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Job Description: Vice President - Sales Vice President - Sales Location: New York, NY Salary:  Experience: 7.0 year(s) Job Type: Full-Time Job ID: J136960       About the Opportunity A rapidly growing healthcare claims cost containment company located in the New York City area is actively seeking a self-motivated and experienced professional for a lucrative opportunity as their Vice President of Sales. In this role as an individual contributor, the VP of Sales will develop and manage a direct sales initiative working primarily with government-based managed care entities and relevant regional health plans (Medicaid Advantage) for the purpose of their using the company's Claims Management systems. The VP of Sales will also be responsible for prospecting for new payer clients, facilitating contracts, building and maintaining client relationships as well as attending approved industry forums and conventions. Apply today! Company Description Healthcare Claims Cost Containment Company Job Description The Vice President of Sales will: Develop strategies for managed care client development through analysis and market knowledge Prospect and present systems to targeted managed care and relevant mid-sized commercial health plan organizations Effectively presents the value proposition of systems to targeted clients Accurately report sales pipeline activity in Salesforce Work with leadership to develop company specific contractual templates Attend industry conferences and trade shows per management’s approval Maintain awareness of and ensures adherence to standards Perform other duties as assigned Required Skills 7+ years of sales or business development experience in government based managed care sector Knowledge of the operational processes of managed care entities and relevant health plans with an understanding of their goals and objectives Strong knowledge of MS Office products Familiarity working with CRM systems Demonstrates expert understanding market managed care penetration strategies Demonstrates strong understanding of government based managed care cost containment market needs Computer proficiency and technical aptitude with MS Office applications (strong understanding of Word, Excel and PowerPoint) Desired Skills College Degree

Job Description: Area Vice President - Sales Area Vice President - Sales Location: New York, NY Salary: $120,000-$300,000 Experience: 10.0 year(s) Job Type: Full-Time Job ID: J136427       About the Opportunity An established insurance brokerage and risk management services firm located in Manhattan is actively seeking an experienced and driven professional to join their staff as their Area Vice President of Sales. In this role, the Area Vice President of Sales will be responsible for building successful business relationships with middle market companies resulting in increased revenue. They will prospect and cultivate new business in the New York City metro area and will ensure collaboration with Practice Leads, who are subject matter experts in our key practice areas, and other functions within the organization, as part of a “team” approach to sales and business expansion. Additionally, they will be responsible for managing opportunities through the complete solution selling sales cycle. Company Description Insurance Brokerage and Risk Management Services Firm Job Description The Area Vice President of Sales: Creates business opportunities by identifying prospects and evaluating their current environment Increases the company’s sales by overseeing the establishment and development of relationships with prospects Maintains up-to-date sales activity information to manage the sales cycle Provides sales dashboards and other reports, based on data collected and analyzed Maintains quality service by establishing and enforcing organization standards Maintains professional and technical knowledge by attending educational workshops Contributes to team effort by accomplishing related results as needed Develops internal relationships with “subject matter experts” and utilize these relationships to close new business Required Skills Bachelor’s Degree 10 years’ experience in Sales and 5 years’ experience in Sales for a consulting or services organization selling to middle market organizations in the tri-state region Strong presentation skills Ability to for client relationships Proven negotiation skills Demonstrated prospecting skills Consistently able to meet sales goals Creative mindset Sales Planning and strategy Knowledge of internal subject matter resources relationship development

Job Description: Regional Vice President - Sales Regional Vice President - Sales Location: Tennessee Salary:  Experience: 7.0 year(s) Job Type: Full-Time Job ID: J134679       About the Opportunity An established Health Care Population Health SAAS Company located in Nashville is actively seeking a driven and experienced individual for a rewarding opportunity as their Regional Vice President of Sales. Reporting to the Executive Vice President of Sales, the Regional VP of Sales will develop and manage a direct sales initiative working primarily with Health Plans for the purpose of utilizing company solutions. Additionally, the Regional VP of Sales will be tasked with prospecting for new clients, facilitating contracts and rates, building and maintaining payer relationships, and attending approved industry forums and conventions. There is no cap on commissions, so this is an excellent opportunity for a driven sales professional! Company Description Health Care Population Health SAAS Company Job Description The Regional Vice President of Sales will: Develop strategies in conjunction with the company’s EVP of Sales, from health plan client development through analysis and market knowledge Prospect and present company solutions to targeted health plans Present the value proposition of company solutions to targeted potential clients Accurately report sales pipeline activity Work with the company’s leadership, Information Technology, and Account Management teams to develop company specific contractual templates Negotiate rates and contract language for execution Attend industry conference and trade shows Maintain awareness of and ensure adherence to the company’s standards Required Skills 7+ years of sales or business development experience in the healthcare payer sector Demonstrated knowledge of the operational processed of healthcare payers with and understanding of their goals and objectives Fast learner with the ability to operate within the highest levels of the target market Familiarity working with CRM Saleforce.com Demonstrates a strong understanding of payer market needs Computer proficiency and technical aptitude with MS Office applications (strong understanding of Word, Excel, and PowerPoint) Ability to work on assignments that are complex in nature and in which judgment and initiative are required in resolving problems Thorough knowledge of company and departmental policies and procedures Desired Skills College Degree

Job Description: Assistant Vice President - Compliance Assistant Vice President - Compliance Location: Nassau County, NY Salary: $180,000-$210,000 Experience: 7.0 year(s) Job Type: Full-Time Job ID: J131560       About the Opportunity A driven and diligent healthcare professional is actively being sought out by a hospital in Nassau County, NY for a promising opportunity on their staff as their Assistant Vice President of Compliance. Reporting to the Senior Vice President of Internal Audit and Compliance, the Assistant Vice President of Compliance will assist in executing and monitoring compliance initiatives within the hospital and its affiliates. Company Description Hospital Job Description The Assistant Vice President of Compliance will: Maintain abreast of compliance issues and regulations related to the healthcare industry, annual coding updates and frequent regulatory changes Exercise due professional care in performing compliance reviews Understand and maintain strict confidentiality of patient information, work plans and projects Coordinate internal and external efforts to ensure adequate compliance audit coverage and to minimize duplicate efforts Manage assigned staff Perform routine compliance monitoring as deemed necessary Manage/oversee the management of the physician audit program Maintain and distribute relevant compliance educational materials and regulatory compliance updates Perform research on compliance issues as they arise from internal and external inquiries and document research, Serve as a resource for department managers, staff, physicians and administration Perform other tasks as necessary Required Skills Bachelor's Degree CPC, CCS, CCS-P and/or RHIA 7-10 years of experience in the healthcare industry, of which 2-3 years were spent in a position with supervisory or managerial responsibilities 5+ years of hospital and physician coding experience Proficiency in applying compliance standards, procedures and techniques is required in performing compliance reviews Understanding of management principles Knowledge of the fundamentals of such subjects as accounting, economics, commercial law, finance, qualitative methods and computerized systems Extensive knowledge of ICD-9, ICD-10 and CPT coding principles, guidelines and practices Strong analytical and problem-solving skills Strong computer skills, particularly Word and Excel Expertise in report writing and oral presentations Strong professional attitude Ability to work with and communicate effectively with all levels of management  Desired Skills MBA or MA in hospital administration

Job Description: Senior Vice President - Client Services Senior Vice President - Client Services Location: Colorado Salary: $225,000-$250,000 Experience: 10.0 year(s) Job Type: Full-Time Job ID: J137403       About the Opportunity A premier healthcare technology company located in Denver, CO is actively seeking a diligent and driven individual for a promising opportunity on their staff as a Senior Vice President of their Client Services division. In this role, the SVP of Client Services will maintain full accountability for client delivery and ensure on-time, on-budget go lives. Apply today! Company Description Healthcare Technology Company Job Description The Senior Vice President of Client Services will: Gather and mitigate quarterly and semi-annual customer satisfaction NPS score Set and drive individual and corporate account management add on sales / quota targets Manage, attend, and drive monthly client steering committee meeting prep, delivery, and follow up Give appropriate stakeholder feedback to client progress, risks, issues Improve and drive implementation and active discovery methodology Work with SVP Product Management to drive client feedback (VOC) into the product Support sales pursuit services leads, pricing and support Participate and drive corporate strategy as a member of the senior leadership team Support capital raising activities as requested Required Skills 5+ years of managed services/business process outsourcing experience 10+ years’ experience in health care industry and healthcare technology implementation Consultative in the data and command client c-suite audiences 10+ years of tier 1 consulting experience, ideally a partner Early stage and/or emerging company experience Unwavering pursuit of client value / satisfaction Relentless questioning of the data and team to drive client value Ability drive outcomes in a complex senior client environment Experience with Healthcare c-suite network for add on sales and account management Demonstrated ability to meaningfully manage a P&L with account management quota Ability to recruit and bring an armada of “A+” players as well as mentor, support and retain current team

Job Description: Vice President of Clinical Operations (RN) Vice President of Clinical Operations (RN) Location: New York, NY Salary: $140,000-$165,000 Experience: 7.0 year(s) Job Type: Full-Time Job ID: J137534       About the Opportunity A healthcare company in New York City is actively seeking an experienced, licensed Registered Nurse (RN) to join their growing staff as a new Vice President of Clinical Operations. In this role, the Vice President of Clinical Operations (RN) will be accountable for leading the Clinical Operations of the company, including developing and implementing policies, procedures, and operational workflow. Apply today!  Company Description Healthcare Company Job Description The Vice President of Operations will be responsible for: Staffing and analysis of supplies and inventory, directing, managing, and leading clinical and administrative staff Creation of workflow design and implementation Operational analysis- blocked time schedules, patient flow, and support staff schedules Designing and development of the company’s infrastructure and organizational plan Development of Ambulatory Surgical Center implementation plan Operational oversight of multiple Ambulatory Surgical Centers Participating in new client acquisition and marketing Developing and implementing policies, procedures, and operational workflow, operations, staffing, and analysis of supplies and inventory, directing, managing, and leading ASC clinical and administrative staff Required Skills 7+ years of related experience Bachelor's Degree in a related field NYS Registered Nurse (RN) license Knowledge of ASC regulation and Joint Commission Working knowledge of OmniForm Microsoft Office/Suite proficient (Access; Excel; Outlook; PowerPoint; Publisher; SQL Server; Visio; Word) Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Master's Degree in a related field

Job Description: Senior Vice President of Business Development Senior Vice President of Business Development Location: Jersey City, NJ Salary:  Experience: 7.0 year(s) Job Type: Full-Time Job ID: J137408       About the Opportunity A hospital in New Jersey is actively seeking an experienced professional to join their growing staff as their new Senior Vice President of Business Development. This is a great opportunity for a diligent and highly motivated professional to gain valuable work experience and further their career at a recognized facility. Apply today! Company Description Hospital Job Description The Senior Vice President of Business Development will be responsible for: Following through from vision to execution with measurable results to the bottom line. Uniting various constituencies to work together harmoniously to achieve high quality patient care. Being inclusive with Physicians on key decisions and meeting frequently with them to ascertain their needs Team building and motivating people Identifying the right people to execute strategic opportunities and motivating people to act. Accumulating a solid understanding of the dynamics and politics of a hospital environment and navigate between disparate entities to successfully unite constituencies toward a common cause Required Skills 7+ years of Healthcare Management level experience in Strategic Planning, Business Development, Market Research or related Executive area Bachelor's Degree in a related field Knowledge of Healthcare Organization and Administration and of standards and laws applicable to managing business development and planning issues with facility operations Sales and/or Marketing experience Strong project management skills Solid analytical and research skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills MBA

Job Description: Assistant Vice President of Quality and Patient Safety Assistant Vice President of Quality and Patient Safety Location: Rockland County, NY Salary: $120,000-$180,000 Experience: 10.0 year(s) Job Type: Full-Time Job ID: J135995       About the Opportunity A healthcare facility in Rockland County is currently seeking an experienced professional to join their growing staff as an Assistant Vice President of Quality and Patient Safety. In this role, the Assistant Vice President of Quality and Patient Safety will have administrative responsibility for the quality management / patient safety programs within the facility. Apply today! Company Description Healthcare Facility Job Description The Assistant Vice President of Quality and Patient Safety will be responsible for facilitating organizational success in the establishment of quality management systems and patient safety practices that exceed the standards set by the Joint Commission and regulatory agencies and for recommending to senior leadership, the resources needed to achieve this goal. Required Skills 7+ years of progressive experience in Healthcare Administration Bachelor's Degree in Healthcare, Hospital Administration, or a related field Previous experience Administrative Leadership in quality and safety at a tertiary facility Experience in a leadership position with responsibility for Clinical Operations; Medical Staff Organization; Graduate Medical Education; and, developing and implementing Quality Assurance Programs Solid analytical and research skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Master's Degree in Health Care, Hospital Administration, or a related field

Job Description: Director of Nurse Recruitment Director of Nurse Recruitment Location: New York, NY Salary: $120,000-$155,000 Experience: 0. year(s) Job Type: Full-Time Job ID: J137362       About the Opportunity A hospital in New York City is actively seeking an experienced professional to join their growing staff as their new Director of Nurse Recruitment. Reporting to the Senior Director of Talent Acquisition, the Director of Nurse Recruitment will be responsible for leading and managing the functions of the Nurse Recruitment Department within Human Resources by overseeing the recruitment of all levels of nursing staff. Apply today! Company Description Hospital Job Description The Director of Nurse Recruitment will be responsible for: Development of advertising and recruitment strategies Assessment and projection of nurse and related staffing supply and demand using national and regional data Guidance of respective Directors and Nurse Managers in the hiring process Active leadership in retention strategies at the department and service level Collaboration with the Senior Vice President and Chief Nursing Officer and Human Resources in the development of compensation and other benefit programs for nursing staff; guidance and mentoring Nursing Recruitment staff Development and oversight of the budget for the department Collaboration with the Director, Nurse Managers and the Business Manager of the Departments of Nursing in maintaining accurate and timely staffing position control Assuring compliance with all hospital and regulatory standards Required Skills 5+ years of Nursing Recruitment experience; 4+ years of experience working within a Nursing Practice and/or an Acute Care Institution Bachelor's Degree in Nursing Solid sourcing and interviewing skills Computer savvy Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Master's Degree in Nursing NYS Registered Nurse (RN) license Certification as Health Care Recruiter (CHCR) Previous experience working within an Academic Medical Center

Job Description: Quality Assistant Director (RN) Quality Assistant Director (RN) Location: New York, NY Salary: $105,000-$110,000 Experience: 5.0 year(s) Job Type: Full-Time Job ID: J137302       About the Opportunity A managed long-term care facility located in the Bronx is actively seeking an experienced and compassionate Registered Nurse (RN) for a promising opportunity on their staff as a Quality Assistant Director. In this role, the Quality Assistant Director assists the Vice President of Quality in the overall implementation of the quality program for the health plans line of business. Apply today! Company Description Managed Long-Term Care Facility Job Description The Quality Assistant Director (RN): Assists and facilitates in the monitoring and evaluating the quality and appropriateness of care/services Monitors member satisfaction Directs initiatives for improvement and evaluating the effectiveness of interventions Provides consultation and direction internally within the Nurse Care Manager and Quality Department Ensures policies and procedures are monitored and updated to include regulatory changes Oversees quality assurance and compliance functions to meet governmental requirements Required Skills BSN Active New York State Registered Nurse license 5 years of experience in Quality Management with the handling of grievance and appeals Experience with Appeals and Denials Strong attention to detail Ability to multitask Excellent communication skills Desired Skills Master's Degree and/or CPHQ certification

Job Description: IVF Care Manager (RN) IVF Care Manager (RN) Location: White Plains, NY Salary: $80,000-$92,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J137268       About the Opportunity A healthcare organization in Westchester County is actively seeking a licensed Registered Nurse, with a strong IVF background, for a promising Care Manager position with their growing staff. Under the guidance of the Vice President of Clinical Services and Consulting Chief Medical Officer, the IVF Care Manager (RN) will be responsible for managing treatment plan utilization and care, reviewing clinical outcomes to determine appropriateness of care, and ensure the organization and contract obligations are met. Apply today! Company Description Healthcare Organization Job Description The IVF Care Manager (RN) will: Review medical treatments and approve care based on the organization’s medical and contract guidelines Review non-standard service outcomes and enter outcomes into the Authorization Tracking System (ATS) ensuring entry of all required information Review data entered into ATS by Customer Service Agents (CSA) to ensure accuracy and completeness Call patients to discuss care, clarify, augment and/or confirm accuracy of information received from providers to ensure appropriate care, as necessary Ensure providers are informed of patient needs, treatment modification, and/or progress when necessary or requested Handle complex clinical issues or questions and troubleshoot clinical problems for the CSA team Track ART trends, quality of care, protocols and pathways, denial and appeal service reviews, and state mandates to ensure organization’s protocols are continually improving to meet or exceed ASRM guidelines Utilize knowledge of ATS, contract obligations, infertility, and best business practices to provide superior service to clients Review benefit status based on customer plans and eligibility file information prior to authorization of services or administrative/benefit denials Required Skills 2+ years of experience in Assisted Reproductive Technology, including: General Infertility; IVF or Infertility Care Management; and/or, Women’s Health Associate's Degree in Nursing NYS Registered Nurse (RN) license Microsoft Office/Suite proficient Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Bachelor's Degree in Nursing Bilingual (English and Spanish)

Job Description: Director of Utilization Management (RN) Director of Utilization Management (RN) Location: Brooklyn, NY Salary: $110,000-$135,000 Experience: 5. year(s) Job Type: Full-Time Job ID: J137164       About the Opportunity A healthcare organization in New York City is actively seeking a licensed Registered Nurse (RN), with a strong Utilization Management background, for a promising Director-level position with their growing medical staff. Reporting directly to the Vice President of Care Management, the Director of Utilization Management (RN) will be responsible for the development, implementation and coordination of quality driven programs, including evaluation of the Utilization Management Program. Apply today! Company Description Healthcare Organization Job Description The Director of Utilization Management (RN) will be responsible for: Providing leadership emphasizing utilization management program development, process improvement, implementation and measurement of quality metrics Interpreting and implementing utilization management criteria and clinical standards Creating, developing and implementing policies and procedures in accordance with regulations and contract compliance with the State of NY Department of Health Contract, regulatory and accreditation requirements Reviewing quality assurance standards; studying existing policies and procedures; and, interviewing personnel and customers to evaluate effectiveness of utilization management program Leading and/or participating in quality initiatives and activities as designated by Continuous Quality Improvement Committee Acting as a key contact source in accreditation processes Improving the quality of care and services, work performance and department processes Performing quality-assurance functions to accomplish business coordination, monitoring, and reporting of quality-assurance studies according to the CM/QA plan Compiling statistical data and writes narrative reports summarizing quality assurance findings Assuring timely identification of problems and correction of deficiencies Assisting departments with the coordination of audit information, and recommends appropriate data-gathering mechanisms, procedures, etc. Required Skills 5+ years of Utilization Management experience Bachelor's Degree in Nursing, Business, and/or Healthcare Management NYS Registered Nurse (RN) license Strong Management background Knowledge of current Care / Case / Disease Management methodologies and Program Development Working knowledge of Interqual or Milliman Knowledge of the Healthcare delivery system Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Clinical Pharmacist Clinical Pharmacist Location: Farmington, CT Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1014083       About the Opportunity A healthcare center in Connecticut is actively seeking a licensed Clinical Pharmacist for a promising position with their growing medical staff. In this role, the Clinical Pharmacist will be responsible for administering the Pharmacy Benefit and Programs for the center's members to promote quality and cost effective drug use as well as assisting the Vice President / director with the overall health plan drug management. Apply today! Company Description Healthcare Center Job Description The Clinical Pharmacist will be responsible for: Administration of prior-authorization criteria and member over-rides according to established policies Answering questions from the Physician offices regarding formulary or utilization management criteria Working in coordination with the center's Disease Management staff to improve and maintain members health Monitoring pharmacy drug usage and expense trends and developing / coordinating Physician profiles, mailings and other communications to achieve quality, cost-effective pharmaceutical care Assisting in preparation and presentation of P&T committee materials Drug information resource Performing ad hoc computer analysis on the Desk Top PBM system and working with Informatics for assistance with the analysis of pharmacy data and preparation of special data programs Assisting in the development and execution of clinical interventions and other pharmacy programs Required Skills 1+ year of related work experience Bachelor's Degree in Pharmacy CT Pharmacist license Computer savvy Microsoft Office and an ability to learn new programs quickly. Solid analytical and research skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills 2+ years of previous Pharmacy experience Doctor of Pharmacy Degree

Job Description: Cost Outlier Auditor (RN) Cost Outlier Auditor (RN) Location: New York, NY Salary: $80,000-$85,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J133091       About the Opportunity The Review Operations Department of a recognized healthcare company is currently seeking a licensed Registered Nurse (RN) for a promising Cost Outlier Auditor position with their growing staff. Reporting to the Vice President of Review Operations, the Cost Outlier Auditor (RN) will be responsible for handling cost outliers and special projects and insuring their completion. Apply today! Company Description Healthcare Company Job Description The Cost Outlier Auditor (RN) will: Complete all aspects of cost outlier work independently Maintain and update training materials as needed Maintain and update all hospital profiles as needed Assist with the training and orientation of all new staff Communicate with External Liaisons on issues specific to projects and with account representatives specific to program process Perform Quality Assurance of reviewers as assigned Perform various reviews such as Cost Outliers, Day Outliers, Pre and Post payment Utilization review, Quality Reviews and review of outpatient claims Assist the Operations department with data abstraction for special studies Required Skills 2+ years of Utilization Review and Managed Care experience; 2+ years of experience in a Hospital setting BSN NYS Registered Nurse (RN) Experience reviewing charts Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Senior Medical Director Senior Medical Director Location: Hartford County, CT Salary: $250,000-$275,000 Experience: 10.0 year(s) Job Type: Full-Time Job ID: J136266       About the Opportunity A recognized healthcare organization in Connecticut is actively seeking a board certified medical professional to join their growing staff as their new Senior Medical Director. Reporting to Vice President / Chief Medical Officer (CMO), the Senior Medical Director will be responsible for providing the clinical leadership for Medical Operations and Medical Quality, both internally and externally. Apply today! Company Description Healthcare Organization Job Description The Senior Medical Director will be responsible for improving utilization of all medical services by contributing to the strategic direction for medical management programs, including: Case management Prior authorization programs Disease management Pharmacy management Required Skills 3+ years of Clinical experience M.D. and/or D.O. Board Certified Previous experience in a Management and/or Supervisory role Experience with Primary Care or Medicare Population Specialty Experience with Medicare-risk programs Experience with the management of IPA, PHO and/or Group Practice Models related to Medical Utilization and/or Resource Management and Quality Assurance Solid Pre-Authorization, Utilization Review, and/or Quality Assurance background Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized

Job Description: Physician Reviewer (MD) Physician Reviewer (MD) Location: Westchester County, NY Salary: $175,000-$200,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J135121       About the Opportunity A widely recognized academic medical center located in Westchester County, NY is actively seeking a self-motivated and experienced professional for a promising opportunity on their staff as a Physician Reviewer! Reporting to the Vice President of Care Management, the Physician Reviewer will be responsible for engaging in daily clinical reviews of insurance carrier denials and all level appeals. Company Description Academic Medical Center Job Description The Physician Reviewer: Reviews all denied cases for medical necessity in which clinical review is needed to overturn the denial Engages clinical discourse with insurance carrier Peer Reviewer to justify extended length of stay or clinical needed for treatment Provides clinical rationale for standard and expedited appeals Provides assistance to initial clinical reviewers as needed to sufficiently document the level of care Documents all communication with medical office staff and MD provider in a timely and accurate manner Utilizes medical review guidelines and parameters to ensure consistency in the MD review process Participates in ongoing training per inter-rater reliability process Functions as a resource for initial clinical reviewers Assists the VP of Care Management in process improvement strategies to reduce denials and appeals Required Skills Graduation from an accredited medical school 5-8 years of clinical experience 5-10 years of clinical experience providing direct patient care 2+ years as a Physician Reviewer in healthcare in an insurance company and/or Acute Care Facility Demonstrated leadership abilities Current unrestricted MD license to practice medicine Board Certified by the American Board of Medical Specialties (ABMS) or the American Board of Osteopathic Specialties (ABOS) Excellent communication skills

Job Description: Director of Vendor Management - Healthcare Director of Vendor Management - Healthcare Location: Bronx, NY Salary: $125,000-$180,000 Experience: 6.0 year(s) Job Type: Full-Time Job ID: 120583       About the Opportunity A healthcare organization is actively seeking an experienced professional for an excellent opportunity as a Director of Vendor Management with their staff. Reporting directly to the Vice President of Provider Relations and Network Development, the Director of Vendor Management will be responsible for maintaining vendor relations that support company-wide initiatives through strong contracts, due diligence and on-going vendor maintenance. Company Description Healthcare Organization Job Description The Director of Vendor Management will: Oversee vendor selection, due diligence oversight, and maintenance of vendor relationships Develop materials to evaluate vendors upon contracting and annual review Provide monthly reporting to measure vendor metrics and distribute to department heads or Delegated Vendor Oversight Committee as appropriate Represent the organization in vendor meetings Develop policies, contractual guidelines, and performance measures that are consistent with CMS and DOH requirements Work with compliance and quality to ensure policies and procedures are addressed and documented as downstream entities Implement new vendor arrangements Coordinate meetings with vendor and support departments such as IT, MM, CS, and Claims Ensure that work plan is kept on track and operational issues are identified and resolved up front prior to going live Identify new vendors for required service needs Identify and monitor vendor concerns, recommend solutions, and follow up during the process, as well as communicates resolution to ensure problems have been resolved Conduct financial analysis and reporting to evaluate potential cost savings Work with strategic planning to help senior staff make decisions on new cost saving initiatives Pursue and suggest pharmacy cost savings Conduct financial analysis as it relates to contract negotiations and on-going pharmacy initiatives Produce innovative ideas on how to improve pharmacy benefit programs and relationships Required Skills 6+ years of experience in Medicaid/Medicare, HMO/PPO, and Pharmacy Benefit Bachelor's Degree in related field Vendor management experience Strong Pharmacy experience Flexibility in traveling for on-site annual and pre-contractual audits Strong analytical and financial analysis skills Broad project management experience Ability to communicate effectively with different departments and levels within the organization Desired Skills Supervisory or Management experience

Job Description: Oncology Patient Care Manager (RN) Oncology Patient Care Manager (RN) Location: Westchester County, NY Salary: $75,000-$120,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J57168       About the Opportunity A hospital in Westchester County is actively seeking a licensed Registered Nurse (RN), with a strong Oncology background, for a promising Patient Care Manager position with their growing medical staff. In this role, the Oncology Patient Care Manager (RN) will be responsible for assuming 24-hour fiscal, clinical and operational responsibility for the assigned areas incorporating the hospital's vision, goals, and long-range plan. Company Description Hospital Job Description Works collaboratively with the Director and the Senior Vice President for Patient Care and Chief Nursing Officer. the Oncology Patient Care Manager (RN) will be responsible for providing leadership, direction and management ensuring quality patient care services in their clinical areas. Required Skills 3+ years of related experience BSN NYS Registered Nurse (RN) license National Nurse Manager Certification (Certification for Nurse Managers & Leaders, CNML, thought AACN.org) required within 3 years of hire date, or no later than 2016, which ever date is later Previous Supervisory experience Solid documentation and assessment skills Solid analytical, problem solving, and critical thinking skills Patient oriented Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Oncology experience Previous Management experience

Job Description: Proposal Writer Proposal Writer Location: Westchester County, NY Salary: $60,000-$75,000 Experience: 3. year(s) Job Type: Full-Time Job ID: J132462       About the Opportunity A healthcare organization in Westchester County is looking to fill an immediate need with the addition of a new Proposal Writer to their growing staff. Reporting to the Senior Vice President Sales and Marketing, the Proposal Writer will be responsible for managing the analysis, development, coordination, writing, and completion of Requests for Information (RFIs), Requests for Quotations (RFQs), Sales Proposals, Questionnaires, Presentations, and related requests. Company Description Healthcare Organization Job Description The Proposal Writer will: Work with many departments across the organization to ensure appropriate presentations and sales/marketing collateral including sales, clinical services, analytics, marketing, and senior leadership Read and analyze proposal request and formulate project plan with clear expectations of proposal objectives and team member responsibilities Conduct first pass of each proposal using content database and past proposals Provide comprehensive writing and editing expertise to ensure accuracy and quality of response with input from internal subject matter experts, such as writing executive summaries and responses to specific questions and editing final document Track issues/resolutions, analyze and incorporate proposal inputs from team Manage and conduct final printing/production and delivery of proposal response Manage proposal development schedule to ensure 100% on time delivery of all requests Serve as the focal point for the sales team throughout the duration of assigned proposals Formulate and communicate project plan with clear expectations of team member responsibilities, including responsibilities of others in the business unit Facilitate all proposal - and project-related communications, ensuring all deadlines and quality controls are met Track and incorporate all input provided by subject matter experts and other reviewers throughout the proposal process, following up as needed to ensure all proposal questions have a thorough, accurate, and compelling response Respond promptly to all inquiries and input from business unit team members related to proposals and projects Work with management l writers to manage development of content as product strategy evolves Required Skills 3+ years of Proposal Writing experience Bachelor's Degree in a related field Previous Marketing experience Managed Care knowledge Computer savvy Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized   Desired Skills Strong understanding of APMP guidelines APMP certification Strong proficiency in Content Management software

Job Description: Nurse Practitioner (NP) Nurse Practitioner (NP) Location: New York, NY Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1015905       About the Opportunity A premier mental health clinic located in New York City is actively seeking a self-motivated and patient-oriented Nurse Practitioner (NP) for a promising opportunity on their staff. In this role, the NP will function as part of the treatment team, providing a leadership role or deferring when appropriate to the other experts on the team. Apply today! Company Description Mental Health Clinic Job Description The Nurse Practitioner (NP) will: Ensure that all treatment is within best practices and that it meets established clinical standards Lead in establishment of treatment protocols and standards of care within the treatment center and in collaboration with other external and internal experts Prescribe and/or approve any medications that are given to patients within the treatment center Ensure scope of duties correspond with treatment and program needs and revise in collaboration with VP of Behavioral Health Consult with other specialists and refer as deemed appropriate and necessary Ensure admission, laboratory work, and ongoing care is timely and appropriate Participate in hiring process of prescribers and clinical staff as needed in collaboration with VP of Behavioral Health Ensure patient information relevant to notes, prescriptions and the like are entered to the agency and regulatory entity Assist VP of Behavioral Health to supervise and guide staff in ongoing professional development Required Skills Active New York State Nurse Practitioner license Strong clinical skills and knowledge Ability to multitask Patient-oriented Strong attention to detail Excellent communication skills

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Healthcare president careers are among the most difficult jobs in the medical field. In this position, professionals are the head of a healthcare organization, acting as moral leaders and overseeing the day-to-day activities of the facility.

Depending on the organization of the facility’s management team, healthcare presidents may either report to the CEO or can be the CEO. The president is responsible for setting goals and developing strategic plans to guide the organization. He evaluates the success of the facility, identifying areas for improvement and implementing changes.

Nearly all professionals in president healthcare jobs have a medical background. A masters in healthcare administration, business administration, nursing or related field is required, plus significant experience. Most medical facilities require 8 or more years before candidates qualify for president healthcare jobs, but many presidents and CEOs have at least 15 years of experience before taking on this role.

If you’ve got the experience, credentials and drive to make the jump to president of a healthcare facility, search for president healthcare jobs here at ADVANCE Healthcare Jobs. With our job board, you can upload up to 5 versions of your resume and cover letter, so you can easily send out customized applications.