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With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Location: Glendale, CA Seeking a Board-Certified Oncologist and/or Hematologist to participate in pre-authorization and quality improvement solutions for our oncology and diagnostic imaging solutions. Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical policy.....


With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Location: Deerfield or Westchester, IL Seeking a Board-Certified Radiation Oncologist to participate in pre-authorization and quality improvement solutions for for radiation therapy and related radiology requests. Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical....


With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Location: Glendale, CA Seeking a Board-Certified Radiation Oncologist to participate in pre-authorization and quality improvement solutions for for radiation therapy and related radiology requests. Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical policy. Will also....


With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Location: Glendale, CA Seeking a Board-Certified Oncologist and/or Hematologist to participate in pre-authorization and quality improvement solutions for our oncology and diagnostic imaging solutions. Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical policy.....


With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Currently seeking a Board-Certified Cardiologist to participate in pre-authorization and quality improvement solutions for echocardiography, vascular Doppler ultrasound, high-tech diagnostic imaging and cardiac procedures. Physician Advisors determine the medical necessity of requests using clinical appropriateness guidelines and health plan medical policy.


With over 32 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place. Currently seeking a Board-Certified Cardiologist to participate in pre-authorization and quality improvement solutions for echocardiography, vascular Doppler ultrasound, high-tech diagnostic imaging and cardiac procedures. Physician Advisors determine the medical necessity of requests using clinical appropriateness guidelines and health plan medical policy.


Our client is an MCO focused on serving Medicaid, Medicare and uninsured individual It’s the foundation upon which they are creating greater access to care for their members, greater value for customers and greater health for communities. Will consider PT for Des Moines based candidates. Will consider relocation for FTE. Responsible for providing day to day guidance, support, and leadership for the clinical and quality activities and supporting the Medical Director in ensuring the clinical....

- Sprinfgfield, OR

10 Immediate openings Full-time Critical Care/ICU RN opening with our talented ICU team! This is a wonderful opportunity for a nurse with two years of Critical Care/ICU experience to work in a general Intensive Care Unit with 42 beds. Sacred Heart Medical Center's ICU covers Med/Surge, Cardiac, Neuro & Trauma cases. You’ll get to participate in team building and in the future apply for our Rapid Response (Code Blue) Team. Join our talented team, we are dedicated to increasing patient....


Client is a leader in Space Systems technologies. They employ over 40,000 people globally in 26 countries. This a key leadership position reporting to the Materials Manager. Your role will be to oversee the planning, production and control functions of the Space Systems business unit at the facility. You will have supervisory responsibility for Planners on a first shift operation, and possibly a second shift operation, in the daily performance of material planning and production control....


Our client is a leader in Population Health/Analytics to support right care at the right time. This is an exceptional opportunity to do innovative work that means more to you and those we serve. Solutions Manager is accountable for a solution and leads efforts to: set strategic direction, define the solution, plan enhancements, and bring the solution to market. The incumbent ensures his/her solution is a market leader, generates strong ROI for clients, and consistently improves quality and....


Our client is a leader in Population Health/Analytics to support right care at the right time. This is an exceptional opportunity to do innovative work that means more to you and those we serve. Solutions Manager is accountable for a solution and leads efforts to: set strategic direction, define the solution, plan enhancements, and bring the solution to market. The incumbent ensures his/her solution is a market leader, generates strong ROI for clients, and consistently improves quality and....

- Chicago, IL

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. An experienced and effective leader and producer within the Client Management team, the Client Management Director is responsible for end-to-end results, execution, and success of client on-boarding, implementation, program operations, service, value, client satisfaction, retention, and expansion/growth for client's....


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 Pain Management Physicians 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....


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 Pain Management Physicians 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....


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 Neuro 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 part....


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....


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 Neuro 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 part....


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. Responsible for leading the development of new business plans/strategies for both new and existing businesses. Primary duties to include, but are not limited to: Leads the analysis of current and projected product lines to determine optimal business strategy. Oversees research, analysis and the development of....

- 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....

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