Director, Provider Contracting Remote Jobs

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

Empower our sales team by driving strategic growth in key accounts. Leverage your expertise in Enterprise SaaS to navigate complex sales in the Life Sciences sector, fostering partnerships and deliver...

Pioneer processes in credentialing and provider data management while leading a technical team. Oversee system updates, compliance, and training initiatives to enhance operational efficiency and suppo...

Drive medical leadership in quality improvement and utilization management, ensuring effective care delivery and cost containment. Collaborate with clinical teams to enhance patient outcomes and suppo...

Lead the evaluation of outpatient referrals and inpatient admissions for medical necessity, utilizing guidelines and criteria to ensure quality care. Collaborate with providers and mentor UM nurses to...

Drive growth by identifying and securing new business opportunities in risk management and medical education. Collaborate with teams to develop proposals, manage sales pipelines, and ensure alignment...

Manage clinical oversight and mentorship in a remote role, guiding enterprise-wide medical decisions, reviewing complex cases, and ensuring evidence-based coverage determinations while collaborating a...

Lead the charge in clinical oversight and mentorship, providing strategic support across various departments. Collaborate with teams to ensure evidence-based decision-making and enhance patient care t...

Drive operational excellence by leading care team operations and enhancing member experiences. Build scalable systems and processes to ensure consistent, high-quality interactions across all touchpoin...

Drive strategic growth by managing high-impact relationships with health systems and specialty pharmacies. Lead account management, enhance client satisfaction, and identify opportunities for value ex...

Lead the strategic design and management of comprehensive benefits programs, ensuring alignment with employee needs and company objectives. Drive innovation and compliance while enhancing employee eng...

Drive your career forward by leading a dynamic PMO team, overseeing complex projects in healthcare technology. Collaborate cross-functionally to ensure strategic alignment and successful execution of...

Shape the future of managed care by leading contract negotiations, performance monitoring, and strategic initiatives to optimize reimbursement and enhance payer relationships across healthcare service...

Empower healthcare providers through strategic partnerships and data-driven insights to enhance value-based care initiatives, improve performance, and drive member outcomes by utilizing innovative str...

Lead the negotiation and administration of Branded & Specialty Rx contracts, ensuring alignment with business strategies and stakeholder interests. Collaborate with internal teams to optimize processe...

Drive operational excellence by leading multi-state revenue cycle management, optimizing physician billing, and enhancing payer relationships. Collaborate with stakeholders to maximize collections and...

Drive client success by leading strategic relationships and enhancing service delivery. Collaborate cross-functionally to optimize client experiences and identify growth opportunities within the healt...

Elevate your career by leading centralized resources and programs, driving operational excellence, and fostering a quality mindset across teams. Collaborate with management to enhance patient support...

Elevate your career by driving impactful marketing strategies for electronic prior authorization solutions. Collaborate across teams to enhance provider engagement and improve patient access, while le...

Manage the grievance and appeals process, ensuring compliance with legal standards. Collaborate with state and federal entities while leading a team to address member and provider concerns effectively...

Champion innovative clinical strategies in specialty pharmacy, overseeing services and solutions to enhance client value and outcomes. Collaborate with cross-functional teams to drive program performa...

Elevate community oncology practices by driving growth and retention through strategic sales initiatives. Collaborate with cross-functional teams to enhance market presence and deliver tailored soluti...

Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...

Join a team that's dedicated to optimizing healthcare delivery through strategic leadership in Utilization Management. Drive excellence in clinical care and operational outcomes while ensuring complia...

Lead the charge in shaping a skills-powered talent ecosystem, driving strategy and governance for enterprise skills and talent marketplace initiatives that enhance workforce planning and career growth...