Showe and Associates LLC
Executive Recruiting Services for the Managed Healthcare Industry
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- Detroit, MI
new job!

Landfill Operations District Manager (3+ Locations)Detroit, MI This growth position manages the day-to-day disposal operations of one or more landfills varying in size from 2000 – 12,000 tons per day. Responsibilities will include overseeing heavy equipment maintenance, heavy equipment operations, employee and customer safety, environmental compliance, and community relations. Establishes and maintains performance and productivity metrics and cost management processes along with....

- Zeeland, MI
new job!

Sr. Packaging Automation EngineerServe as the technical lead on Software Change Requests (SCR’s) and Automation projects for site Packaging areas as well as the Waste Water and Powerhouse areas. Responsible for assisting users in capturing their desired requirements, translating these into implementable Automation solutions, and delivering these on a timely basis.Leverage a deep understanding of Allen-Bradley PLC/HMI platforms to maintain and enhance existing machine control code. Leverage....

- St. Louis Area, IL
new job!

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....


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;....

- Calabasas, CA
new job!

Exclusive Search for Regional Medical Director to serve as liaison for the health plan to ensure that all the opportunities are highlighted through detailed reporting to the leadership at the groups whole building creditable and trusting relationships with stakeholders regarding performance metrics and serving as the clinical lead with large employer groups in the bid process. Manage assigned departments or functions with an emphasis on execution, outcomes, continual improvement and....

- NW, SW, Central Ohio, OH
new job!

Exclusive Search for Manager, Provider Network to Manage the day-to-day operations of the network accounts department function of this Fortune 100 healthcare enterprise to ensure compliance with health plan, corporate and state policies, procedures, and guidelines to achieve healthy outcomes. *Candidate can reside in NW, SW or Central Ohio Manage the network accounts team to ensure goals and objectives are met through effective hiring, performance management, training, coaching, and career....

- Columbia, SC
new job!

VP Medical Management | Health Services - South Carolina _____________________________________________________________________________________________ VP will be a part of strong & collaborative leadership team with the opportunity to be a key strategist in this market. Incredible growth opportunities and perks for this executive role GENEROUS relocation & competitive compensation. ** We are seeking an experienced leader with a proven background in an MCO/health plan/ACO. Direct and....


Sr VP Health Services | Medical Management - CA ___________________________________________________________________ Advance your career AND make a difference! Exceptional opportunity for someone who thrives on quantifiable results to drive improvement in quality, outcomes, and operational efficiency, enhancing care delivery and quality of life for the membership of this international, mission -driven MCO. GENEROUS relocation and compensation - AMAZING career potential SVP will be a key part of


VP of Medical Management | Health Services - (RN) - Milwaukee, WI Milwaukee... on the shores of Lake Michigan...you will find it is a very comfortable place to enjoy life...rich in historical and cultural attractions, and the perfect place for exploring the outdoors. Company offers generous relocation & perks, including TUITION & stock optionsJoin an already successful leadership team as they continue to improve outcomes and quality in WI. VP will establish and implement the strategic....


Manager, Medical Management - Appleton, WI Provide leadership for experienced clinical team in growing satellite office (12 direct reports), Manager will be responsible for managing a complete program of medical management in accordance with the mission, philosophy, and objectives of plan. Oversight includes both UM and CM. Manager will implement changes to medical service functions and performance in relation to company mission, philosophy objectives and policies, as directed. Manage budgets....

- Columbus, OH
new job!

Sr Director, Provider Contracting – Columbus, OHIO Great manager – highly motivated team –relocation offered. Growing health plan needs a strong communicator with a deep knowledge of value- based contracting and proven ability to build relationships with providers and senior leadership. Drive the development and implementation of network contracting and network development. · Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between


VP, Provider Contracting | Network | Strategy OREGON - Portland | Eugene STRONG leadership team - GREAT relo & benefits. Experienced strategist with exceptional relationship - building skills will direct the provider network and contracting activities across the OR market for multiple product lines. Responsible for analysis, network operations and supporting decision makers with analysis related to reimbursement and unit cost management. Oversee the coordination and negotiation for the....

- St Louis, MO
new job!

VP, QUALITY - MCO - St Louis EXCEPTIONAL leadership team - GENEROUS RelocationWorking closely with the Chief Medical Director and the CEO, VP will oversee all related activities for Quality Improvement functions. Lead and direct process improvement activities for more efficient and streamlined workflow. Oversee the business processes related to risk adjustment and quality improvement for assigned products and plans.Responsible for all activities related to National Committee for Quality....

- Eau Claire, WI
new job!

Behavioral Case Management (Social Worker) – Eau Claire, WI As a team member in Integrated Case Management, you will be working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members’ current functional level and, in collaboration with the member, develop and monitor the Case Management Care Plan, monitor quality of care; assisting with discharge planning, participating....

- Sunrise, FL
new job!

Senior Director, Quality – FLORIDA _____________________________________________________________________ Incredible growth potential - generous relocation to SUNNY Florida! If you enjoy taking the lead in NCQA accreditation - this may be the new job for you! Sr Director will utilize proven success in moving the needle by directing process improvement activities to improve and streamline workflows across the Florida market. Responsible for NCQA and HEDIS performance. Ensure health plan is....


Nationwide Search for Director, Utilization Management (RN) for large Fortune 100 enterprise. Job descriptionOversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy, and objectives of Corporate and the health plan. Support and perform case management, disease management, and on-site concurrent review functions as necessary.....


Exceptional Opportunity to join one of the top rated not-for-profit health plans headquartered in the New England area that is rated among the nation’s best health plans for member satisfaction and quality.The Sr. Manager is a strategic internal business partner serving as the lead subject matter resource for Medicare Advantage regulations and requirements. This position routinely meets with corporate line management to assess business operations against all Medicare Regulatory Requirements....


Mineral-based products company with 50 plants in the US needs an experienced Controls Engineering Manager to help maintain and develop new controls systems for the company facilities. Wonderware ArchestrA expertise needed. Why work here?:Caters to numerous industries providing for stable growth!Established stable company in business over 50 years!Excellent benefits; health, dental, vision, life, 401k and paid vacation!Laptop, phone, company credit card for expenses provided!Telecommuting and....


Mineral-based products company with 50 plants in the US needs experienced Controls Engineer to help maintain and develop new controls systems for the company facilities. Wonderware ArchestrA expertise needed. Why work here?:Caters to numerous industries providing for stability and growth!Established company in business over 50 years!Excellent benefits; health, dental, vision, life, 401k and paid vacation!Laptop, phone, company credit card for expenses provided!Telecommuting and compressed....

- Hollywood, FL

We are in search of a RN with a strong background in medical management, who is currently working in a managed care environment and is ready for the next step up in their career to a VP level role. This is a national search.To be considered you MUST possess the following as this is a critical need:10+ years of clinical nursing, quality improvement, and management experience in a managed care setting.Thorough knowledge of a specialized or technical field such as clinical nursing, managed....

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