Showe and Associates LLC
Executive Recruiting Services for the Managed Healthcare Industry
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- Pittsburgh, PA
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Home Healthcare Manager Our client company is a growing home health care / managed care organization in the Allegheny county area. They are seeking a Home Health Agency Manager on a full-time/direct basis. This opportunity will offer a career path with the overall responsibility for facility growth and employee development. The selected individual will have the following responsibilities:Oversee operations in a Medicare/Medicaid certified home health agencyOversee day to day agency operations,


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....


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....


We are in search of a Medical Director who is and actively practicing Board Certified Physician preferably in a primary care specialty and will consider Board Certifications in the following specialties: Internal Medicine, Family Practice or Emergency Medicine. Our client prefers you do have expereince working in a managed care setting. This is a role where you are directing and coordinating the medical management, quality improvement and credentialing functions. You should be willing to....


Company Our client has been providing managed services to health systems, their health plans and managed populations for more than 30 years. The value-based solutions enhance consumer engagement, drive clinical alignment, manage risk, and improve financial performance. The purpose of providing the foundation for better health fuels our clients to meet the unique needs of the communities they serve. Position Our client is looking for an experienced sales executive to sell healthcare revenue....


Medical Director-Utilization Review-Medicare/MedicaidShowe and Associates LLC - Rio Rancho, NM and 2 other locations Less than 5 Years Experience$225,000 - $250,000Quick ApplySave JobPosted on 10/17 by We are in search of a Medical Director who is and actively practicing Board Certified Physician preferably in a primary care specialty and will consider Board Certifications in the following specialties: Internal Medicine, Family Practice, or Emergency Medicine. Our client prefers you do have....

- 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....

- St Louis, MO

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....


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....


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....


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


Case Manager II - RN - office or field based - TWO positions 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.Innovative health plan truly values their nurses. 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. PCP, specialist, and


We are in search of a Medical Director who is and actively practicing Board Certified Physician Board certified by the American Board of Psychiatry and Neurology. This is a role where you are directing and coordinating the medical management, quality improvement and credentialing functions. You should be willing to practice clinically ONE day a week. Salary plus 20% bonus or higher We can only consider those who are Board certified by the American Board of Psychiatry and Neurology. Current....


We are in search of a Medical Director who is and actively practicing Board Certified Physician Board certified by the American Board of Psychiatry and Neurology. This is a role where you are directing and coordinating the medical management, quality improvement and credentialing functions. You should be willing to practice clinically ONE day a week. Salary plus 20% bonus or higher We can only consider those who are Board certified by the American Board of Psychiatry and Neurology. Current....


Excellent opportunity with a premiere software manufacturer! This company offers unmatched opportunities for advancement and the opportunity to work with the best and brightest in the business. The role of this opportunity is to support a robust and powerful healthcare analytics tool. To be considered for this role, candidates must have experience with MMIS (Medicare Management Information Systems) Reporting and Analytics focuses on providing knowledge out of the Medicaid The Reporting and....


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....


Sr. Director, Claims Operations - St. LouisBuild a best in class claims system - exceptional opportunity for someone who enjoys driving change. Ideal candidate will have exposure to multiple different claims systems and the ability to act as an internal consultant within technology and business groups, using quality tools and process definition/improvement to re-engineer technical processes for greater efficiencies.-Direct the day-to-day operations of the Claims Department to ensure accurate....


Utilization Manager - Bedford, NHGrowing healthcare enterprise is adding a new position. This is an excellent opportunity to make a positive impact on thousands of lives. Work in an office setting - no on call - no weekends. Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings, provide and/or review intakes and initial evaluations, brief focused treatment interventions, monitor quality....


Global Pharmaceutical company is hiring an Executive Director to head up their Renal Medical Affairs Division this Executive role will report into the Executive Vice President of Medical Affairs and spear head the high profil department must be Nephrologist with at least 3 years of medical affairs experience Renal Cardio Medical Head (Executive Director) The Renal Cardio Medical Head is a member of the Renal-Cardio Therapeutic Area (RCTA) leadership team and leads the Renal Cardio Core Medical


Three Medical Directors needed The Medical Director is a board-certified physician who has a history of clinical practice, and has significant experience in the cardio therapeutic area, Endocrinology or Renal, Nephrology therapeutic areas. The Medical Director is knowledgeable of the actions of regulatory bodies, in particular FDA, and has experience in clinical trials. An ideal candidate should have significant experience in renal cardio disease management and would thrive on proactively....

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