctional environment. Assess, diagnose and treat diverse medical needs while ens...
Yesterday
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
$90K - $120K *
Optimize patient-centered pharmaceutical care while supporting safety, quality, and cost-saving initiatives. Collaborate with interdisciplinary teams to resolve drug-related issues and enhance medicat...
1 week ago
$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