Contact info: (866) 371-0687, info@mmsgrouponline.com
1-19 of 19 results
Sort By

- Maitland or Sunrise, FL

Director, Case ManagementINNOVATIVE 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.This will encompass needs analysis and planning; working with executive leadership to ensure targets are met for the annual operating plan; ensuring compliance with Corporate, State and NCQA standards. Director will be asked to develop and implement methods, policies and procedures to improve....

- Milwaukee, WI

Case Manager II - RN Innovative health plan truly values their nurses. 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 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. Activity will include advanced review of admissions through....


Manager, Finance- AtlantaYou will be mentored by an exceptionally talented team of analytics and finance professionals as part of this growing healthcare enterprise in the Atlanta area. Career opportunity is unlimited here!Manager will focus on revenue optimization and risk adjustment activities, overseeing the development of various analytical reports and performing complex financial analysis. Supervision of 1-2 analysts. - Ensure that timely and accurate reports are generated - Produce and....


SUPERVISOR, CM Growing health plan is adding a “hands on” supervisor to engage and motivate the CM team. Running the daily operations of the CM department will include : - Ensure appropriate usage of resources in order to facilitate the CM process - Ensure compliance within applicable state program guidelines - Evaluate compliance policies and procedures and analyze/recommend enhancements - Assist with ensuring consistent data collection from CM staff that is used to assist the company in....

- 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. STRONG GROWTH potential- multiple product lines- GREAT relocation! -Manage all aspects of HEDIS improvement activities, including outreach, incentives, data integrity and chart review - Review and implement new technological....


Director, Medical Management – Complex Care Open due to promotion! Strategic leadership role will provide direction and guidance in medical management and quality for the Medicare product line in this market. You will join a member-centric team of clinicians committed to quality care. Director will develop and implement market focused clinical programs to improve health and quality outcomes for Medicare member and assure utilization management best practices. Medicare is NOT required for this....

- SEATTLE, TACOMA, or YAKIM, WA

CARE MANAGER II (RN) - SEATTLE, TACOMA, or YAKIMAINNOVATIVE 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....


Join one of California’s Top 10 largest Commercial Banks. The company is looking for outstanding people to join their winning team. They have reached their current strength because their employees, customers, and shareholders believe in the same fundamental goals: Delivering a wide variety of financial services with a superior customer service guarantee.Our client is a 130 year old community bank with $4.9 billion in assets and 88 branches throughout Northern and Central California. They have....


Under the direction of a supervising physician, the Physician Assistant provides high quality, efficient, team based patient focused care. The Physician Assistant's responsibilities may include managing patients in the office, hospital, ED and/or perioperative setting. The Physician Assistant may be required to First Assist in the OR or perform other department specific procedures. The Physician Assistant may also facilitate on call responsibilities for his/her supervising physician. The....

- Indianapolis, IN

Behavioral Health Case Manager INDIANAPOLIS, IN Isn't it time to join an organization that is leading the way in innovative government health care? Collaboration with providers, award-winning programs of care and INCREDIBLE opportunity to grow The behavioral case manager will play a critical role as part of the Integrated Case Management team working with members identified as high risk. -Identify needs and goals to achieve empowerment and improved quality of life for both behavioral and....

- Boston - West, MA

Data/Workforce Analyst - Perform various analysis and interpretation to link business needs and objectives -Identify and analyze user requirements, procedures, and problems to improve existing processes -Identify ways to enhance performance management and operational reports related to new business implementation processes -Lead problem solving and coordination efforts between various business units -Assist with formulating and updating departmental policies and procedures Ideal Candidate : -....


VP, Dual Eligible/Special Needs Plans - Harrisburg Build your own team as this innovative healthcare enterprise continues to expand. VP will oversee and direct Medicare operations, compliance and business strategy utilizing cross functional business units and corporate teams to meet strategic objectives. GENEROUS RELOCATION- strong opportunities for career growth. · Lead Medicare operations, planning, market strategy and compliance between various business units · Perform duties as chief....


Our client is a thriving company that believes in building beautiful, incredibly innovative and energy-efficient homes people adore.They are the first national top 10 homebuilder to have every home we build be 100% ENERGY STAR® certified. And with more than 90,000 homes built, their focus, since day one, has been to build incredible new homes and communities in prime locations for fantastic prices. But more than anything, they build energy-efficient homes and communities for people who....

- Rockville, MD

Lead, coach and develop professional sales staff in new group sales in order to achieve membership and margin targets, continually improve performance and translate key initiatives into action. Conduct day to day management of sales team for assigned market segment. Achieve commercial new group membership enrollment forecast for assigned segment. Monitor daily performance and workflow of sales staff to deliver on expectations for quota achievement, sales pipeline development. Manage and....


Our client is looking for the best and brightest to take their Sales department to the next level. If you have passion and expertise in business development, account management, or business acumen, this is the company for you. The company seeks a Sales Manager for its Sales Office in New York City (Manhattan), New York. Experience a high-energy, fast-paced work environment that's both competitive and rewarding. Learn about our industry and soar with the support of great coaches and sales....


The Practitioner/First Assist provides outstanding care to the incoming patients by collecting personal information, accurate clinical assessments, diagnosis, treatment and evaluation. The Practitioner/First Assist provides safe clinical decisions and empathetic care to patients within the clinical area of practice. This position focuses on educating patients in a medical environment while working with team members to meet patient’s needs and incorporate the policies and procedures.....

- Los Angeles, CA

For one large unit or more than one smaller unit within a 24 hour department, supervises the implementation, delivery and evaluation/improvement of quality patient care/nursing operations and services that add value and are integrated with nursing standards of practice, service priorities and performance/outcomes measures, as well as with departmental, business and organizational goals/objectives. Compensation depends on nursing supervision and ICU experience. Basic Qualifications: Experience....


Provides in-depth clinical expertise in a defined area of nursing practice (eg., pediatrics, oncology, adult medicine). Develops and ensures quality standards for nursing practice for a specific patient population. Provides advanced clinical practice education, consultation, research and administration. Basic Qualifications: ExperienceMinimum three (3) years of experience in area of clinical specialty required.EducationBachelor's degreeMaster's degree in a clinical field of nursing or a....


The Clinical Nurse Specialist role in the Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care. The role is built around the five role sub-components as regulated by the California Board of Registered Nursing: Leadership, Consultation, Research, Education, and Clinical Practice. Basic Qualifications: Experience - Minimum three (3) years of experience in area of specialty required. Education -....

1-19 of 19 results