Showe and Associates LLC
Executive Recruiting Services for the Managed Healthcare Industry
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Sr. Contract Negotiator- HEALTH PLAN - Bedford,NH Very visible role engaging with CEO’s, CFO’s, Board of Directors to present data and work through contract specifics with providers. Company offers exceptional analytics support and generous benefits and career growth. Sr. Contract Negotiator will coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State....


We are in search of a RN or Healthcare Administrator to manage the Medicare STARs across our client company’s Medicare Plans. Here is what our qualified candidate looks like:Experience in STARS and leading STARS Program.7+ years of managed care experience – MedicareKnowledge of Center for Medicare/Medicaid Services, requirements for Special Needs Plans (SNP), Medicare Medicaid Plans (MMP) and NCQA oversight requirements preferred. Previous management experience.Bachelor's degree in....


Are you a BC MD or DO BC by an Approved ABMS Board certification by the American Board of Psychiatry and Neurology. Current state medical license without restrictions. This is and outstanding opportunity for someone who is interested in working a Utilization Review role in the Columbia, SC region. It is a plus if you have Medical Director experience or even experience working with a health plan company. This opportunity comes with a 20% (or higher) performance bonus structure and there is the....

- Rancho Cordova, CA

Director, Medical Management - CA - NEED 2 New region opening and it's a GREAT opportunity to bring your own ideas and creativity. Strong leadership support of programs of care management. Director will work closely with the Medical Informatics team to identify trends that need to be addressed with program management.- Responsible for Care Management clinical inter-rater reliability and monitoring important aspects of care.- Effectively manages the activities of staff providing leadership and....


Are you a BC MD or DO BC by an Approved ABMS Board certification by the American Board of Psychiatry and Neurology. Current state medical license without restrictions. This is and outstanding opportunity for someone who is interested in working a Utilization Review role in the Columbus, OH region. It is a plus if you have Medical Director experience or even experience working with a health plan company. This opportunity comes with a 20% (or higher) performance bonus structure and there is the....

- Seattle or Tacoma, WA

Medical Director – Behavioral Health – Seattle Area New role in the organization will collaborate with the VP of Medical Affairs to direct and coordinate the physician component of the utilization management functions for the local health plan, with emphasis on the behavioral component of the integrated care programs. · Provides medical leadership for utilization management activities and medical review activities pertaining to utilization review, quality assurance, medical review of complex,....

41-46 of 46 results