Showe and Associates LLC
Executive Recruiting Services for the Managed Healthcare Industry
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- South Bend, IN
new job!

What is exciting about this opportunity? Isn't it time you work in a fast paced innovative environment where you have the ability to impact an organization that is changing from volume to value! Seeking a strong experienced leader, with a passion to mentor a young, but powerful team. Needs to be a strategist with the ability to negotiate and collaborate with providers to share savings and impact both the cost and quality. Reporting to the Chief Business Development and Planning, the Executive....


Director, Provider Network Management & Payment Innovation – Tempe, AZ Generous relocation package- NEW position. Are you a MASTER of Value-Based contracting with a passion for implementing best practices? Director leads a cross-functional team and works across the health plan to implement targeted value based contracting initiatives (Pay for Performance, Shared Risk and Reward, Accountable Care Partnerships). Identifies best practice and “center of excellence” opportunities and implement....

- Rancho Cordova, CA
new job!

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....


Job descriptionPosition Purpose: Responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectivesDirect the overall operational leadership of case management functions and staffPerform and oversee needs analysis and planningWork with executive leadership to ensure targets are met for the annual operating plan/financial managementEnsure compliance with Corporate, State and NCQA standardsDevelop and implement methods, policies, and....


Director, Claims | Contract Support Services – Columbus, OH Positive, collaborative culture and an exceptional mentor make this a very attractive opportunity in OHIO. Unlimited career potential here- and our client will provide you with an excellent relocation package. Direct the strategic analysis and accuracy of claims processes and oversee and ensure compliance with state regulations and/or provider contracts · Oversee the collection, validation and analysis of data to deliver business....

- 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,....


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....

- Eau Claire, WI

CARE MANAGER II- Eau Claire, WI – 2 positions Newly expanded market – chance to be part of a start up team This role will be 50% field – 50% telephonic Perform care management duties to assess, 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....

- Eau Claire, WI

Behavioral Case Manager – Eau Claire, WI – 3 new positions New market area will need clinician who enjoys some field work and travel within northern WI…fully integrated program of care. -Perform duties related to the day to day operations of the Integrated Case Management functions to include 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....

- Eau Claire, WI

Manager, Case Management – Eau Claire, WI Serve as the leader for this newly established satellite office. Lead the daily operations of case management function. Reporting to a Sr Director in the main office, Manager will have responsibility for maintaining effective communication. Review analyzes of activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes.Promote compliance with federal and state regulations and contractual....


Why is This a Great Opportunity? This national leader in healthcare, a Fortune 500 company which provides innovative solutions to over 12 million members, believes their most important assets are its employees. Join their team and help transform the health of the communities they serve, one person at a time. This starts with you, from your benefits to your retirement plan and reaches outwards to community support and service. Positions available in Tacoma, WA and Bedford, NH. Job description....


Are you a Psychiatrist who is ready for a change? Outstanding opportunity for a Practicing Board Certified Psychiatrist who is interested in working a Utilization Review role in the Tacoma/ Seattle, WA area. It is required you have a Washington State license that is in good standing. It is a plus if you have Medical Director experience or even experience working with a health plan company. There is the possibility to work remote. This opportunity come with a 20% performance bonus structure and


Our client is a unique one which means this is a unique opportunity for you to consider when it comes to a Case Management role. Our client works to improve operational performance for hospitals supporting financial improvement which results in enhancing the patient experience, and drive value-based performance. This opportunity is located in South Central Texas (not affected by Hurricane Harvey). To be considered you first need to meet the following requirements:RN, LVN, LPN (license....


Are you a BC MD or DO BC by an Approved ABMS Board preferably in a primary care specialty (Internal Medicine, OB, Med/Peds, Family Practice Pediatrics or Emergency Medicine) or other specialty (and familiar with Medicare patients) who is ready for a change? This is a 32 hour a week position with the expectation you will be involved in some clinical activity. This is and outstanding opportunity for someone who is interested in working a Utilization Review role in the Columbus, OH region. It is....


VP, Health Services | Medical Management - Milwaukee, WI 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 vision for all medical management and quality functions. This is an IDEAL opportunity to bring your innovative ideas and success stories to an organization that values and listens to their clinical leadership. Exceptional....


Are you a Psychiatrist who is ready for a change? Outstanding opportunity for a Practicing Board Certified Psychiatrist who is interested in working a Utilization Review role in the Spring Valley/ Las Vegas area. It is required you have a Nevada State license that is in good standing. It is a plus if you have Medical Director experience or even experience working with a health plan company.and working a a culturally diverse population. NEWLY CREATED POSITION. This opportunity come with a 20%....


Mineral based products company needs experienced Controls Engineer to help maintain and develop new controls systems for several of the company facilities in the Western region. Ideally the Controls Engineer would be location near Henderson, NV but other locations will be considered. 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,....

- Any US State

We are seeking an experienced PBM or health insurance sales producer for their Midwest/Southeast territory of OH, IN, KY, TN, AL, MS, and LA. This person can live anywhere in the territory. Most important is this person have strong experience with and solid relationships with clients, TPA, insurance broker and healthcare consultants in the territory. This person is VP of the territory and is a direct producer (not managing staff). ESSENTIAL DUTIES AND RESPONSIBILITIES:Build and maintain....

- Pittsburgh or Harrisburgh, PA

Medical Director – Pittsburgh, PA Physicians – are you looking for a purposeful career that will allow you to broadly improve care for the medically underserved? This organization offers this – and so much more…career growth is unlimited here. Assist the VP of Clinical Programs to direct and coordinate the physician component of the utilization management functions for the PA market. Great opportunity to influence your peers in the medical community. · Provides medical leadership for....


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

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