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- Lexington, KY
new job!

TITLE: Microbiology Medical Lab Tech LOCATION: Lexington, Kentucky Are you looking for a career change? Would you be interested in working at a newer facility that has been voted one of the best places to work in Kentucky and close to Lexington? Then read on... Summary: Looking for Microbiologist Med Tech to join the team and offers a schedule where you get long weekends. The essential functions include, but are not limited to: Performs inoculation, cultivation, isolation, and identification....

- Pittsburgh, PA
new job!

This Chief Nurse officer / CNO will be responsible for overseeing all day to day nursing functions for LIFE Pittsburgh. They will lead, manage and direct 6 nurse managers and up to 20 nurses. They will have the responsibility to lead the strategic clinical direction of the organization in a very team oriented approach. This is an excellent opportunity for Director level nursing person who can look at the big picture strategically while leading by example with their feet on the ground. We are....

- Arlington Estates area, SC
new job!

Nationwide Search for a Chief Medical Director to Direct and coordinate the medical management, quality improvement and credentialing functions for the assigned business unit based on, and in support of the strategic plan, establishing the strategic vision and attendant policies and procedures. Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgement is applied to all medical management determinations.Oversees internal medical review....

- Boston, MA
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Area Vice President will be responsible for managing the growth and development of several Hospice Care locations within the state. Responsibilities include: Team leadership and guidance for Area Directors, Marketing, and Branch ManagersManagement and delivery of effective data driven analytics Profit & Loss accountability for the regionNew and existing program direction and developmentMarketing development and planningClinical partnership to ensure quality patient careManagement of tools,

- Dallas, TX
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Seeking savvy, sharp marketer/leader & eventual peoples champion of our fantastic health organization. VP of Marketing will be in charge of public communications, advertising, leading employee engagement, and various social media platforms. Culture fit is critical in this position, as you will be a leader in our employee satisfaction and improvement. Must be familiar with multi-state individual marketing needs. You will drive and interpret data to improve concept and program effectiveness....


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....

- Phoenix, AZ
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Seeking expert in Claims Configuration to Direct and oversee the claims configuration and pricing/benefits set up within the claims payment system ensuring accurate reflection of provider contracts and claims payments with large healthcare enterprise. Ensures timely and accurate configurations and pricing/benefits set up for new business implementationsEnsure changes in provider contracts are reflected in the claims payment systemCollaborate with stakeholders to gather business requirements....

- Baltimore, MD
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Nationwide Search for Director Provider Relations with 7+ years of provider relations or contracting experience in a managed care or insurance environment, preferably in Medicare or Medicaid, including negotiations and administering organization policies and procedures. Oversee the Provider Relations department to ensure in compliance with company policies and standards, government laws, regulations and contracting standards.Develop, implement and monitor policies and procedures.Develop....


Nationwide Search for Senior Director, Contracting & Network Development Fantastic opportunity to join our Fortune 100 leading healthcare enterprise experiencing incredible growth and market expansion! Senior Director will oversee the development and implementation of contracting activities in network development and enhancement.Work with Business Development and Providers to develop a strategy for developing new networks including plans to meet network access and unit cost....

- Saint Louis, MO
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Nationwide Search for Senior Director, Contracting & Network Development with solid experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups, and ancillary service agreements. Fantastic opportunity to join our Fortune 100 leading healthcare enterprise experiencing incredible growth and market expansion! Senior Director will oversee the development and implementation of contracting activities in network development and enhancement.Work with Business....

- Tigard, OR
new job!

Seeking RN leader with strong management and organizational skills to manage utilization function of fast growing organization. Develop, implement, and execute utilization management programs to provide appropriate medical resources, best care practices and decrease financial costs.Provide reports on work function activities for statistical and financial tracking purposes to identify utilization trends and process improvement strategiesReview data analytics of services, expenditures,....

- Baton Rouge, LA
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Exclusive, Nationwide Search for a strong dynamic high-level nurse leader with a decade of medical management experience. This highly visible role will involve presenting to key stakeholders, coordinating with the medical management, quality improvement, and credentialing teams to support the strategies, vision, and policies of the health plan organization. Direct and coordinate activities of department and aid the chief officer of the health plan and appropriate corporate staff in formulating

- Santa Monica, CA
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Nationwide Search for RN, BSN, MSN Leader with experience in Complex Case Management, Disease Management, Utilization Management, Care Management, Quality in a managed care setting with at least 5-7 years experience. Job description OVERVIEW OF POSITION: Responsible for the oversight, management and optimization of all CQI, UM and Care Management activities as they relate to inpatient, social service, home health, DME and other healthcare delivery programs for the enterprise. Participates in....

- Saint Louis, MO
new job!

Currently seeking a Senior Contract Implementation Analyst for a great opportunity in the Saint Louis, MO area to perform day to day duties and testing of complex contract implementation, including UAT to ensure systems accurately reflect a contract's negotiated terms. Responsibilities of the Senior Contract Implementation Analyst Design new or non-standard configuration of complex contracts, and state benefit/pricing changes Monitor state bulletins and banners to ensure timely,....

- Baltimore, MD
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.....

- Oakland, CA
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Nationwide Search for Director to lead and coordinate all Regional Labor Relations to include regional initiatives, collective bargaining as well as day-to-day labor relations for Healthcare enterprise. Serves as a key interface between Regional Labor Relations and its key customers, ensures positive labor relations climate through effective communications, collaboration, persuasion, and problem-solving; demonstrating knowledge and understanding of the national labor relations program and....

- Dayton, OH
new job!

Our client is a Faith based not-for profit health system rated as among the Top 10 in the country. Highly patient centric and collaborative environmentRN-Ohio License or willingness to obtainHospital OR experience, preferably trauma casesMinimum of two years RN-OR Circulating experienceVariety of cases and complexity with one or more of the following, (i.e., ortho total joint/hip, neuro-spine/crany, robotics, heart, general, etc.)Open to working 10's or 12's (either first, second or third....

- Indianapolis, IN
new job!

TITLE: MEDICAL TECHNOLOGIST-Microbiology LOCATION: Indianapolis, IN Are you considering a career change? Would you be interested in living in a small town but close to Richmond and Indianapolist, IN. If so, an opportunity to work an established organization that serves several locations in Indiana is looking for someone to join their team. Summary:In cooperation with the department manager, the microbiologist instructs and performs routine and special laboratory assays of patient specimens in....

- St Louis, MO
new job!

Director, Grievance and Appeals – MIDWEST ________________________________________________________________________ Director, Grievance and Appeals will be a key player in the Medicare Operations Group and essential to the continued success of this thriving international business. Tremendous career opportunity. Generous Relocation – UNLIMITED career growth – exceptional resources! Position will be responsible for directing, managing and leading a team of over 100 specialists across 4 locations....

- Charlotte, NC
new job!

We are a major health system with a large number of hospitals, physician practices, specialty centers, and ancillary services. We are one of the premier provider of healthcare services in the Southeastern United States. As a Director of Managed Care Contracting, you will help lead contract negotiations with major health insurance payers across our health system enterprise. Proven experience in managed care contract negotiations, preferably from the provider side, is required to be considered....

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