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- Mishawaka, IN
new job!

If you are a RN with at least 1-3 years Cath Lab experience, we are interested in speaking with you about our client’s need in the Mishawaka, IN/ South Bend region. If you are a new grad.... our client is willing to invest the time to train you! Our client facility is located centrally of Chicago, Detroit, Indianapolis and 3 miles from Michigan State Line. This is a college community experiencing economic growth and offers diverse living choices for anyone who is single or has a family. Top....

- Irvine, CA
new job!

The candidate is responsible for expeditiously developing and processing raw material and product documentation to meet quality requirements within timelines established for product launch and/or timely project completion.The Master Specifications and Documentation department interacts with various Pharmaceutical groups within the organization and departments such as Quality, Global Pharmaceutical Technology, Regulatory Affairs, Operations, Manufacturing (all sites), Procurement (Sourcing),....


The specialist will work with a team of medical information professionals to capture unsolicited medical inquiries from health care professionals, consumers, and corporate business partners. Also, research and respond to requests for scientific/medical information using various search and retrieval techniques and medical literature database (product label, published and unpublished studies) to develop a medical/scientific response that is accurate, fair balanced, complete and delivered in a....


Nationwide Search for Actuary and Associate Actuary (Individual Market) for Chicago, Milwaukee, and Calabasas Job descriptionPosition Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomesDevelop probability tables based on analysis of statistical data and other pertinent informationReview insurance plans and calculate required premium....

- Winston Salem, NC
new job!

Looking for a busy, fast-paced unit to broaden your nursing skills? Want to join a team that works well together, supportive leadership and excellent partnership with physicians? We are hiring in the following units. General Surgery Orthopedics Neuroscience Renal/Dialysis MedSurg Pulmonary The Registered Nurse serves as a leader of the healthcare team at Novant Health by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with....

- Akron, OH
new job!

An opportunity to join one of the award winning children's hospitals in the region. Full time afternoon shift Supervisor to work either five 8 hour shifts (3:30pm to 12 midnight) or four 10 hour shifts (2pm to 12:30pm). Routinely No weekend and holidays! The ideal candidate will be responsible for the following:Plans, coordinates and directs the daily activities of the personnel in assigned sections. Provides expert technical assistance. Directs training of the section personnel. Assigns,....

- Chesterfield, MO
new job!

Nationwide Search for Director, Utilization Management (RN) for large Fortune 100 enterprise. Job descriptionOversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy, and objectives of Corporate and the health plan. Support and perform case management, disease management, and on-site concurrent review functions as necessary.....

- Palo Alto, CA
new job!

This is an opportunity with a nationally ranked and internationally renowned children's academic medical center. Our mission: Extraordinary Care. Continual Learning. Breakthrough Discoveries. The Quality Manager is responsible for planning, coordinating, and monitoring the effectiveness of clinical care and services based on quality outcomes, cost effectiveness, and patient centeredness. This position is responsible to lead peer review, quality councils, and performance improvement initiatives

- Indianapolis, IN
new job!

TITLE: Director Blood Bank-Med Tech LOCATION: Indianapolis, IN Are you considering a career change? Would you be interested in living in a large city that doesn't feel like it. The Indianapolis area has something for everyone. If so, an opportunity to work an established organization that serves several locations in Indiana is looking for someone to join their team. Summary The Blood Bank Network Administrator assists in development of data-driven pre-analytical, analytical, and....


VP of Medical Management | Health Services - (RN) - Milwaukee, WI Milwaukee... on the shores of Lake Michigan...you will find it is a very comfortable place to enjoy life...rich in historical and cultural attractions, and the perfect place for exploring the outdoors. Company offers 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....


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


Manager, Medical Management - Appleton, WI Provide leadership for experienced clinical team in growing satellite office (12 direct reports), Manager will be responsible for managing a complete program of medical management in accordance with the mission, philosophy, and objectives of plan. Oversight includes both UM and CM. Manager will implement changes to medical service functions and performance in relation to company mission, philosophy objectives and policies, as directed. Manage budgets....

- Columbus, OH
new job!

Sr Director, Provider Contracting – Columbus, OHIO Great manager – highly motivated team –relocation offered. Growing health plan needs a strong communicator with a deep knowledge of value- based contracting and proven ability to build relationships with providers and senior leadership. Drive the development and implementation of network contracting and network development. · Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between


VP, Provider Contracting | Network | Strategy OREGON - Portland | Eugene STRONG leadership team - GREAT relo & benefits. Experienced strategist with exceptional relationship - building skills will direct the provider network and contracting activities across the OR market for multiple product lines. Responsible for analysis, network operations and supporting decision makers with analysis related to reimbursement and unit cost management. Oversee the coordination and negotiation for the....

- St Louis, MO
new job!

VP, QUALITY - MCO - St Louis EXCEPTIONAL leadership team - GENEROUS RelocationWorking closely with the Chief Medical Director and the CEO, VP will oversee all related activities for Quality Improvement functions. Lead and direct process improvement activities for more efficient and streamlined workflow. Oversee the business processes related to risk adjustment and quality improvement for assigned products and plans.Responsible for all activities related to National Committee for Quality....

- Indianapolis, IN
new job!

Director, UM - Indianapolis, IN Amazing growth continues with this national firm - award winning programs of care and a chance to TRULY make a difference for the medically underserved population in INDIANA. Benefits are excellent- career advancement opportunities are unlimited Director will join an already successful team and have oversight for referral management, telephonic utilization review, prior authorization functions, and case management programs and ensuring compliance government and....

- Sunrise, FL
new job!

Senior Director, Quality – FLORIDA _____________________________________________________________________ Incredible growth potential - generous relocation to SUNNY Florida! If you enjoy taking the lead in NCQA accreditation - this may be the new job for you! Sr Director will utilize proven success in moving the needle by directing process improvement activities to improve and streamline workflows across the Florida market. Responsible for NCQA and HEDIS performance. Ensure health plan is....


VP Medical Management | Health Services - Ft Lauderdale, FL VP will be a part of strong & collaborative leadership team with daily interaction with C - Suite executives. Incredible growth opportunities and perks for this executive role GENEROUS relocation & competitive compensation. Direct and coordinate the medical management, quality improvement and credentialing functions for the for the Florida market, establishing the strategic vision and policies and procedures for the entire....

- Fort Wayne, IN
new job!

Excellent opportunity for a CRNA to join our established company and growing practice located in NE Indiana. This group provides services at hospitals and surgical centers throughout the region. This position will require an IN license. If you do not currently hold a license in IN we will help you with the process. Practice runs an independent model. Fort Wayne was voted the lowest cost of living in America in 2017 and provides a welcoming community with affordable housing and land options.....

- San Antonio, TX
new job!

Registered Nurse (RN) Home Infusion Sales As part of the sales team working to grow the business by recognizing opportunities to expand relationships with existing referral sources and partner with the medical community to understand their patient’s needs for a safe and smooth transition home. Support and assist physicians, social workers, discharge planners and other referral sources to facilitate appropriate home infusion candidates being discharged from area hospitals. Conduct initial....

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