Managed Care Director Remote Jobs

Inspire innovative provider performance improvement strategies across New York City. Drive accountability for cost, quality, and access while leading a high-performing team. Build strategic relationsh...

Lead the charge in developing innovative risk adjustment products and strategies. Collaborate cross-functionally to enhance client experiences while ensuring compliance and clinical integrity. Drive h...

Drive strategic business development initiatives in the Medicare landscape, fostering key partnerships with national payers to enhance care access. Collaborate cross-functionally to accelerate growth...

Manage strategic payer relationships and contract negotiations to optimize financial performance in a dynamic healthcare environment, ensuring compliance with state and federal regulations while enhan...

Advance the standards of care by ensuring compliance with medical policies and regulations in a collaborative multidisciplinary team environment. Conduct critical reviews of medical necessity for trea...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...

Innovate healthcare operations by managing multiple client accounts, overseeing provider enrollment and payer contracting with a focus on accuracy and quality. Lead a small team while ensuring timely...

Partner with us to drive value-based care by negotiating and managing Medicare Advantage and Medicaid contracts, enhancing provider relationships, and contributing to strategic growth in a dynamic hea...

Accelerate growth in the Assisted Living segment by leading business development initiatives, driving customer acquisition and collaborating with teams for seamless implementation and strategic planni...

Lead and oversee end-to-end claims processing while driving operational improvements, ensuring compliance, and managing enterprise risk across multi-functional teams for effective client servicing and...

Join a team that's committed to driving growth through strategic partnerships in healthcare. You'll lead initiatives that optimize provider relations and collaboration, ensuring delivery and improveme...

Manage and drive the technical quality of third-party integrations, ensuring seamless operations and compliance while mentoring teams to optimize performance and develop innovative reporting solutions...

Accelerate your career by driving new revenue and building strategic relationships with key stakeholders in the pharma and biotech sectors. Own the full sales cycle in a fast-paced, autonomous role fo...

Join a team that's redefining finance by leading strategic planning and analysis across key business functions. As a strategic partner, you'll support leadership, drive accountability, and develop a h...

Strategize and execute comprehensive market approach for health plans, enhancing engagement and brand positioning. Collaborate across teams, leveraging deep healthcare expertise to drive growth and st...

Elevate clinical practice and care delivery through strategic oversight, collaboration, and performance improvement in hospice services, enhancing patient outcomes and staff development across multipl...

Lead a dynamic team to optimize our contact center ecosystem, enhancing product management and driving strategic alignment. You'll be at the forefront of customer service excellence through innovative...

Transform operations by leading a team in the strategic launch of complex client accounts, optimizing process improvements across departments, and enhancing the customer experience in a fast-paced hea...

Lead the charge in driving transformative financial strategies and operational excellence across organizational functions. Collaborate with executive leadership to elevate decision-making and foster a...

Shape the future of value-based care by leading clinical initiatives and programs, ensuring quality, patient-centered services, and collaboration across departments in a dynamic healthcare setting...

Lead the charge in establishing a new ambulatory sales vertical, driving revenue and partnerships. Collaborate closely with leadership to shape go-to-market strategies that enhance patient care in out...

Lead the charge in optimizing health plan operations, ensuring compliance and alignment with member satisfaction goals. Collaborate with teams to enhance provider and member services while achieving f...

Shape the future of healthcare integration by leading efforts in network and data integration, ensuring compliance and modernization across workflows. Drive multi-year roadmaps while fostering high-pe...

Transform operational efficiency by leading process improvement initiatives, managing audit timelines, and ensuring compliance with quality standards across various functional areas to enhance healthc...

Engage in strategic leadership by driving claims processing efficiency, optimizing resources, and facilitating customer-focused improvements to align with business performance goals and industry stand...