Managed Care Director Remote Jobs

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...

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 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...

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...

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...

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...

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...

Lead the charge in optimizing clinical operations, driving high-quality care while overseeing performance metrics. Collaborate with diverse teams to implement strategic initiatives, ensuring patient s...

Join our team to lead Broker Sales efforts and drive membership growth through strategic sales planning and effective management of a dedicated team, ensuring compliance and developing key relationshi...

Transform clinical operations by leading a dynamic team to ensure compliance and quality in annual health assessments, fostering development and process improvement while collaborating across departme...

Champion medical excellence by guiding quality management, utilization, and patient care initiatives. Collaborate with teams to enhance clinical outcomes while ensuring compliance with accreditation a...

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

Champion quality initiatives in a dynamic healthcare environment, leading MSSP Quality programs while influencing strategic decisions across teams. Drive performance improvement and build a quality fu...

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...

Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

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...