Managed Care Director Remote Jobs

Lead the charge in shaping a comprehensive Medicare Advantage strategy by leveraging extensive expertise to enhance member experience and operational efficiencies, while collaborating with cross-funct...

Drive end-to-end operational excellence for stop-loss and funding processes. Oversee program administration, manage relationships with vendors, and enhance operational efficiency while leading high-pe...

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...

Champion operational excellence by leading membership status determinations, ensuring accuracy and compliance while driving improvements and utilizing AI tools to optimize workflows in a fast-paced, i...

Optimize marketing strategy to elevate our presence in healthcare AI. Lead cross-functional initiatives to generate impactful content, drive revenue growth, and establish Qualified Health as the trust...

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

Transform the enterprise reporting landscape by leading cross-functional initiatives, developing performance dashboards, and establishing data infrastructure to enhance decision-making and drive impac...

Drive impactful program management to shape national duals strategy. Build relationships with key stakeholders and lead regulatory initiatives, ensuring alignment and strategic progress across diverse...

Advance provider network contracting by overseeing recruitment, compliance, and strategy development while leading a team to enhance business efficiency and financial performance across diverse market...

Transform the future of healthcare interoperability by leading strategic initiatives, ensuring compliance, and collaborating across teams to enhance data exchange and clinical outcomes, while managing...

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...

Lead the care management team to enhance healthcare outcomes through strategic oversight, compliance, and performance improvement, ensuring high-quality and cost-effective care for members. Foster col...

Partner with us to drive membership growth and retention by managing C-suite relationships and executing the full sales cycle, ensuring a seamless onboarding experience for Members while achieving qua...

Transform enterprise growth by driving strategic initiatives, identifying new business opportunities in healthcare, and building executive relationships to enhance market presence and revenue expansio...

Join a dynamic team to provide medical leadership in quality improvement, utilization management, and patient care coordination while supporting initiatives that enhance cost-effectiveness and healthc...

Advance organizational effectiveness by overseeing strategic planning and implementation of managed care programs. Drive negotiation and analysis of contracts, ensuring compliance, growth, and marketi...

Advance the effectiveness of our utilization management team, ensuring compliance with best practices, improving member experiences, and managing daily operations to achieve optimal outcomes and cost...

Shape the future of claims management by leading a team of adjusters, ensuring regulatory compliance, and optimizing processes for complex Master Policy TLL and Contents Claims. Drive department effic...

Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...

Transform the future of healthcare by driving ICHRA market expansion strategies, building strong partnerships with key stakeholders, and leading initiatives that accelerate growth and enhance organiza...

Oversee the Ops Business Analyst team, ensuring best practices in business requirements, process improvements, and operational efficiency. Lead cross-functional collaboration, resource allocation, and...

Pioneer impactful strategies in value-based care operations, leading cross-functional initiatives and partnerships to enhance risk stratification insights and support practices in delivering sustainab...

Oversee the end-to-end Medicare Advantage product experience, driving member engagement and care delivery. Collaborate with cross-functional teams to create scalable solutions that meet unique Medicar...

Innovate your career by leading extensive Prior Authorization governance strategy across diverse populations. Drive enterprise decision-making and improve operational efficiency through strategic coll...

Empower a diverse team to enhance medical management initiatives and implement the Health Equity Cultural Competency Program, driving innovation and improving health outcomes across various clinical o...