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Market CFO | Vice President, Finance - Midwest________________________________________________________ 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....

- ORLANDO or TAMPA, FL

Director, Case Management - Orlando - Tampa _________________________________________________________________________________________________________________________________INNOVATIVE 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.. RELO PKG - Exceptional benefit package and growth potential here !The Director will be involved in needs analysis and planning; working with....


Vice President, Network Development & Contracting – Washington ________________________________________________________________________________ Incredible growth and market expansion has created the need for strategic leadership in provider contracting and network development. 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....


Vice President, Network Development & Contracting – St Louis, Missouri ________________________________________________________________________________ Incredible growth and market expansion has created the need for strategic leadership in provider contracting and network development across all product lines. We need someone who understands quality and outcomes and nurturing collaborative relationships with key providers in the market by sharing data and best practices. This is THE....


Responsible for coordinating all analytical, financial and systems support to the Managed Care Department and other departments as necessary. Responsibilities Lead the analysis and provide primary recommendations for all changes in billed charges; manage the annual review and the individual changes done weekly/daily.Extract and present reports from databases to be used in evaluating the performance of contracted par payers and commercial non-par payers.Develop standardized analytical and....


National Healthcare Plan | Large Group Benefits Sales Lead, coach & develop professional sales staff in new group sales in order to achieve membership & margin targets, continually improve performance & translate key initiatives into action. Conduct day to day Mgmt of sales team for assigned market segment. Achieve commercial new group membership enrollment forecast for assigned segment. Monitor daily performance & workflow of sales staff to deliver on expectations for quota....


Live and work in beautiful Hawaii! Generous relocation package, comprehensive benefits, six figure salary, and bonus plan! Responsible for all aspects of compliance related to utilization Mgmt across, care coordination, & discharge planning in the Hawaii Region. Partner & coordinate w/ other care delivery teams in long term care, geriatrics, home health, primary care, & community based srvs, for different lines of business such as Medicare/Medicaid teams. Provide oversight, Mgmt,....


This new position is an opportunity to lead an engaged team of professionals to develop and integrated effective model of community case management and care coordination with patient at the center. As the Executive Director you will be positioned for a high degree of influence with executive team. Offering relocation expenses, a 15% bonus structure, and a base salary starting at $102,000, this health care organization is one of the premier places to work in South Bend. The position is open to....

- SEATTLE/TACOMA/Wenatchee, WA

CARE MANAGER II (RN) - SEATTLEINNOVATIVE health plan is known for award winning programs of care. Join a growing team with exceptional leadership!Plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize....


Director, Case Management – Atlanta ______________________________________________________________________________ Rich benefit package and generous relocation Join an innovative leader in the health insurance industry as they continue to excel in managing care for their members in GA. Director is responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectives · Direct the overall operational leadership of case management functions....


Our client is currently seeking an outstanding Nurse Manager - Hospice to join their fantastic Home Care and Hospice team in Seattle, WA! Bring your great leadership and nursing skills, and make a difference through the great work you do! This is a full-time “days” opportunity, generally working 8am - 5pm Monday - Friday! Travel is local to the greater Seattle area, up to 30%, conducting joint visits with our amazing Hospice RN's. The individual in this role will have a total of (21) direct....


This is an exciting key strategic leadership opportunity within our organization! In this role, you will be responsible for oversight of a robust continuing care program with significant resources including a budget of $35.5 million dollars, over 325 employees and 15 direct reports. Our client is seeking an individual that will ensure the marketplace competitiveness of Continuing Care (post-acute care services) programs for the region. In partnership with our Medical Director of Continuing....


Fortune 100 National Health Plan is growing in Pennsylvania! In this role, the Director of Contracting will coordinate, negotiate and handle activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures. Using their experience and expertise, they will negotiate large hospital, physician groups and ancillary service agreements in accordance with Corporate, health plan and government

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