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Sr. Director, Claims Operations - St. LouisBuild a best in class claims system - exceptional opportunity for someone who enjoys driving change. Ideal candidate will have exposure to multiple different claims systems and the ability to act as an internal consultant within technology and business groups, using quality tools and process definition/improvement to re-engineer technical processes for greater efficiencies.-Direct the day-to-day operations of the Claims Department to ensure accurate....


Vice President, Provider Performance | Network Development & Contracting – Washington State ________________________________________________________________________________ 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....

- Indianapolis, IN
new job!

Vice President, Quality & Process Improvement – Indianapolis ______________________________________________________________________________ Are you a healthcare quality SME? Our client’s growing Indiana market need a leader to develop and oversee QI programs and strategies. Reporting to the COO, VP will participate in the development and application of the business unit’s strategic mission and vision. You will identify and champion the selection of process improvement activities across the


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


INDEPENDENT THINKER | SELF STARTER | HR VETERAN Does this sound like you? Can you lead all HR functions for a start-up call center operation? If so, this may be your next career challenge! A nationwide company is starting a call center operation in Nashville. They need a veteran call center HR Business Partner or Manager to step in, quickly take the reins, and build the call center team. You'll function independently as the sole HR team member in Nashville as an extension of the corporate....

- Little Rock, AR

Director, Med Mgmt Operations - Little Rock________________________________________________________National healthcare enterprise is continuing to grow and expand in Arkansas. Incredible career growth - great leadership ! Lead Medical Management process improvement initiatives to reduce medical costs, reduce administrative costs, and improve member quality.Assist Medical Management clinical leadership team to establish baseline and target metrics for key business/functional processes Develop....

- 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....

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