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- Any US State

Our client is a leader in Utilization Management and decision support platform. They provide value based on evidence medicine to payers and providers. The Physician advisors evaluate medical necessity requests for clinical services that do not meet utilization review criteria and render a clinical opinion about the medical service under review. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.....


Opportunity to join a rapidly growing business intelligence health IT company that provides decision support to determine right care at the right time or better patient outcomes. A critical line management role for the organization, the Client Management Executive is responsible for all client management efforts, including: strategic planning, consulting on optimal program design to fulfill the client’s business objectives, and communicating program performance. Additionally, the Client....


An excellent opportunity with a leading $40B healthcare system to conduct utilization reviews and impact quality of care for their members. We are seeking a Board-Certified Orthopedic surgeons to participate in pre-authorization and quality improvement solutions for high-tech diagnostic imaging and musculoskeletal management. Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical policy. Opportunities can be....


This is a very unique opportunity with a new digital innovation group in a fast paced industry. The opportunity is to launch applications, products, technologies that empower social selling. The individual will be responsible to help build a new revenue model leveraging social media and digital marketing platforms. This is an internal startup within the client organization and provides tremendous visibility to foster innovation and infuse innovation through the organization. Project cycles are

- Dallas, TX

Must be able to travel Monday through Thursday. Excellent opportunityAdvise upon, lead and work on high impact activities within the systems development lifecycle, and provide advisory work for the IT function itselfExperienced Supply Chain Manufacturing Professional that has experience working with clients to solve business issues supported through technology. Experience with Supply Chain Manufacturing execution processes as well as some of the following functions: Production Planning,....

- Dallas, TX

Must be able to travel Monday through Thursday. Excellent opportunityAdvise upon, lead and work on high impact activities within the systems development lifecycle, and provide advisory work for the IT function itselfExperienced Supply Chain Manufacturing Professional that has experience working with clients to solve business issues supported through technology. Experience with Supply Chain Manufacturing execution processes as well as some of the following functions: Production Planning,....

- Philadelphia, PA

Come join a global investment, trading and technology firm servicing securities markets worldwide. Several opportunities responsible for designing and developing low-latency trading systems for Index Desk. Will relocate. Will sponsor H1 visa's for outstanding candidates. Targeting $95k - $125k DOE. Exceptional benefits including free catered lunch every day, an onsite gym and many other perks. As a developer on this team, you will work closely with traders and top technologists to enhance our....


This is a highly visible role to own end to end strategy for a fast growing health system and specialty benefits company. As a Strategy Manager, you will be responsible for supporting the development, execution and use of timely, actionable market, competitor and customer information to grow the business. Agile group with tremendous exposure within the CEO's office. Must have payer or provider strategy experience. No relocation. Extraordinary benefits and compensation. Opportunity for fast....


This is a highly visible role to own end to end strategy for a fast growing health system and specialty benefits company. As a Strategy Consultant, you will be responsible for supporting the development, execution and use of timely, actionable market, competitor and customer information to grow the business. Agile group with tremendous exposure within the CEO's office. Must have payer or provider strategy experience. No relocation. Extraordinary benefits and compensation. Opportunity for fast....


Opportunities like these do not come often! Our client is a revolutionizing the way they do business. Key being customer engagement. You want to be an experience ambassador for the fastest paced organization, here is your chance to learn more. Fabulous relo package, competitive salaries and more importantly an agile work culture. Work for the most dynamic leadership team - clear vision and execution. Our client is building a digital unit to disrupt what was. Our teams are obsessed with....


Opportunities like these do not come often! Our client is a revolutionizing the way they do business. Key being customer engagement. You want to be an experience ambassador for the fastest paced organization, here is your chance to learn more. Fabulous relo package, competitive salaries and more importantly an agile work culture. Work for the most dynamic leadership team - clear vision and execution. Our client is building a digital unit to disrupt what was. Our teams are obsessed with....


Opportunities like these do not come often! Our client is a revolutionizing they way they do business. Key being customer engagement. You want to be an experience ambassador for the fastest paced organization, here is your chance to engage. Work for the most dynamic leadership team - clear vision and execution. Fabulous relo package, competitive salaries and more importantly an agile work culture. Our client is building a digital unit to disrupt what was! To do that we’re looking for a....

- san jose, CA

This is a brand new opportunity with a global eCommerce company in CA to join their development team to build and support large scale analytical data environments including thought leadership, design, configuration, installation, capacity planning, capacity management, and performance tuning and monitoring. Challenging environment focused on scalability and high availability. Scope to lead a team in the near future as this group is growing rapidly. You MUST have hands on experience with the....


An excellent opportunity with a leading $40B healthcare system to conduct utilization reviews and impact quality of care for their members. We are seeking a Board-Certified Orthopedic or Physical Medicine and Rehabilitation physician to participate in pre-authorization and quality improvement solutions for high-tech diagnostic imaging and musculoskeletal management. Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health....


Are you a digital disrupter? Here is an awesome opportunity to manage a multi-million dollar sales and revenue target for API’s across all industries, working closely with account teams and business services teams to drive origination, build pipeline and achieve sales targets. Our client - a leading digital consulting company is looking for Sales Executives in the mobile ecosystem practice to help clients manage the demands of fast-moving environments. With your knowledge of innovative....

- Any US State

Locations: Northeast (e.g. NY/NJ/Boston, CT, etc) and Midwest (MN, Chicago, etc) Our client is a global consulting organization that is growing its Insurance Practice nationwide. This is a terrific opportunity to lead and work on high impact activities within the systems development lifecycle, and provide advisory work for the IT function itself. Ideal candidates have experience applying innovations in digital, analytics and intelligent automation to improve business performance. Some....


Opportunity to conduct peer to peer reviews to determine best possible patient care at the lowest cost. After initial onsite training, this position can be based remote. Participate in pre-authorization and quality improvement solutions for radiation therapy and related radiology requests. Determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical policy. Responsibilities include: **Perform physician-level case review of radiation....

- New York, NY

This Medical Director is a part time position (20 hrs/week) supporting Medicaid business in NY. Work at home may be considered for this role. Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to: Interprets existing....


Our client is a Federally Qualified Health Center with over 22 locations and they serve over 88,000 individual patients. They provide outpatient primary healthcare, dental care, limited specialty care, lab, radiology including mammography, a full service pharmacy, and behavioral health. these are regular day shifts. Ideal candidate: Board certified MD, no license restrictions - TX license. 3+ years experience FQHC experience a plus The ideal candidate will - Perform comprehensive physical....

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