Managed Care Director Jobs in Boston, MA

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...

Oversee strategic operations in group configuration, enrollment, and compliance. Lead vendor management and performance while ensuring data integrity and regulatory adherence. Drive process improvemen...

Transform the legislative landscape by steering health care policy advocacy. Engage with state and federal leaders to shape strategic initiatives, analyze impactful legislation, and drive coalition-bu...

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...

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...

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...

Drive strategic healthcare transformation by leading teams to enhance client outcomes through innovative payer strategies and value-based reimbursement solutions. Collaborate across diverse healthcare...

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...

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...

Join a dedicated team to drive healthcare transformation by analyzing trends, developing strategies, and engaging stakeholders to improve primary care and health outcomes across Rhode Island's healthc...

Empower the Health Information Management department by overseeing operations, ensuring compliance with laws, and enhancing patient care quality. Lead a dedicated team in managing records, implementin...

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...

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...

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...

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...

Make your mark at a leading home health provider by overseeing patient care, fostering team growth, and ensuring quality outcomes in a supportive environment focused on improving lives for patients an...

Shape the future of emergency care by leading operations in a dynamic 24/7 facility. Collaborate with clinical teams to enhance service delivery while fostering a diverse patient environment. Bring yo...

Lead billing operations while ensuring accuracy, compliance, and team efficiency. Optimize workflows, enhance customer service, and manage the integration of systems in a collaborative environment foc...