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Los Angeles, CA
$290,000 - $340,000
Full Time
Healthcare
The Job Jobber

Salary: $290,000 - $340,000 Health Plan Strategist | Executive Leader - Provider Contracting - West Coast Exceptional opportunity for a seasoned health plan leader to drive strategy and tactical execution of provider network contracting across multiple lines of business in the Western region. Provide leadership and direction in evaluating the provider network to meet company goals and manage quality and spend. This role will include extensive analyses of the provider networks from a cost, coverage, and growth perspective. Complex analysis of claim trend data and/or market information to...  more ->

11/28/2016 11:48:39 AMJS24340041
http://www.jobserve.com/EySYJ
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Tacoma, WA
$180,000 - $200,000
Full Time
Healthcare
The Job Jobber

Salary: $180,000 - $200,000 Market CFO- - Tacoma, WA Open due to promotion - talented leadership team has been instrumental in building a healthcare enterprise that is financially strong and positioned for exponential growth through market expansion and product diversification. This innovative healthcare 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 medical cost trends and overall leadership and...  more ->

11/28/2016 11:48:20 AMJS24340031
http://www.jobserve.com/EySYH
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Chicago, IL
$160,000 - $225,000
Full Time
Healthcare
The Job Jobber

Salary: $160,000 - $225,000 Vice President, Network Strategy & Contracting Innovative leadership- GENEROUS relocation Experienced leader will drive all aspects of provider network strategy and execution of contracting activity. This encompasses access analysis, network operations and providing decision makers with analysis and recommendations related to reimbursement and unit cost management. -Establish the contracting department's strategic vision, objectives, and policies and procedures. -Develop, implement and maintain production and quality standards for the Contracting department. -Guide...  more ->

11/28/2016 1:03:26 AMJS24335350
http://www.jobserve.com/EyRBS
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Louisiana, MO
$85,000 - $97,000
Full Time
Healthcare
The Job Jobber

Salary: $85,000 - $97,000 Controller - Health Plan - 5 POSITIONS OPEN due to rapid growth There is no better way to accelerate your accounting career than joining this aggressively growing national organization that is financially strong and positioned for additional acqusitions in the healthcare arena. You will work with a very talented team of professionals in the corporate office and in the field. This organization offers a generous reocation pacakage to St. Louis. Controller will manage the entire financial affairs for the assigned health plan and partner with the market CFO. -Prepare and...  more ->

11/28/2016 1:03:26 AMJS24335365
http://www.jobserve.com/EyRBU
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Milwaukee, WI
Full Time
Healthcare
The Job Jobber

Salary: Confidential 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 both on-site and telephonic review. Evaluate, monitor and adjust plan of care as...  more ->

11/28/2016 1:02:58 AMJS24336526
http://www.jobserve.com/EyRA3
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Melbourne, FL
$80,000 - $120,000
Full Time
Healthcare, Real Estate
The Job Jobber

Salary: $80,000 - $120,000 Our firm is in search of an Acute Care Hospital Facilities Director of Maintenance and Plant Operations. Our client is located in south central Texas about 35 minutes south of Bourne, TX. To be considered you should have experience doing the following for at least 3-5 years: Management of hospital physical repairs and equipment Development and management of the annual department operating and capital budgets Proven track record of strong leadership- Selects personnel for hire and promotion; takes appropriate actions regarding counseling, disciplinary actions,...  more ->

11/28/2016 1:02:50 AMJS24340202
http://www.jobserve.com/EyRAg
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Louisiana, MO
$115,000 - $150,000
Full Time
Healthcare
The Job Jobber

Salary: $115,000 - $150,000 Director, Business Analytics - St Louis Provide vision, strategy and operational leadership for this innovative healthcare enterprise! Director will handle all health economics functions relating to business development, financial outcomes and contracting analysis. In addition, the Director will serve as primary corporate analytical contacts for the company. Provide utilization and cost analyses to support health plan and corporate health benefits ratio, utilizing enterprise analytic and predictive models and data analysis tools Create an analytical environment...  more ->

11/28/2016 1:02:52 AMJS24335361
http://www.jobserve.com/EyRAm
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Milwaukee, WI
Full Time
Healthcare
The Job Jobber

Salary: Confidential Director, Quality Improvement- Milwaukee (RN is NOT required for this position) Innovative , creative, collaborative - if this describes the environment that you crave, you should consider this opportunity to advance your career growth with this exceptional team. Experienced professional will lead and direct process improvement activities and NCQA Accreditation and HEDIS performance. GENEROUS relocation - excellent benefits! -Responsible for quality improvement aspects of risk adjustment processes for all products -Collaborate with Medicare STARS team to improve overall...  more ->

11/28/2016 1:02:21 AMJS24340034
http://www.jobserve.com/EyRAH
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Jacksonville, FL
$86,000 - $110,000
Full Time
Healthcare
The Job Jobber

Salary: $86,000 - $110,000 Director, Case Management 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. 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 the departments efficiency and overall effectiveness. Exceptional benefit...  more ->

11/28/2016 1:01:40 AMJS24335355
http://www.jobserve.com/EyQ9a
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Dallas, TX
Full Time
Healthcare
The Job Jobber

Salary: Confidential Market Director - Health Plan - Dallas Exceptional leadership team - innovative organization! Experienced leader will drive IPA and ACO performance in the Dallas market for national healthcare enterprise. This role will include relationship- building with external stakeholders and the various distribution channels in order to manage to sales targets in plan, and P&L responsibility for the MA and ACO products. Director has oversight for network design and compliance, contracting with product-wide medical and administrative services, quality management and compliance,...  more ->

11/28/2016 1:01:10 AMJS24340026
http://www.jobserve.com/EyQ8r
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Louisiana, MO
$130,000 - $160,000
Full Time
Healthcare
The Job Jobber

Salary: $130,000 - $160,000 Director, Clinical Analytics St. Louis Medical Economics Center of Excellence - Provide vision, strategy and operational leadership for this health care enterprise's health economics functions relating to the development and measurement of clinical programs. Director will be an important element in building this center of excellence and mentoring an analytics team that drives improved outcomes and quality. This highly visible role will work closely with the Chief Medical Officer. Responsibilities: Provide utilization and cost analyses to support health plan and...  more ->

11/28/2016 1:01:09 AMJS24335352
http://www.jobserve.com/EyQ8m
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Chicago, IL
$175,000 - $225,000
Full Time
Healthcare
The Job Jobber

Salary: $175,000 - $225,000 ....VP of Medical Management - Health Plan - Chicago Suburb HIGHLY VISIBLE opportunity working closely with the CEO.GENEROUS RELO- strong analytics support- collaborative team! You will establish the strategic vision for this plan, directing and coordinating the medical management, clinical services, and quality improvement and credentialing functions across the IL market. - Team - building and collaboration with internal and external constituents will be key. - Administer and ensure compliance with NCQA and/or The Joint Commission on Accreditation of Healthcare...  more ->

11/28/2016 1:00:34 AMJS24335344
http://www.jobserve.com/EyQ71
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Fort Lauderdale, FL
$110,000 - $150,000
Full Time
Healthcare, Science
The Job Jobber

Salary: $110,000 - $150,000 Senior Director, Outcomes Research & Analytics NEWLY CREATED role will work in close collaboration with the QUALITY team. Oversee all advanced analytic methodologies and processes involving program evaluation and predictive modelling, including evaluation studies, stratification and segmentation. Direct the design, development and deployment of new methods of analysing claims, eligibility and program data. NICE opportunity to build your team - GREAT RELOCATION- strong growth potential! Provide information to internal and external clients that can be used to measure...  more ->

11/28/2016 1:00:35 AMJS24335360
http://www.jobserve.com/EyQ75
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Lafayette, LA
$72,000 - $90,000
Full Time
Healthcare
The Job Jobber

Salary: $72,000 - $90,000 Our firm is in search of a Physical Therapist who has a background working in an Inpatient Physical Rehab Unit. Our ideal candidate is someone who has been working in a Nursing Home or perhaps an extended care facility. Our client is a Long Term Acute Care facility (LTAC) where the average stay is 25 days or longer. This is a very calm working environment. There is no time limit with your patients. To be considered you should have 3-5 years experience as a Physical Therapist, preferably working in the suggested types of work settings as mentioned above. More details:...  more ->

11/28/2016 1:00:34 AMJS24340462
http://www.jobserve.com/EyQ73
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Salem, OR
$125,000
Full Time
Healthcare
The Job Jobber

Salary: $125,000 Our firm is working on an exclusive search for an OR Manager near Salem, Oregon. While the job title is Manager, it does very much match what you would expect in a Director role. We have a long standing relationship with this client, which means we are very in tune with their processes and what they are looking for in a qualified candidate. This facility sees 76,500 patient visits per year, not including Therapy department. Here is what we are looking for in an ideal candidate: extensive hands on OR RN skills, OR Management experience, and the ability to either circulate or...  more ->

12/1/2016 1:29:02 PMJS24335453
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Natick, MA
$125,000 - $140,000
Full Time
Healthcare
The Job Jobber

Salary: $125,000 - $140,000 Our firm is representing the interests of a highly reputable health system in MA in which they are in search of a Director of Inpatient Services for Women and Children. We have filled several roles with them, most of which were new add on roles, thus we are very familiar with their process and can effectively help you through every step of the interview process with them. Here is what we are looking for in an ideal candidate: BSN required, MSN preferred. 5 years of clinical nursing practice with 3 years management experience Develops and implements standards of...  more ->

12/1/2016 1:09:52 AMJS24341644
http://www.jobserve.com/EyfYV
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Salem, OR
$95,000 - $120,000
Full Time
Healthcare
The Job Jobber

Salary: $95,000 - $120,000 Are you passionate about working in an Orthopedic setting? Interested in Sports medicine? Do you have strong experience with Total Joint? Our firm is in search of a Nurse Practitioner or Physician Assistant to be working in a supporting role to a team or Orthopedic Surgeons. In this role you will be in the OR, rounding, updating treatment plans, admits, discharges, work with case managers and be a resource advocate for the patients and their family members. Our client is a Ambulatory Surgical Center in Oregon located about 2 hours from Portland and an hour south of...  more ->

11/30/2016 7:00:30 PMJS24333153
http://www.jobserve.com/Eydk7
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Nashville, TN
$70,000 - $100,000
Full Time
Sales and Marketing, Healthcare
The Job Jobber

Salary: $70,000 - $100,000 Streamline your process-driven activities while maintaining the highest standards of quality. Our client is a not-for-profit organization that helps healthcare organizations increase revenues, reduce costs, improve quality, and enhance service delivery - seeks an experienced Healthcare Sales/Business Development Representative to take charge of developing and growing the company's healthcare business in the Western PA, WV, MI, and TN (base) markets. The Healthcare Sales Representative will be responsible for: generating leads and securing business by actively...  more ->

11/29/2016 6:28:59 PMJS24323365
http://www.jobserve.com/EyYKz
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Columbus, OH
$75,000 - $96,000
Full Time
Healthcare
The Job Jobber

Salary: $75,000 - $96,000 MANAGER, HEDIS OPERATIONS - (non-clinical) Oversee and ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization, maximizing opportunity to improve outcomes for members. Oversee activities, resources, methods, and procedures to achieve improvement in HEDIS measures Formulate and ensure compliance with HEDIS technical specifications, policies, operating procedures, and goals in...  more ->

11/28/2016 11:48:40 AMJS24335430
http://www.jobserve.com/EySYK
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Cleveland, OH
Full Time
Healthcare
Medical Mutual

RN Case Manager1600276 Description . Competitive pay and sign on bonus * The Nurse Case Manager must practice case management within the scope of their licensure (based on the standards of the discipline). The case manager staff will be expected to engage members in the case management process and assess, plan, implement, coordinate, monitor and evaluate the treatment options of health care services. The Nurse Case Manager will coordinate and assure the delivery of service, assess physical as well as psychological factors involved in planning the patients care. The Nurse Case Manager will...  more ->

11/27/2016 10:10:37 PMJS1600276
http://www.jobserve.com/EyPLp
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