Lead Medical Review Specialist (Medical Reviewer V) (Medicare)
$90K - $120K *
Unlock potential by providing expert medical review and claims analysis, ensuring compliance and payment determinations for Medicare services. Collaborate with teams to safeguard high-quality service...
4 days ago
Technical Account Manager - GRC/Identity Governance
$90K - $130K *
Champion compliance and access governance within enterprise systems. Collaborate with clients to optimize Fastpath solutions, driving ROI and ensuring adherence to regulations. Leverage your expertise...
1 week ago
$90K - $120K *
Lead the charge in optimizing underwriting operations and staff management, ensuring successful achievement of company objectives while developing strategies for risk acceptability and profitability a...
2 weeks ago
Payer Contracting Manager - Evernorth - Hybrid
$103K - $173K *
Unlock potential by leading payer contract strategies and advising health systems, driving optimal reimbursement outcomes through expert guidance and cross-functional collaboration with stakeholders a...
Reposted 2 weeks ago
Actuarial Manager, MA Revenue Analytics
$129K - $162K *
Engineer advanced actuarial models and analytics for Medicare Advantage revenue forecasting, collaborate with stakeholders to identify opportunities, and lead a talented team while ensuring accuracy a...
4 weeks ago
Complex Casualty Claims Manager
$103K - $164K *
Lead the charge in managing complex commercial casualty claims, providing strategic oversight and fostering a high-performing team. Drive improvement in claims outcomes, enhance customer experiences...
2 weeks ago
$150K - $200K *
Transform revenue cycle operations by leading modernization initiatives, optimizing processes, and enhancing financial performance to meet client expectations. Cultivate a high-performing team and col...
Yesterday
$150K - $200K *
Reimagine revenue cycle management by leading transformative strategies that enhance operational efficiency, technology integration, and performance outcomes while fostering a high-performing team in...
5 days ago
RN Manager, Case Management / Utilization Management
$104K - $127K *
Shape the future of clinical management by leading a high-performing team dedicated to excellence in utilization review, ensuring quality care and compliance with regulatory standards while driving st...
1 week ago
Prior Authorization Supervisor
$96K - $109K *
Play a key role in overseeing prior authorization operations, ensuring staff apply medical knowledge effectively, resolving complex cases, and collaborating with clinical teams and third-party payers...
Reposted today
General Manager, Product Strategy and Management: EviCore
$223K - $371K *
Empower growth by leading product strategy and management, overseeing utilization management programs spanning multiple healthcare specialties to optimize profitability and enhance stakeholder value t...
2 days ago
$72K - $97K *
Deliver compassionate, member-focused care through effective case management. Leverage clinical expertise to coordinate services and support members with high healthcare needs, ensuring safe transitio...
Yesterday
$109K - $146K *
Join a team that's shaping the financial future through strategic analytics and modeling. You'll collaborate with leaders to drive decision-making that fosters growth, ensuring financial insights alig...
3 weeks ago
$90K - $95K *
Drive growth as you lead and mentor a high-performing BDR team. Shape outreach strategies, optimize processes, and collaborate across functions to ensure pipeline success in the healthcare compliance...
1 week ago
Account Manager, Immune Response, Hospital Sales (PA, Western NY)
$100K - $125K *
Accelerate progress at the forefront of healthcare innovation by driving adoption of cutting-edge immune response diagnostics across diverse healthcare settings while collaborating cross-functionally...
3 weeks ago
Manager, Compliance, Legal & Risk Administration
$90K - $120K *
Elevate your career by leading operational compliance and risk management in a dynamic, multi-state organization. Drive efficiencies, manage centralized systems, and ensure smooth regulatory adherence...
Reposted 2 weeks ago
$110K - $125K *
Transform revenue accounting operations by leading compliance, reconciliation, and reporting processes. Collaborate with cross-functional teams to enhance internal controls and drive efficiency, provi...
3 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...
1 week ago
$90K - $120K *
Unlock potential by leading compliance initiatives in a remote role. Collaborate with the Chief Compliance Officer to maintain regulatory adherence and develop training across healthcare teams, ensuri...
3 days ago
$90K - $120K *
Join a team that's dedicated to enhancing coding services, ensuring operational excellence, and fostering positive client relationships. Manage resources effectively while mentoring staff to meet prod...
Reposted 1 week ago
$120K - $150K *
Unlock the potential of a pioneering product in healthcare, driving patient-centric experiences from launch through retention. Collaborate cross-functionally to analyze data and optimize growth for a...
Yesterday
$90K - $120K *
Shape the future of healthcare compliance by leading regulatory readiness across multiple states. Drive policy localization, training, and monitoring while partnering with operational leaders to ensur...
Reposted 2 weeks ago
Manager, Ancillary Application Solutions
$100K - $130K *
Champion the integration and optimization of ancillary clinical applications, leading a dedicated team and ensuring alignment with strategic organizational goals to enhance operational efficiency and...
Reposted 1 week ago
Chief Financial Officer (CFO) - contingent
$150K - $200K *
Lead financial operations and compliance for a growing global health organization. Collaborate with executive leadership and the Board to ensure fiscal integrity, transparency, and risk management whi...
Yesterday
$80K - $120K *
Take ownership of key construction projects, ensuring timely delivery, budget adherence, and quality compliance. Collaborate closely with contractors and design teams, serving as the owner's represent...
2 weeks ago