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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....


Case Manager II - RN - office or field based - TWO positions 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.Innovative health plan truly values their nurses. 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. PCP, specialist, and


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....

- 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....


VP Medical Management | Health Services - Ft Lauderdale, FL VP will be a part of strong & collaborative leadership team with daily interaction with C - Suite executives. Incredible growth opportunities and perks for this executive role GENEROUS relocation & competitive compensation. Direct and coordinate the medical management, quality improvement and credentialing functions for the for the Florida market, establishing the strategic vision and policies and procedures for the entire....

- Fort Wayne, IN
new job!

Excellent opportunity for a CRNA to join our established company and growing practice located in NE Indiana. This group provides services at hospitals and surgical centers throughout the region. This position will require an IN license. If you do not currently hold a license in IN we will help you with the process. Practice runs an independent model. Fort Wayne was voted the lowest cost of living in America in 2017 and provides a welcoming community with affordable housing and land options.....

- San Antonio, TX
new job!

Registered Nurse (RN) Home Infusion Sales As part of the sales team working to grow the business by recognizing opportunities to expand relationships with existing referral sources and partner with the medical community to understand their patient’s needs for a safe and smooth transition home. Support and assist physicians, social workers, discharge planners and other referral sources to facilitate appropriate home infusion candidates being discharged from area hospitals. Conduct initial....

- Fort Wayne, IN
new job!

Excellent opportunity for an Anesthesiologist to join our established company and growing practice located in NE Indiana. This group provides services at hospitals and surgical centers in the Fort Wayne area. The facility is accepting board certified or board eligible applicants. This position will require an IN license. If you do not currently hold a license in IN, we can help you with the process. Fort Wayne was voted the lowest cost of living in America in 2017 and provides an excellent....

- Fort Wayne, IN
new job!

Excellent opportunity for an Anesthesiologist to join our established company and growing practice located in NE Indiana. This group provides services at hospitals and surgical centers throughout the region. The facility is accepting board certified or board eligible applicants. This position will require an IN license. If you do not currently hold a license in IN, we can help you with the process. Fort Wayne was voted the lowest cost of living in America in 2017 and provides a welcoming....


Chemical Dependency Counselor Chemical Dependency/Substance Abuse Counselor opportunities at a fully certified, premier provider of outpatient substance use disorder services in upstate New York. Our philosophy is that substance use disorder is treatable and that all patients should be accorded dignity and respect with the goal of restoring their lives. We are looking for highly motivated, dependable individuals to join our team. Individuals will be responsible for the coordination and....


Our Southwest Louisiana client needs to ADD TWO Board Certified (or Board Eligible) Pulmonary Critical Care Physicians. We will consider those who are in the process of completing or have just completed their residency in Pulmonary Critical Care. Our client is open to considering a candidate to start in 2019. You should read on especially if you are looking for a long term opportunity that offers outstanding benefits as well as outstanding work/life balance. This is a community of about....


Job Title: Specialty Pharmacy Director Location: Baltimore, MD PRINCIPAL ACCOUNTABILITIES: The position reports directly to the Senior Director of the Pharmacy Evaluation & Oversight and is a critical leadership position within the unit responsible for understanding the specialty marketplace, opportunities for utilization management, and cost containment. The Director of Specialty Pharmacy will interact frequently with the EVP of Medical Affairs, the CEO, and other senior leaders across....


We are in search of a Radiology Tech who has achieved successful completion of an AMA-approved Radiologic Technologist program (equivalent to two years of technical school). Current registration as a Radiologic Technologist by the American Registry of Radiologic Technologists (ARRT), with licensure by the state of Indiana to operate an x-ray machine - - and/or registry through Cardiovascular Credentialing International (CCI) - - is required. More on requirements of the job: 1. Requires the....


Our firm, is in search of a PART TIME Family Practice/ Primary Care, Internal Medicine or Family Medicine Physician to provide direct medical care to company employees WORKING 28 HOURS A WEEK. . MUST BE ABLE TO SEE AGES 2 AND UP. We Will consider both MD or DO. Board Certification is required. This is a hands on medical director role in which you will be working in a new clinic seeing about 10 patients a day to start. As patient load increases you will then be provided a Nurse Practitioner to....

- Miles City, MT

TITLE: CLSW Clinical Licensed Social Worker LOCATION: Miles City, Montana Would you like to live and work in an area where you can enjoy the outdoors and a low cost of living? Are you interested in a career where you can have balance? Then working at this medical center which is a progressive rural healthcare organization located in the picturesque Badlands of Eastern Montana might be the place. The facility truly appreciates the trust and support of their patients. As they have grown to meet....


TITLE: Medical Technologist or Clinical Lab Scientist LOCATION: Montana Would you like to live and work in an area where you can enjoy the outdoors and a low cost of living? Are you interested in a career where you can have balance? Then working at this medical center which is a progressive rural healthcare organization located in the picturesque Badlands of Eastern Montana might be the place. The facility truly appreciates the trust and support of their patients. As they have grown to meet....

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