Showe and Associates LLC
Executive Recruiting Services for the Managed Healthcare Industry
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Director, Quality Improvement_____________________________________________________________Director will work closely with the VP across all product lines for the growing Missouri market Exceptional growth- generous relocationLead and direct process improvement activities that provide more efficient and streamlined workflow.Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information....


TITLE: Registered Nurse(RN) Long Term Care(LTC) Skilled Care Facility LOCATION: Crested Butte area, COLORADO Are you interested in making a difference? Are you looking for a facility that is interested in candidates that want to grow professionally but have not been given the opportunity? Would you like to work in a facility that serves several counties and can offer small town living with lots of outdoor activities including snow skiing, snowboarding, hiking, mountain biking, fishing etc. The


Job description This position reports to the Director of Provider Contracting & Network Management to support the contracting activities of the Medical Group and Health Plan. Responsibilities include managing outside medical cost through contracting initiatives, analysis of financial reports and trends in the marketplace covering IPAs, PHOs, hospitals, and key specialty services. Contractual arrangements will be complex and comprehensive, needing a depth of understanding of managed care;....


We are in search of a Director of Revenue Cycle to be working closely with the Executive director of Finance to shape the future of Revenue Cycle for an Integrated Physician group within a rapidly growing hospital system. You should have 5-7 years expereince managing a major component of a Medical Group’s accounts receivables.The qualified candidate must have:You must come from a work setting that is inpatient, outpatient, clinic ambulatory setting. Our client is NOT considering revenue cycle....


“100 Best Companies to Work For” for decades, this premier and nationally-recognized health system, seeks to bring on-board a talented Manager of Corporate Ethics, Compliance & Audits (E & CO). Candidates most likely to succeed will thrive in a fast-paced environment and be hands-on to conduct the health system's ethics and compliance E & CO activities that will include the annual ethics and compliance risk assessments and ongoing investigations. Health system consists of a....


Lifestyle Coordinator Job Description: Non-medical team member working closely with private pay home care clients to help provide concierge services. Focus is on the passions, hobbies, and daily details that are important to client. Responsibilities: Participate in weekly Case Review meetings.Travel throughout territory to meet with selected clients in their homes to learn about their lifestyle and personal preferences.Determine what will most enhance client’s experience with us and write a....


Lifestyle Coordinator Job Description: Non-medical team member working closely with private pay home care clients to help provide concierge services. Focus is on the passions, hobbies, and daily details that are important to client. Responsibilities: Participate in weekly Case Review meetings.Travel throughout territory to meet with selected clients in their homes to learn about their lifestyle and personal preferences.Determine what will most enhance client’s experience with us and write a....


Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services.Supports effective implementation of performance....


Position Purpose: Assist the VP of Clinical Programs to direct and coordinate the physician component of the utilization management functions for the health plan business units. Provides medical leadership for utilization management activities and medical review activities pertaining to utilization review, quality assurance, medical review of complex, and controversial or experimental medical services such as transplants utilizing the services of consultantsPerforms case reviews and appeals....


Seeking a Director of Credentialing to join us, a trusted health solutions partner with more than 10,000 employees and a presence in 50 states to provide: physician services spanning the continuum of patient care, revenue cycle management solutions and performance improvement consulting. We invite you to grow with us and help shape the future of health care. The Director of Credentialing?serves an integral role in the organization to support and?advance the delivery of quality healthcare....


Nationwide Search for Senior Director, Contracting & Network Development with solid experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups, and ancillary service agreements. Fantastic opportunity to join our Fortune 100 leading healthcare enterprise experiencing incredible growth and market expansion! Senior Director will oversee the development and implementation of contracting activities in network development and enhancement.Work with Business....

- Pittsburgh, PA

This Chief Nurse officer / CNO will be responsible for overseeing all day to day nursing functions for LIFE Pittsburgh. They will lead, manage and direct 6 nurse managers and up to 20 nurses. They will have the responsibility to lead the strategic clinical direction of the organization in a very team oriented approach. This is an excellent opportunity for Director level nursing person who can look at the big picture strategically while leading by example with their feet on the ground. We are....


Exclusive, Nationwide Search for a strong dynamic high-level nurse leader with a decade of medical management experience. This highly visible role will involve presenting to key stakeholders, coordinating with the medical management, quality improvement, and credentialing teams to support the strategies, vision, and policies of the health plan organization. Direct and coordinate activities of department and aid the chief officer of the health plan and appropriate corporate staff in formulating


Seeking an Executive leader committed to the medical management function, who thrives on coaching and mentoring a large organization, has a creative and visionary style of leadership with excellent communication skills Are you looking for an opportunity to shine and have ideas that can make a positive impact on programs of care management? Do you have creative ideas and want to work with a GREAT Team? The Director will work closely with the Medical Informatics team to identify trends that need


Business Development (Associate Partner and Parter levels): Our industry-leading international IT consulting firm is seeking Business Development "hunters" at the Associate Partner (up to $200K + bonus) and Partner (up to $300K + bonus) levels for their Healthcare and Life Sciences Practice. These positions will involve discovery and selling Big Data development services to new clients nationally. Project sizes are small to very large and will involve full cycle activities.....


Nationwide Search for Director of Risk Adjustment Analytics (T-SQL) to oversee the general organization and efficient management of the Medicare Comprehensive Health Assessment Program (CHAPs) data activities for leading healthcare organization. Includes participation in ongoing data mining and analysis, oversight of, development and delivery of education and identification of opportunities to improve reimbursement through proper coding and documentation. Responsible for the ongoing....

- Saint Louis, MO

Exclusive Search for Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit as part of a team of Medical Directors assisting the Chief Medical Director of Fortune 100 healthcare enterprise. Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical....

- Tempe, AZ

Regional Search for Associate Actuary (Medicaid) to conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage health plan specific actuarial needs and produce actuarial reports to aid in developing corporate strategy. Main point of contact for all actuarial related activities for an assigned health planApply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomesDevelop probability tables based on analysis

- Perrysburg, OH

The position of Regional Marketing Director is with a large Non-Profit organization based in Ohio, with locations all over the state. This organization has all levels of Elder care (independent living, assisted living, long-stay nursing and short-stay.) This Marketing Director will split time between 3/4 different locations, so ability to travel is important, mostly day travel. The Regional Marketing Director is responsible to provide marketing support, direction, training, monitoring,....

- Charlotte, NC

We are a major health system with a large number of hospitals, physician practices, specialty centers, and ancillary services. We are one of the premier provider of healthcare services in the Southeastern United States. As a Director of Managed Care Contracting, you will help lead contract negotiations with major health insurance payers across our health system enterprise. Proven experience in managed care contract negotiations, preferably from the provider side, is required to be considered....

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