Showe and Associates LLC
Executive Recruiting Services for the Managed Healthcare Industry
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Health Insurance-Vice President, Network Management Chicago, IL Our Client is a respected and financially strong insurance carrier with a national presence. You would have an opportunity to be part of the expansion of this division if you were selected to join the leadership team. Making a difference in healthcare is what we they do, are you ready to be part of something unique? You will oversee the development and management of the provider networks (physicians, hospitals, and/or ancillary....


Health Insurance-Vice President, OperationsChicago, ILOur Client is a respected and financially stronginsurance carrier with a national presence. You would have an opportunity to bepart of the expansion of this division if you were selected to join theleadership team. Making a difference in healthcare is what we they do,are you ready to be part of something unique?Your role would be to lead the development of strategyand associated initiatives for this division. This includes portfolio....

- Austin, TX
new job!

Health Plan CFO - Austin, TX _______________________________________________________ Executive leader will provide strategic direction and oversight for all aspects of finance for this Texas market. This organization is positioned for continued aggressive growth with strong career opportunities. Relocation package, benefits and bonus target are generous. Highly visible role will demand an exceptionally talented financial leader with proven success in an MCO, health insurance plan or similar.....

- Boston, MA
new job!

NO VISA's Our client is a rapidly growing company that is on a mission to reinvent the way scientific research is done. They are a SaaS company that bridges software, hardware, and innovation. You will be responsible for architecting, managing and scaling the entire IOT platform that is built on Rancher/Docker and AWS. The RoleTake ownership for health, scalability and availability of our cloud services and IOT platform.Automate the deployment pipeline between our pre-production to production....

- Columbus, OH

Senior Director, UM (RN) – COLUMBUS, OHIO Take your career to the next level with this innovative health plan. Very visible role participates in senior leadership meetings, engages with providers in the community, and interacts directly with OH Department of Medicaid. - GENEROUS relocation- strong data analytic support – solid leadership Senior Director will oversee all UM operations for the OH market, working across all product lines. Define and direct the case management program for the plan

- Atlanta, GA

VP, Finance | Market CFO – ATLANTA ______________________________________________________________________________________ International healthcare enterprise - exponential growth – work closely with the C-suite. Generous relocation package – experienced leadership team. Provide leadership and oversight of all aspects of finance for the GEORGIA health plan market. · Oversee all finance related activities for business unit including developing and monitoring progress against AOP. · Responsible....

- Columbus, Toledo, Akron, OH

Medical Director- Health Plan - OHIO Physicians seeking a purposeful career will appreciate the opportunity to guide and direct the care for the medically underserved population in OH as part of this expanding market. This national organization welcomes your innovative ideas and solutions for closing the gaps in care and quality. Physicians are encouraged to be actively engaged with their patient population and their physician peers in the community. Incredible opportunities for career....


Director, Clinical Operations (Behavioral Health) Be part of the leadership team for a market expansion. Talented team and strong opportunity to make a difference in your career and in the lives of the medically underserved. Director will oversee clinical functions in all service areas including: intensive case management (ICM), utilization review (UR), provider training and care coordination in collaboration with other senior leaders. Director will work to manage complex behavioral health....


Operations Director | Government Liaison - Health Plan Open due to promotion, this multi-faceted role will interface with external and internal stakeholders to maximize outcomes, quality, and profitability for national health insurer. Exceptional boss - strong growth potential. Director is responsible for the oversight of the many moving parts of enrollment, claims, and all other essential administrative components, with a focus on continuous improvement of operational efficiency as well as....


....SVP of Health Services (RN) | Executive Leader - Health Plan - Chicago HIGHLY VISIBLE opportunity working closely with the CEO. GENEROUS RELOCATION - strong analytics support- collaborative team! You will establish the strategic vision for this plan, directing and coordinating the medical management, clinical services, and quality improvement and credentialing functions across the IL market. - Team - building and collaboration with internal and external constituents will be key. -....


...VP Health Services | Medical Management (RN) - KANSAS Exceptional analytic support – unlimited career growth .....Reporting to the CEO, experienced clinical leader will establish the strategic vision and drive initiatives around programs of care management and quality. Collaborative participation with the exceptional leadership team in this market is a strong platform for success. Established business and new product are rolling out in KS. Direct and coordinate activities of department and....


...MEDICAL DIRECTOR- LTC and Medicare - FLORIDA! ..........National health plan is growing and diversifying in the FLORIDA market. A physician seeking a purposeful career with an opportunity to make a difference in the quality of care and access to care will thrive in this role. - Medical Director will collaborate with the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the FL health plan. Provides medical leadership....

- Atlanta, GA

MEDICAL DIRECTOR – MCO - Atlanta, GA Physician looking for a purposeful career will enjoy this chance to make a difference in care for the under served population. Great opportunity to influence programs of care and quality. This plan has EXCEPTIONAL leadership and has been a strong performer with consistent growth. · Provides medical leadership for utilization management activities and medical review activities pertaining to utilization review, quality assurance, medical review of complex,....

- Orange, CA

The Clinical Supervisor is responsible for ensuring that patient care is coordinated and managed appropriately. The Clinical Supervisor is responsible for the clinical activities of the field staff. The clinical supervisor plans, implements and evaluates patient's plan of care for appropriateness to the individual patients needs. Great promote from with in opportunity too!Assesses and supervises the delivery of nursing servicesPerforms home supervisory visits of nursing services delivered by....


Join our global manufacturing client as the Plant EHS Manager. Participate on the Site Leadership Team, with the primary focus of elevating safety and environmental performance for achieving world-class EHS performance. Tactically deploys the strategy and safety vision for the site team. Effectively execute the strategy to grow the plant EHS team, enabling the talent, and skills necessary to drive continuous improvement towards world-class safety and environmental performance. QUALIFICATIONS:....


MANAGER, UM – Behavioral Health Perform duties to conduct and manage the day to day operations of the utilization management functions to include denials. Communicate with departmental and plan administrative staff to facilitate daily operations of the utilization management functions. - Ensure compliance with established referral, pre-certification and authorization policies, procedures and processes - Facilitate ongoing communication between care management staff, utilization management....


Director, Case ManagementINNOVATIVE health plan truly values their nurses . The Director will be engaged in creating, defining and directing a complete Case Management Program across a diverse population.This will encompass needs analysis and planning; working with executive leadership to ensure targets are met for the annual operating plan; ensuring compliance with Corporate, State and NCQA standards. Director will be asked to develop and implement methods, policies and procedures to improve....

- Milwaukee, WI

Case Manager II - RN Innovative health plan truly values their nurses. This health plan has received numerous awards for their programs of care ! They offer generous benefits and PLENTY of opportunity to grow in your career RN will coordinate continuum of care for select members with complex medical and/or behavioral health conditions to ensure they receive the highest quality most effective care while maintaining cost effectiveness. Activity will include advanced review of admissions through....

- SEATTLE/TACOMA/Wenatchee, WA

CARE MANAGER II (RN) - SEATTLEINNOVATIVE health plan is known for award winning programs of care. Join a growing team with exceptional leadership!Plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize....

- Pittsburgh, PA

Registered Nurse's (RN) Our client company is a growing home health care / independent living / managed care agency. They have multiple openings for Registered Nurse's (RN) to work in the Pittsburgh, Pennsylvania and surrounding area. Including but not limited to: Monroe County, Allegheny County, Blair County, PA areas. (Monroeville, Altoona, Hollidaysburg, Duncansville, Pennsylvania.) The Home Health Care / Managed Care Registered Nurse (RN) administers skilled nursing care to patients in....

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