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VP of Medical Management | Health Services - (RN) - Milwaukee, WI Milwaukee... on the shores of Lake Michigan...you will find it is a very comfortable place to enjoy life...rich in historical and cultural attractions, and the perfect place for exploring the outdoors. Company offers generous relocation & perks, including TUITION & stock optionsJoin an already successful leadership team as they continue to improve outcomes and quality in WI. VP will establish and implement the strategic....


Manager, Medical Management - Appleton, WI Provide leadership for experienced clinical team in growing satellite office (12 direct reports), Manager will be responsible for managing a complete program of medical management in accordance with the mission, philosophy, and objectives of plan. Oversight includes both UM and CM. Manager will implement changes to medical service functions and performance in relation to company mission, philosophy objectives and policies, as directed. Manage budgets....

- Columbus, OH
new job!

Sr Director, Provider Contracting – Columbus, OHIO Great manager – highly motivated team –relocation offered. Growing health plan needs a strong communicator with a deep knowledge of value- based contracting and proven ability to build relationships with providers and senior leadership. Drive the development and implementation of network contracting and network development. · Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between


VP, Provider Contracting | Network | Strategy OREGON - Portland | Eugene STRONG leadership team - GREAT relo & benefits. Experienced strategist with exceptional relationship - building skills will direct the provider network and contracting activities across the OR market for multiple product lines. Responsible for analysis, network operations and supporting decision makers with analysis related to reimbursement and unit cost management. Oversee the coordination and negotiation for the....

- St Louis, MO
new job!

VP, QUALITY - MCO - St Louis EXCEPTIONAL leadership team - GENEROUS RelocationWorking closely with the Chief Medical Director and the CEO, VP will oversee all related activities for Quality Improvement functions. Lead and direct process improvement activities for more efficient and streamlined workflow. Oversee the business processes related to risk adjustment and quality improvement for assigned products and plans.Responsible for all activities related to National Committee for Quality....

- Indianapolis, IN
new job!

Director, UM - Indianapolis, IN Amazing growth continues with this national firm - award winning programs of care and a chance to TRULY make a difference for the medically underserved population in INDIANA. Benefits are excellent- career advancement opportunities are unlimited Director will join an already successful team and have oversight for referral management, telephonic utilization review, prior authorization functions, and case management programs and ensuring compliance government and....

- Eau Claire, WI
new job!

Behavioral Case Management (Social Worker) – Eau Claire, WI As a team member in Integrated Case Management, you will be working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members’ current functional level and, in collaboration with the member, develop and monitor the Case Management Care Plan, monitor quality of care; assisting with discharge planning, participating....

- Sunrise, FL
new job!

Senior Director, Quality – FLORIDA _____________________________________________________________________ Incredible growth potential - generous relocation to SUNNY Florida! If you enjoy taking the lead in NCQA accreditation - this may be the new job for you! Sr Director will utilize proven success in moving the needle by directing process improvement activities to improve and streamline workflows across the Florida market. Responsible for NCQA and HEDIS performance. Ensure health plan is....

- Columbia, SC
new job!

VP Medical Management | Health Services - South Carolina _____________________________________________________________________________________________ VP will be a part of strong & collaborative leadership team with the opportunity to be a key strategist in this market. Incredible growth opportunities and perks for this executive role GENEROUS relocation & competitive compensation. ** We are seeking an experienced leader with a proven background in an MCO/health plan/ACO. Direct and....


Sr VP Health Services | Medical Management - CA ___________________________________________________________________ Advance your career AND make a difference! Exceptional opportunity for someone who thrives on quantifiable results to drive improvement in quality, outcomes, and operational efficiency, enhancing care delivery and quality of life for the membership of this international, mission -driven MCO. GENEROUS relocation and compensation - AMAZING career potential SVP will be a key part of

- Gainsville, FL
new job!

Looking for someone with a Masters or Au.D degree in Audiology or related profession. A Certificate of Clinical Competence in Audiology or ABA Certification is required. The company is a well known international manufacturer of implants and sound processors. The clinical specialist will be responsible for:Providing on-site clinical support to clinicians on the company's bone anchored hearing systems.Supporting case management, which includes testing, clinical studies, and gathering inpurt from

- Alexandria, VA
new job!

We are in search of a full time Perfusionist who meets the following requirements:While our client will consider NEW GRADS, prior experience as a Perfusionist is preferred.Our client needs someone who can hit the ground running and if a new grad…very eager to learnGraduate from a CAAHEP accredited school of cardiovascular perfusion and completion of a Baccalaureate program.American Board of Cardiovascular Perfusion (ABCP) certified as a Certified Clinical Perfusionist or registry eligible and....


We are in need of an Adult or Family Nurse Practitioner with Occupational Health experience or transferable skills from working in an Emergency Room, Urgent care or Correctional Medicine work settings. Our client is a worksite-based health and wellness center serving company employees. This is a NEW role located near Wichita, KS… rated as one of the best places to live in 2018 and known for having some of the best public schools in the country. We are adding TWO Nurse practitioners. The Nurse....

- Kansas City, MO
new job!

Our client delivers home based primary care, working with home health and hospice agencies to ensure patients receive continuity of care in the home environment. Our clients’ in-home physicians collaborate with agencies to establish in-home treatment plans and certify the need for services. Our client partners with home health agencies, collaborates with independent and assisted living communities, and works with skilled nursing facilities and hospitals to coordinate services and patient....

- Indianapolis, IN
new job!

Nationwide Search for Director, Utilization Management (RN) for large Fortune 100 enterprise. Job descriptionOversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy, and objectives of Corporate and the health plan. Support and perform case management, disease management, and on-site concurrent review functions as necessary.....


We are seeking Nurse Practitioners and Physician Assistants for a new, dedicated outpatient Neurology Department affiliated with a teaching hospital system. This Department will support a robust Neuroscience Service Line that includes Neurosurgery, Cerebrovascular/Stroke, Neuro Radiology, and Pain Management departments. You will work with general neurologists as well as sub-specialists in movement disorders, clinical neurophysiology, epilepsy, headache, neuromuscular medicine and sleep....


Nurse Practitioner or Physician Assistant opportunity at a primary care/family practice located in a picturesque community in affordable upstate New York. Join a financially stable healthcare organization affiliated with a teaching hospital and enjoy top benefits and competitive compensation! Relocation assistance and other perks! Requirements: Certification as an NP or PA, with NY license or eligible. Ability to work independently. New grads welcome and receive tuition repayment! Please email


Exceptional Opportunity to join one of the top rated not-for-profit health plans headquartered in the New England area that is rated among the nation’s best health plans for member satisfaction and quality.The Sr. Manager is a strategic internal business partner serving as the lead subject matter resource for Medicare Advantage regulations and requirements. This position routinely meets with corporate line management to assess business operations against all Medicare Regulatory Requirements....

- Cincinnati, OH
new job!

Newly created position for highly successful healthcare management company based in Cincinnati. Will develop new business for a clinical management company that supports physician healthcare businesses. Will call on hospital and physician group C suite executive teams marketing and selling long term contract training programs and software products. Position will be based in Cincinnati with 6 month training program for product and program knowledge. Position requires 40% travel and reports....

- St. Louis, MO
new job!

This position establishes control points and adherence to all CMS and State Division of Insurance regulations while optimizing Medicare Programs’ professional relationships with CMS Central Office, as well as with each applicable regional office.KEY RESPONSIBILITIESImplement the Medicare Compliance Program. The Medicare Compliance Officer is accountable for defining the Medicare Compliance Program structure, educational requirements, reporting, and complaint mechanisms, proactive monitoring....

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