Managed Care Director Jobs in Princeton, NJ

Partner with us to drive managed care strategies, negotiating contracts and ensuring alignment with clinical initiatives. Collaborate with stakeholders to optimize operational efficiencies and enhance...

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...

Join a dynamic team as you manage payer relationships and contracts, ensuring alignment with strategic priorities. Collaborate with stakeholders to drive efficient operations and meet organizational g...

Empower healthcare quality by leading our utilization management efforts. As a key physician advisor, you'll guide policy, conduct analyses, and enhance clinical practices to ensure optimal patient ca...

Drive healthcare excellence by leading HEDIS audits, data collection, and analysis, ensuring compliance and quality reporting to empower management decision-making across departments. Guide your team...

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...

Engage in strategic provider contracting to enhance healthcare networks. Oversee negotiations, manage budgets, and ensure compliance while collaborating across departments to improve member experience...

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 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 Utilization Management team, overseeing operations for inpatient, outpatient, and long-term services. Innovate programs for quality and cost-effectiveness while ensuring compliance with 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...

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...

Empower growth by leading fundraising initiatives and strategies. Manage a dedicated team while cultivating key donor relationships and ensuring organizational development goals are met through innova...

Drive the vision for an enterprise data and analytics platform, leading a team to empower data-driven decision-making across all business functions while ensuring accuracy, governance, and scalability...

Shape the future of provider operations by leading strategic initiatives that optimize processes, drive operational excellence, and enhance team performance while collaborating cross-functionally to e...

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...

Drive your career with a leadership role overseeing utilization management, ensuring quality and compliance in healthcare services while collaborating with clinical teams to improve patient outcomes a...

Unlock potential by leading healthcare operations consulting engagements, optimizing claims processing, and driving improvements across client workflows. Collaborate with diverse teams in a dynamic en...

Grow and lead the Integrated Care Team to enhance care coordination for members with complex needs, ensuring high-quality clinical oversight and regulatory compliance while driving operational excelle...

Develop and lead Medical Management strategies, ensuring effective quality initiatives and engagement with providers to optimize health outcomes, while managing compliance issues and organizational de...

Drive the establishment of our Quality function, overseeing CMS ACO programs and ensuring cohesion across all business units. As a subject matter expert, impact strategic decisions through quality imp...

Advance healthcare strategy and provider partnerships to enhance member outcomes and reduce costs. Lead negotiations and oversight while driving organizational transformation and innovation within the...

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...