1-20 of 1781 results
Sort By

- Maitland or Sunrise, FL
new job!

Director, Case ManagementINNOVATIVE health plan truly values their nurses . The Director will be engaged in creating, defining and directing a complete Case Management Program across a diverse population.This will encompass needs analysis and planning; working with executive leadership to ensure targets are met for the annual operating plan; ensuring compliance with Corporate, State and NCQA standards. Director will be asked to develop and implement methods, policies and procedures to improve....

- Milwaukee, WI
new job!

Case Manager II - RN Innovative health plan truly values their nurses. This health plan has received numerous awards for their programs of care ! They offer generous benefits and PLENTY of opportunity to grow in your career RN will coordinate continuum of care for select members with complex medical and/or behavioral health conditions to ensure they receive the highest quality most effective care while maintaining cost effectiveness. Activity will include advanced review of admissions through....

- Atlanta, GA
new job!

Manager, Finance- AtlantaYou will be mentored by an exceptionally talented team of analytics and finance professionals as part of this growing healthcare enterprise in the Atlanta area. Career opportunity is unlimited here!Manager will focus on revenue optimization and risk adjustment activities, overseeing the development of various analytical reports and performing complex financial analysis. Supervision of 1-2 analysts. - Ensure that timely and accurate reports are generated - Produce and....

- Boston, MA
new job!

SUPERVISOR, CM Growing health plan is adding a “hands on” supervisor to engage and motivate the CM team. Running the daily operations of the CM department will include : - Ensure appropriate usage of resources in order to facilitate the CM process - Ensure compliance within applicable state program guidelines - Evaluate compliance policies and procedures and analyze/recommend enhancements - Assist with ensuring consistent data collection from CM staff that is used to assist the company in....

- Milwaukee, WI
new job!

VP, Health Plan Operations- MILWAUKEE Join this highly successful leadership team in a market that is continuing to expand and lead change in healthcare. UNLIMITED CAREER POTENTIAL – GENEROUS RELOCATION PACKAGE VP will partner with multiple stakeholders and senior leadership to establish and achieve strategic vision and operational objectives. This will include oversight for business operations, procurement opportunities, new product implementations and complex initiatives for business....

- Ft Lauderdale, FL
new job!

Director, Medicare STARS – FT LauderdaleNewly –created role will provide strategic leadership, guidance and manage the Medicare STARs for the Medicare Plans in the Florida market. RELOCATION package- great benefits- wonderful opportunities to grow! - Act as a leader and expert of Medicare Stars Program to ensure Healthcare Effectiveness Data and Information Set (HEDIS) and Stars objectives are met to support the overall goals - Develop, manage and coordinate clinical and non-clinical HEDIS and

- harrisburg, PA
new job!

Director, Contracting & NetworkWorking closely with the VP, Director drives daily activity of the provider contracting, network development and/or provider relations functions for this new market. GENEROUS relocation - UNLIMITED career growth! -Recruitment and contracting of provider networks in new and prospective markets, and existing market expansions. - Support new business launch in diverse markets by considering individual market circumstances, provider community, budgeting....

- Ft Lauderdale, FL
new job!

VP of Quality - Ft Lauderdale, FL Drive success in quality through process improvement activities for more efficient and streamlined workflow. VP is responsible for all activities related to NCQA Accreditation and HEDIS performance ensuring highest level of accreditation. STRONG GROWTH potential- multiple product lines- GREAT relocation! -Manage all aspects of HEDIS improvement activities, including outreach, incentives, data integrity and chart review - Review and implement new technological....


Director, Medical Management – Complex Care Open due to promotion! Strategic leadership role will provide direction and guidance in medical management and quality for the Medicare product line in this market. You will join a member-centric team of clinicians committed to quality care. Director will develop and implement market focused clinical programs to improve health and quality outcomes for Medicare member and assure utilization management best practices. Medicare is NOT required for this....

- central, PA
new job!

VP, Long Term Care Product - Health Plan- PA Design and own strategy and product for long term care for this new market. You will have an amazing mentor and an opportunity to build out your own team here. Highly visible role offers GENEROUS relocation- strong career potential. Develop and implement operational systems; research changes and updates to government regulations guidelines; create network development plan and integrate LTC and other network providers; participate in the integration....


Vice President, Network Development & Contracting – Central PA Incredible growth and new market expansion has created the need for an additional leader and strategist. This is THE opportunity to be with a leading healthcare enterprise. VP will lead all aspects of provider network strategy including access analysis and network operations. Engage with other decision makers for analysis related to reimbursement and unit cost management. · Develop, implement and maintain production and quality

- Central, PA
new job!

VP, Dual Eligible/Special Needs Plans - Harrisburg Build your own team as this innovative healthcare enterprise continues to expand. VP will oversee and direct Medicare operations, compliance and business strategy utilizing cross functional business units and corporate teams to meet strategic objectives. GENEROUS RELOCATION- strong opportunities for career growth. · Lead Medicare operations, planning, market strategy and compliance between various business units · Perform duties as chief....

- Lafayette, LA
new job!

Our client has us working on an exclusive search for a Nurse Practitioner with at least 2 years experience working with cardiac surgery patients in an ICU setting. Our client wants someone who is a team player and career oriented. This position offers a competitive salary plus full comprehensive benefits package. Please include your current salary along with your resume. Salary depends on how much experience you have with Cardiovascular Surgery cases. This facility has great pride in having....

- San Francisco, CA
new job!

Sr. Clinical Trial Manager San Francisco Bay Area The Sr. Clinical Trial Manager (Full Time, Onsite OR Contractor - 12 months, Onsite) will oversee and manage all operational aspects of phase I – III clinical trials with minimal oversight from protocol to end.Responsible for leading a cross functional team (or participating as a lead) in the planning and delivery of a defined clinical project to scope, quality, budget, time, managing resource and risk.Responsible for project management....

- Carol Stream, IL
new job!

Production Supervisor: Carol Stream, IL-55k to 60k Local candidates please EDUCATION, EXPERIENCE AND REQUIRED SKILLS: Associate’s Degree (prefer bachelor’s) plus 2 years of progressive experience in a leadership position in a production operation. Must be able to read, write and speak in English as well as possess computer skills. Bi-lingual a plus. Understands and operates using lean principles (5S, workflow, etc.) Six Sigma certification preferred Experience if Food manufacturing/production....

- Southfield, MI
new job!

Enterprise Services and Consulting Sales Professionals Only! Looking for multiple positions: 1 in the Healthcare Vertical selling to the Payer Market and 1 is a general southeast territory for all other verticals! We are looking for an experienced, results-driven Business Development Director to sell our BPM and IT Services. This sales person will be responsible for growing revenue in a multi-state region, by targeting and developing new business within large enterprise accounts. Target....

- McCook, IL
new job!

Warehouse Supervisor-McCook, IL-50k to 60k (Local candidates please) Summary: Supervises 30-45 full time and part time associates including temporary employees. Trains, develops and supervises 2-3 Lead Warehouse associates. Assists the warehouse management team in coordinating warehouse operations Qualification: Bachelor’s degree 3-5 years in warehouse distribution Supervisory experience MS Office SAP, Lean experience (preferred) Duties and Responsibilities: Responsible for the supervision,....

- New York, NY
new job!

Our client is a leading financial software company focused on regulatory reporting and risk management systems. They are hiring a Vice President of Human Resources to join its team at their Corporate HQ located in New York City (Downtown- Wall Street Area). The position will report into the CFO. The Director-Human Resources will work in a fast paced environment and be part of a continually growing company. If you are currently sitting as the # 2 or # 3 person in your HR department, look no....

- Gainesville, FL
new job!

As the Plant Electrical Engineer, you will be accountable for the electrical performance of equipment and supporting projects at the chemical manufacturing operation. This position also provides a high level of engineering skills — technical, leadership and/or managerial — to individuals, departments, teams and initiatives. Qualifications: --- BS Electrical Engineering degree with 10+ years experience as Plant/ Project Engineer of electrical, power distribution, and instrumentation in....

- Bethesda, MD
new job!

Great opportunity to work for a well established, stable large company in the heart of Bethesda - near metro.This company invests heavily in its employees and offers great benefits and unlimited opportunities to learn and grow. Onsite company gym, unlimited training, tuition reimbursement, friendly fun work environmentResponsibilities:-Serve as a technical resource for all functional areas and assist subject matter experts with ensuring data integrity, business process functionality, testing....

1-20 of 1781 results