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- 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....


MEDICAL DIRECTOR – Provider Performance - MCO This UNIQUE opportunity will focus on provider engagement and achieving performance results in value based care. Medical Director will provide support and bring insight, innovation and opportunities to the physicians contracted with the health plan. MD enhances understanding of value-based contracts across all lines of business and provides education and guidance around cost of care and use analytic tools and reporting. MD will develop alliances....


Market CFO | Vice President, Finance - NEBRASKA ________________________________________________________ Successful health plan is financially strong and positioned for exponential growth through market expansion and product diversification. This innovative organization is interested in an executive who is a forward- thinking financial strategist. VP will be a key player on the leadership team, with focus on financial reporting, forecasting, enrollment, reimbursement, rate setting, identifying

- 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....


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....


GROUP HEALTH | SALES EXECUTIVE | EXCLUSIVEWhat does every sales professional want? Something their prospects want to buy, something different, and something better than what the competition has to offer! What if you could have this and the backing of a large, national brand with a 50 year history of success? Now you can have both! Our client is a subsidiary of one of the largest employee benefits plans in the country. They offer ACA-Certified innovative group dental plans across multiple....


VP, Health Services | Medical Management - Baton Rouge___________________________________________________________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 coordinate the medical management,....


Director, Quality Improvement_____________________________________________________________Director will work closely with the VP across all product lines for the growing Missouri market Exceptional growth- generous relocationLead and direct process improvement activities that provide more efficient and streamlined workflow.Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information....


Sr. Director, Business Operations- MCO- Austin, TX _________________________________________________________________________ Excellent opportunity to make a direct impact on the success of this international healthcare enterprise by driving quality and process improvement and developing an exceptional team. Generous relocation- UNLIMITED career growth locally & nationally Oversight for operations programs in multiple service areas including billing and enrollment, call center, customer....

- Indianapolis, IN

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....


National Organization | Regional Relocation Package | Full Benefits | 6-Figure Salary | Bonuses In partnership with the Urgent Care Manager, the assistant manager will monitor personnel, including focusing on outcomes, recruiting new staff, hiring, orienting, leading, managing, assessing, training, and developing. Assist the manage with personnel problems as designated. Act upon behalf of the manager on appointed committees and take part as the UC agent at specified standing meetings.....

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