Managed Care Director Jobs in Washington, DC

Advance client satisfaction and operational excellence by leading the Group Health Division, overseeing team performance, enhancing processes, and ensuring profitability while managing key metrics and...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

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...

Advance transformative AI initiatives in healthcare by spearheading commercial strategy and key partnerships. Collaborate with C-suite leaders to build impactful business cases and streamline innovati...

Oversee payment integrity initiatives, ensuring alignment between clinical coding and organizational strategy. Partner with cross-functional teams to strengthen provider relations and improve audit op...

Help us lead our Enhanced Care Management program, ensuring optimal performance and collaboration while driving quality patient care and cost efficiency through innovative management and strategic ove...

Shape the success of client implementations by leading a dynamic team of Business Consultants. Drive operational excellence in software delivery while fostering talent development and ensuring high cl...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

Transform healthcare data environments by developing advanced cloud data platforms. Lead a technical team to innovate, assess, and build robust solutions that enhance AI deployment, effectively removi...

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...

Provide strategic leadership in pharmacy contract strategy and provider engagement, driving enterprise alignment and supporting scalable growth. Lead contract frameworks, compliance, and partnerships...

Elevate patient support services by leading teams to provide exemplary care, driving operational efficiency and performance metrics while fostering a culture of continuous improvement and collaboratio...

Champion operational excellence in a senior leadership role by enhancing client services through innovative process improvement. Collaborate with cross-functional teams to drive performance management...

Unlock potential by leading interdisciplinary teams to transform acute care delivery. Drive innovation in episodic care and enhance patient safety through technology integration and quality improvemen...

Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...

Drive the success of our Corporate Compliance and Privacy Program as you lead governance, risk management, and training initiatives. Collaborate with operational leaders to uphold ethical standards an...

Drive client engagement and strategies to enhance health and benefits programs. Leverage expertise to foster relationships, generate new business, and lead a team in delivering superior client service...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Unlock your potential by driving enterprise sales in healthcare AI, leading strategic initiatives, and fostering partnerships to enhance patient outcomes. Your expertise will shape market strategies w...

Unlock potential by driving fundraising efforts and engaging with donors. Collaborate seamlessly with teams to cultivate relationships, implement strategies, and achieve financial goals for impactful...

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 policy strategies by monitoring state regulations impacting managed care pharmacy, advocating for improved patient access to medications through analysis and collaboration with stakeholders and...

Lead the charge in transforming provider escalation operations by leveraging AI and digital workflows. Drive proactive solutions and enhance provider relationships while ensuring operational excellenc...

Lead the charge in transforming operational effectiveness in our Network Escalations team, enhancing provider partnerships through innovative solutions and AI automation. Drive metrics-based performan...