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- Fairfield, CA
new job!

Join one of California’s top 10 Commercial Banks. A 130 year old community bank with $4.9 billion in assets and 88 branches throughout Northern and Central California. They have been profitable quarter in and quarter out for 23 years. Industry associations and rating agencies routinely rank them among the top community banks for asset quality, capital ratios, safety and soundness and overall financial performance. The company is interviewing candidates within a commutable distance to their....

- Fairfield, CA
new job!

Great benefits including a 6% 401k matching and after 1 year 4% profit share. 4 weeks of PTO, 2 floating holidays (after 1 year) in addition to company paid holidays. Company offers a 10% Bonus plan in addition to base pay. No remote work or sponsorship is offered. Under guidance of various Board of Directors: Manages the Corporation's Subsidiary Bank loan review activities. Informs the Board of Directors and Senior Management of loan portfolio quality, potential loan problems, and loss....


Manages activities of the home/health/hospice agency. Monitors quality, service and utilization standards. Supervises the day-to-day clinical operational activities. Ensures compliance with federal, state, and local regulations. The company is interviewing candidates from all location and relocation expenses are paid. No sponsorship or remote/virtual work is offered. Basic Qualifications: Experience - Minimum four (4) years nursing experience, two (2) of which are in the last five (5) years as

- Seattle, WA
new job!

A global leader in marketing and creative staffing for 30 years. Privately held, spanning 7 countries and 40 plus cities. The company is seeking a Director of Sales Operations that thrives in a results-driven environment that is progressive and innovative.The Sales Operations Director will play a key role in directing the field sales teams toward strategic goals and operational effectiveness in order to meet revenue, operational and strategic goals. Qualified candidates will have experience....


VP Member Services & Claims | GM – TAMPA Health plan: growth in new division has created a demand for an executive who is on the fast track and is prepared for increasing responsibility in leadership and quick advancement. Generous relocation package and rich benefits- UNLIMITED growth. Broad span of operational control with newly established division of major corporation. You will need broad - based experience in call center, claims, provider network management, analysis/reporting of....

- Seattle or Tacoma, WA

Medical Director – Behavioral Health – Seattle Area New role in the organization will collaborate with the VP of Medical Affairs to direct and coordinate the physician component of the utilization management functions for the local health plan, with emphasis on the behavioral component of the integrated care programs. · Provides medical leadership for utilization management activities and medical review activities pertaining to utilization review, quality assurance, medical review of complex,....

- Greater Los Angleles, CA

Director, Public Programs & LTSS – Glendale, CA High-visibility position with significant impact and influence on how we improve the lives in our communities. This organization offers unlimited career growth. Relocation package offered – generous comp and benefits. The Director Public Programs and Long Term Services and Supports (LTSS) drives company’s Public Programs overall strategy and oversees integrated medical, behavioral and social services for a large, complex program. The Director

- Sacramento- near, CA

Director, Medical Management - CA New region opening and it's a GREAT opportunity to bring your own ideas and creativity. Strong leadership support of programs of care management. Director will work closely with the Medical Informatics team to identify trends that need to be addressed with program management.- Responsible for Care Management clinical inter-rater reliability and monitoring important aspects of care.- Effectively manages the activities of staff providing leadership and guidance.


CARE MANAGER II - office-based - Maitland, FLMake a positive impact on members lives by helping them improve their health and access to care. Great opportunity to join a new team rolling out a new product in Florida. Supportive manager and unlimited growth- no on call or weekends! RN will assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. This may include assessment of the member's....


Manager, Clinical Services - Manchester Are you a social worker with a passion for work with children and juveniles? Be part of a team that makes a BIG difference for people with complex needs. Create and deliver community-first solutions : housing, employment, case management, foster care, crisis management, and supports people with emotional and behavioral needs.- Oversee intensive case management and therapy services to ensure the quality of services. Serves as the leader to the treatment....

- Ft Lauderdale, FL

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. OPPORTUNITY FOR EQUITY !!! SENIOR LEDAERSHIP role in a LARGE market. STRONG GROWTH potential- multiple product lines- GREAT relocation! -Manage all aspects of HEDIS improvement activities, including outreach, incentives, data


Director, Utlization - Medical Management - Harrisburg, PAUnique opportunity for an experienced leader to select and develop your own team. Generous relocation- excellent analytic tools and support. - Direct medical management program including UM, case management, QI and credentialing. - Develop department objectives and implement action plans to achieve objectives. - Evaluate and implement changes to medical service functions and performance. - Manage budget and forecast for strategic....


Manager of Utilization Management – Dental Hygienist – TAMPA - FLORIDA RDH Salary is generous! Fortune 100 dental health insurance – so much room to grow – WONDERFUL benefits! Active Registered Dental Hygienist – any state Must work in Tampa – NICE relocation package! Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions.Review analyses of activities, costs, operations and forecast....


SVP of Compliance -Wisconsin Leading healthcare enterprise - excellent team work - generous relocation package. Strong, transparent leadership team seeks a compliance executive who will continue the already successful programs and contribute to the continued growth in this market. The VP will work as a partner to the CEO and participate in meetings with a high-powered Board. SVP will serve as a key part of the local leadership team ensuring health plan and corporate are in compliance with....


VP, Health Services | Medical Management - Milwaukee, WI 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 vision for all medical management and quality functions. This is an IDEAL opportunity to bring your innovative ideas and success stories to an organization that values and listens to their clinical leadership. Exceptional....

- Milwaukee, WI

MANAGER, CASE MANAGEMENTThis leading healthcare enterprise truly values their nurses. They offer innovative products and sophisticated analytic tools An experienced RN with case management will lead the continuing growth of the team in the WI market. Leader will develop and implement case management programs to facilitate the use of appropriate medical resources and decrease health plan financial exposure. Review analyzes of activities, costs, operations and forecast data to determine progress


Manages daily operations of the 24-hour Home Health/Hospice agencies providing patient care services. Ensures staff provide high quality, accessible, cost effective, and patient focused services to members across the continuum, and ensures compliance with local, state, and federal regulations. Develops and maintains clinical standards of care and practice; responsible for all resource budgeting, selection and development. Monitors quality of services/care, utilization standards; and monitors....


Be a part of a dynamic cardiovascular program! This Medical Center has earned its fourth consecutive Magnet designation. Its Heart and Vascular Institute is the largest provider of cardiovascular care in Oregon. The conduct over 40 active clinical trials and perform over 850 open heart surgeries per year, over 400 TAVR and over 10,000 Cath Lab procedures annually. The Cardiovascular Operating Room Manager will be responsible for overseeing a 4 bed OR suite, and approximately 34 staff members,....


The expanding Medical Center is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two award-winning facilities. Their hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, this is the place to be! Immediate need for an


Supervisor, UM - Bedford, NHInnovative health plan continues to expand. Supervisor will lead and mentor the UM staff, including identifying opportunities for process improvement. Benefits and perks are great – growth opportunities are unlimited!!! - Ensure appropriate usage of resources in order to facilitate the UM process - Ensure compliance within applicable state program guidelines - Evaluate compliance policies and procedures and analyze/recommend enhancements - Assist with ensuring....

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