Managed Care Director Jobs

Join a team that's driving growth and profitability by delivering managed care contracting expertise. You'll negotiate, analyze, and oversee contracts while collaborating with various stakeholders to...

Join a team that's transforming managed care operations. Lead strategic initiatives, oversee payer relations, and ensure compliance across the health system, all while developing a culture of collabor...

Inspire innovative provider performance improvement strategies across New York City. Drive accountability for cost, quality, and access while leading a high-performing team. Build strategic relationsh...

Lead the charge in developing innovative risk adjustment products and strategies. Collaborate cross-functionally to enhance client experiences while ensuring compliance and clinical integrity. Drive h...

Join a team that's focused on optimizing managed care operations through strategic contracting, financial oversight, and relationship management, driving quality and compliance in healthcare services...

Transform healthcare delivery by leading strategic payer relationships, contract negotiations, and operational management. Collaborate with executives to optimize contract performance and enhance popu...

Oversee operational functions of a home health agency while enhancing profitability. Coordinate patient care services and ensure compliance with regulations. Lead projects to align with company object...

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...

Join a dynamic team in a clinical director role, driving excellence in ABA services while mentoring staff and making a significant impact on families and children through quality behavioral support in...

Champion clinical excellence as a Clinical Director, leading a team in delivering high-quality behavioral support and shaping impactful ABA services in a collaborative environment. Drive team developm...

Transform provider network management by strategizing hospital and physician collaborations, enhancing satisfaction, and leading a dedicated team to achieve comprehensive healthcare goals...

Elevate pharmacy operations by leading a dynamic team in a fast-paced environment. Drive process efficiency and ensure outstanding customer service while maintaining compliance and achieving budgetary...

Oversee and enhance clinical operations by managing a team of consultant pharmacists, ensuring regulatory compliance and executing quality initiatives while driving financial and productivity goals fo...

Elevate partnerships by leading strategic growth initiatives with brokers and health plans. Engage directly with stakeholders to enhance participation and drive innovative programs, ensuring alignment...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

Lead care management initiatives, enhancing staff efficiency and patient outcomes through strategic oversight, technology integration, and collaboration with interdisciplinary teams to ensure complian...

Shape the future of patient access with strategic leadership and oversight. Optimize processes and drive collaboration to enhance patient experience and revenue. Foster teamwork within the organizatio...

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

Lead clinical operations and population health strategy to drive measurable outcomes. Oversee vendor partnerships, navigate data insights, and implement key initiatives for effective care management a...

Lead payer contract negotiations and strategies to enhance hospital and physician group reimbursement. Collaborate across teams to achieve financial targets and optimize revenue generation while manag...

Accelerate progress at our organization by leading payer accountability and reimbursement, ensuring timely claims management, optimizing performance strategies, and fostering cross-functional collabor...

Elevate reimbursement processes by spearheading effective payer accountability and performance strategies while ensuring timely, accurate revenue recovery across a complex healthcare landscape. Join a...

Deliver expert oversight on Senior Care Professional and General Liability claims, managing coverage, liability investigations, and complex litigation. Collaborate with teams to drive strategic resolu...

Oversee payment integrity initiatives, ensuring alignment between clinical coding and organizational strategy. Partner with cross-functional teams to strengthen provider relations and improve audit op...