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

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....


! SIGN-ON BONUS AND RELOCATION PAID. UP TO 6 WEEKS PTO ! ! GET OUT OF THE CITY TRAFFIC AND SMOG. COME TO BEAUTIFUL IDAHO ! IT'S ALL ABOUT LIFESTYLE: Fresh air, little traffic, low crime, family friendly, fabulous pristine landscapes and a wonderful 4-season climate. Laid-back, cozy community in the mountains of North Idaho, in the midst of white water rafting, miles of hiking trails, resort ski areas and clear water lakes and streams, all within one hour's drive of a large city and major urban

- Coeur d'Alene, ID
new job!

! SIGN-ON BONUS AND RELOCATION PAID. UP TO 6 WEEKS PTO ! ! GET OUT OF THE CITY TRAFFIC AND SMOG. COME TO BEAUTIFUL IDAHO ! IT'S ALL ABOUT LIFESTYLE: Fresh air, little traffic, low crime, family friendly, fabulous pristine landscapes and a wonderful 4-season climate. Laid-back, cozy community in the mountains of North Idaho, in the midst of white water rafting, miles of hiking trails, resort ski areas and clear water lakes and streams, all within one hour's drive of a large city and major urban

- Any US State

We are seeking an experienced PBM or health insurance sales producer to open a new territory for a PBM expanding in to the West. The territory is CA, WA, OR, ID, and NV and 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....


Senior IT Solutions Architect (Staff level) Succasunna, NJ - Relocation Assistance Available Competitive Pay, Bonus, Great Perks/Benefits - Great Dynamic Culture This opening is with a multi-billion dollar global medical company. They have strong revenue growth, a stable environment, very low turnover, and offer the opportunity to work on customized, complex medical products that impact people's lives. A lot of the work they are currently doing is completely next-generation new product....


Chief Medical Director- Medical Review Position Purpose: Direct and coordinate the medical management, quality improvement and credentialing functions for the assigned business unit based on, and in support of the strategic plan, establishing the strategic vision and attendant policies and procedures. Serves as clinical advisor to and educator of medical management staff ensuring correct clinical judgment is applied to all medical management determinations.Oversees internal medical review....


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 Fort Worth, TX 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,....


Medical Director – Immediate opportunity in Baltimore, MD Physicians who are looking for a purposeful career will enjoy this health plan's focus on improved quality and outcomes for the underserved population. You will work with an exceptional CMD, enjoy extensive analytic support along with an opportunity to collaborate on care management and quality initiatives. Medical Directors assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and....

- Harrisburg, PA

VP, LTSS - Health Plan- PA Design and own strategy and product for long term care for this new market. You will have an accomplished mentor and an opportunity to build out your own team here in PA. Highly visible role offers GENEROUS relocation- strong career potential. VP will own the responsibility for the Long Term Support Services (LTSS) product in terms of design, implementation, operational structure and long term strategy. You will build and mentor a team and manage cross- functional....


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, TACOMA, or YAKIM, WA

CARE MANAGER II (RN) - SEATTLE, TACOMA, or YAKIMAINNOVATIVE 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....

- Maitland or Sunrise, FL

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....


Manager, Finance- AtlantaYou will be mentored by an exceptionally talented team of analytics and finance professionals as part of this growing healthcare enterprise in the Atlanta area. Career opportunity is unlimited here!Manager will focus on revenue optimization and risk adjustment activities, overseeing the development of various analytical reports and performing complex financial analysis. Supervision of 1-2 analysts. - Ensure that timely and accurate reports are generated - Produce and....


Director, Case/Medical Management – ANY CITY - OHIO Innovative health plan is continuing to expand in Ohio. Director will be responsible for defining and directing a complete Case Management Program for a vulnerable population. · Direct the overall operational leadership of case management functions and staff · Perform and oversee needs analysis and planning · Work with executive leadership to ensure targets are met for the annual operating plan/financial management · Ensure compliance with....


DATA ANALYST | HEALTHCARE ANALYST II – INDIANAPOLIS Fortune 200 Healthcare Enterprise offers an innovative environment with continuous opportunities for learning and growth. Rich benefit package- great work-life balance. Assume responsibility for complex data requests, reports, and predictive data modeling. -Analyze health management programs including: data collection, validation and outcome measurement. May include: - Financial, pharmacy, claims, provider, and member data - IRS, CMS, HHSC,....


Supervisor, UM - Bedford, NHInnovative health plan continues to expand. Supervisor will lead and mentor the UM staff, including identifying opportunities for process improvement. Benefits and perks are great – growth opportunities are unlimited!!! - Ensure appropriate usage of resources in order to facilitate the UM process - Ensure compliance within applicable state program guidelines - Evaluate compliance policies and procedures and analyze/recommend enhancements - Assist with ensuring....


Top Tier Global Pharmaceutical company is expanding and looking for a new AD, Biostatitics Must have heavy statistics experience (ideally in a pharmaceutical or biotech environment. PhD preferred. Salary 130-145k plus bonus , FULL RELOCATION to Irvine, CA Additional financial incentives- Short term incentives, Long Term incentives and stock, tuition reimbursement The Associate Director, Biostatistics position can independently lead one or more projects ensuring the proper design, analysis, and

- Director,Contracting, PA

Director, Contracting & Network Working closely with the VP, Director drives daily activity of the provider contracting, network development and/or provider relations functions for this new market. GENEROUS relocation - UNLIMITED career growth ! -Recruitment and contracting of provider networks in new and prospective markets, and existing market expansions. - Support new business launch in diverse markets by considering individual market circumstances, provider community, budgeting....

- Milwaukee, WI

MANAGER, CASE MANAGEMENTThis leading healthcare enterprise truly values their nurses. They offer innovative products and sophisticated analytic tools An experienced RN with case management will lead the continuing growth of the team in the WI market. Leader will develop and implement case management programs to facilitate the use of appropriate medical resources and decrease health plan financial exposure. Review analyzes of activities, costs, operations and forecast data to determine progress

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