Director, Claims Process Optimization ( Facets Required)
$113K - $197K *
Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...
2 weeks ago
$73K - $106K *
Lead the charge in managing complex, cross-functional projects, ensuring timely delivery and adherence to quality standards. Collaborate with teams to identify risks and drive continuous improvement w...
1 week ago
$110K - $130K *
Lead the charge in optimizing drug library implementations for smart infusion pumps, collaborating with healthcare teams to enhance medication safety and workflow efficiency across mid- to large-sized...
2 weeks ago
Senior Manager, Global Case Management
$134K - $201K *
Lead the charge in global case management operations, ensuring compliance and quality in Individual Case Safety Report processing. Collaborate with cross-functional teams to enhance safety lifecycle d...
Today
Sr. Manager, Health Outcomes Accreditation
$67K - $199K *
Lead NCQA Health Outcomes and Community-Focused Care Accreditation initiatives, driving quality improvement and compliance across health plans. Collaborate with teams to enhance equitable health outco...
3 days ago
Healthcare Claims Payment Policy Managing Consultant
$113K - $188K *
Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...
2 weeks ago
$108K - $153K *
Manage pharmacy operations, ensuring compliance and optimal performance. Lead a team, provide patient care, and maintain high safety and quality standards while achieving financial goals and regulator...
6 days ago
$111K - $178K *
Shape the future of patient access by managing support services, analyzing trends, and collaborating with stakeholders to enhance patient experiences and overcome access barriers in the healthcare lan...
Yesterday
Health System Pharmaicst Level I
$85K - $100K *
Optimize pharmacy services in a dynamic healthcare environment, ensuring compliance with regulations while providing exceptional patient care and support. Collaborate with clinical teams to enhance me...
2 weeks ago
Health System Pharmaicst Level I
$85K - $100K *
Elevate healthcare by providing professional pharmacy services in a dynamic environment. Collaborate with clinical teams to ensure optimal patient therapy and medication management while adhering to r...
2 weeks ago
Access and Reimbursement Manager (NYC Metro)
$121K - $194K *
Join a team that's dedicated to enhancing patient access to specialty therapies by leading case management and collaborating with healthcare providers and pharmacies to streamline treatment initiation...
2 weeks ago
Access and Reimbursement Manager (NYC Metro)
$121K - $194K *
Drive patient access by leading case pull-through efforts, collaborating with healthcare providers and pharmacies to ensure timely treatment initiation while navigating complex authorization processes...
2 weeks ago
Access and Reimbursement Manager (NYC Metro)
$121K - $194K *
Accelerate progress at improving patient access to treatment by leading case pull-through efforts, collaborating with healthcare providers, and navigating complex authorization processes to ensure tim...
2 weeks ago
Access and Reimbursement Manager (NYC Metro)
$121K - $194K *
Unlock potential by leading patient access initiatives and enhancing treatment pathways. Collaborate with healthcare providers and specialty pharmacies to streamline authorization processes and ensure...
2 weeks ago
Senior Analyst, Contract & Formulary
$99K - $111K *
Engage in compliance and eligibility resolution for managed care contracts. Collaborate with account managers to ensure formulary alignment and recover rebates. Utilize data analytics to audit and pre...
3 days ago
$127K - $159K *
Drive statistical leadership in oncology clinical development, guiding study design, analysis, and regulatory submissions. Collaborate with cross-functional teams to ensure high-quality deliverables a...
3 days ago
$92K - $120K *
Join a dynamic team as a Medical Claims Auditor, ensuring compliance and integrity in healthcare payments. Collaborate with cross-functional teams to identify fraud, waste, and abuse while leveraging...
5 days ago
$108K - $130K *
Lead cross-functional Publications Teams to execute strategic publication plans, ensuring high-quality scientific communications and alignment with therapeutic area objectives while managing resources...
4 days ago
$107K - $199K *
Lead transformative process improvements to enhance healthcare quality and efficiency. Collaborate with teams to elevate performance metrics, oversee cultural competency initiatives, and drive strateg...
Reposted yesterday
Provider Operations Manager - Credentialing
$73K - $115K *
Grow your career with a dynamic team focused on optimizing provider operations. Lead credentialing initiatives, implement AI solutions, and enhance workflows while ensuring compliance and operational...
6 days ago
Clinical Pharmacist - Oncology
$110K - $130K *
Join a team that's dedicated to providing safe, patient-centered pharmacy services. You'll ensure accurate medication selection, dosing, and dispensing while contributing to medication safety initiati...
2 days ago
ASSISTANT DIRECTOR, PHARMACY | FULL-TIME DAY SHIFT (25547)
$170K - $195K *
Unlock your potential by leading pharmacy operations, enhancing patient care, and developing staff through education and collaboration. Drive quality assurance and regulatory compliance while fosterin...
1 week ago
National Quality Performance Manager - HEDIS (Remote)
$90K - $110K *
Champion quality performance initiatives by collaborating across departments to enhance healthcare outcomes through data analysis, project management, and compliance with regulatory standards, ensurin...
2 weeks ago
Product Manager, Clinical Programs & Case Management
$86K - $138K *
Unlock innovative healthcare solutions by leading product strategy and lifecycle management for clinical programs. Collaborate across teams to enhance member experiences and drive business value while...
1 week ago
Senior Pharmacist - Strategy (Hybrid)
$118K - $196K *
Lead the charge in developing and executing drug formulary strategies, ensuring compliance with regulations while collaborating with cross-functional teams to enhance pharmacy utilization management a...
3 weeks ago