Managed Care Director Remote Jobs

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

Lead innovative clinical management initiatives to enhance healthcare quality, ensuring compliance with all regulations while managing utilization trends and overseeing medical necessity reviews in a...

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

Drive excellence in health care by leading provider education initiatives that enhance patient experience, population health, and affordability. Collaborate with multidisciplinary teams to implement p...

Shape the future of sales by leading strategic development and execution for key brands. Drive revenue growth and team performance while managing P&L. Collaborate cross-functionally to innovate and en...

Shape operational excellence by leading complex initiatives across multiple client accounts, driving measurable improvements in efficiency, cost, and quality. Collaborate with teams to optimize proces...

Drive success by managing relationships with key healthcare providers, enhancing collaboration, and ensuring provider satisfaction while addressing complex issues within an established network for opt...

Take ownership of managed care contracting strategies for specialty practices, enhancing payer relationships and ensuring optimal reimbursement performance while navigating a complex healthcare enviro...

Shape the future of healthcare by leading our nationwide Post-Acute Care Utilization Management team, ensuring compliance and optimal member outcomes through strategic oversight and team development...

Join our team to lead Broker Sales efforts and drive membership growth through strategic sales planning and effective management of a dedicated team, ensuring compliance and developing key relationshi...

Champion medical excellence by guiding quality management, utilization, and patient care initiatives. Collaborate with teams to enhance clinical outcomes while ensuring compliance with accreditation a...

Lead the operational excellence of the Group Health Division, optimizing performance metrics and driving client satisfaction through tailored initiatives and a dedicated team. Collaborate with medical...

Shape a robust long-term care management approach, leading teams to deliver high-quality, cost-efficient healthcare outcomes. Drive strategy and compliance while fostering member and provider experien...

Develop impactful analytics strategies to enhance operational performance and participant outcomes. Collaborate with leaders to solve complex challenges through data-driven insights and foster relatio...

Transform integrated care delivery for complex populations as a strategic senior leader. Oversee national Complex Care Management and Utilization Management programs to improve health outcomes, ensure...

Shape the future of healthcare strategy as a leader in consulting, driving innovation and transformation while mentoring the next generation of consulting talent across multiple client projects...

Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Lead the charge in driving software sales for healthcare solutions with a focus on claims administration. Collaborate with internal teams to optimize strategies and exceed expectations in a fast-paced...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Drive the evolution of medical payment policies as a subject matter expert, collaborating closely with clients to analyze data, present insights, and advocate for strategic policy adoption. Shape the...

Lead innovative initiatives in clinical operations, driving excellence in primary care delivery while overseeing medical directors. Optimize participant satisfaction and operational metrics to enhance...

Join a team that's dedicated to enhancing healthcare outcomes through strategic leadership in hospice and palliative care management, ensuring compliance and operational excellence across Medicaid and...

Unlock potential by leading Managed Care Contracting & Medical Economics, leveraging quantitative analysis to evaluate risks in value-based care contracts while engaging with payor partners and collab...

Oversee regional operations, ensuring profitability and performance metrics are achieved while managing staffing and reporting to management. Drive excellence in client service and optimize physician...