Managed Care Director Jobs in Atlanta, GA

Champion strategic workforce management and service experience initiatives, driving operational excellence and enhancing member and associate experiences through effective planning and leadership in a...

Lead the charge in evaluating complex clinical scenarios and authorizing services based on national guidelines and regulatory compliance. Collaborate with healthcare professionals to ensure quality ca...

Drive strategic leadership in industry partnerships and payor strategy, enhancing market access and competitive positioning. Lead a high-performing team to execute a multiyear plan that fosters sustai...

Shape the future of product development, leading cross-functional teams to execute strategic initiatives and optimize customer engagement through innovative data solutions and market insights. Drive i...

Unlock potential by delivering comprehensive clinical care management services, enhancing health outcomes for diverse populations through assessment, care planning, and coordination across multiple he...

Drive strategic growth and executive relationships across a portfolio of health systems, identifying opportunities and mobilizing resources to enhance enterprise solutions and achieve measurable outco...

Shape the future of clinical research data integrity by leading a dedicated team. Drive operational excellence, ensure compliance, and foster cross-functional partnerships to enhance data quality and...

Drive provider network excellence by managing data integrity, overseeing contract configurations, and leading cross-functional teams to enhance operational efficiency and compliance in a dynamic TPA e...

Transform the future of healthcare provider networks by leading operational excellence, strategic initiatives, and cross-departmental collaboration to enhance provider relations and data management ac...

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...

Shape compliance strategies by leading oversight of regulatory adherence and risk management across multiple business functions, ensuring effective reporting, investigations, and resource allocation f...

Drive change management initiatives that enhance employee engagement and operational efficiency. Collaborate across teams to ensure successful adoption of technology and policy changes, while providin...

Transform global client relationships by driving revenue growth and strategic account management. Collaborate with C-suite executives to connect workplace culture and employee experience to measurable...

Grow your career with a dynamic team providing holistic clinical care management services. Collaborate with diverse populations to enhance health outcomes through assessment, care planning, and coordi...

Champion client success by managing strategic accounts, driving growth, and enhancing relationships with health plans. Collaborate cross-functionally to deliver tailored solutions and ensure seamless...

Drive analytics excellence by leading a team to deliver impactful insights, enhance reporting capabilities, and support strategic decision-making across diverse business functions. Foster collaboratio...

Transform client relationships by driving business growth, securing profitable projects, and leveraging market access expertise. Lead teams to exceed expectations while identifying industry trends and...

Develop innovative healthcare products by collaborating with cross-functional teams. Leverage your technical expertise to enhance platform capabilities and deliver impactful solutions that improve pat...

Transform regulatory insights into actionable strategies by analyzing national and state legislative activities. Collaborate with legal and business teams to ensure compliance and support effective de...

Champion innovative managed care strategies and lead cross-functional teams to enhance organizational performance, drive growth, and optimize payer relations in a dynamic healthcare environment...

Unlock your potential by driving enterprise growth in healthcare. Join a dynamic team focused on building relationships with health systems and provider organizations, leveraging a robust support engi...

Lead the charge in enhancing medical management for post-acute care, ensuring timely clinical decisions and effective case reviews. Collaborate with providers to uphold medical necessity standards and...

Empower cross-functional teams to drive the Future of Medicine initiatives, ensuring scalable processes and compliance while enhancing patient safety and experience through strategic planning and exec...

Lead coding operations and education initiatives to ensure compliance, accuracy, and optimal reimbursement across the organization. Manage staff training and oversee coding standards while collaborati...

Oversee a team of nurse care managers to enhance member health care through effective care plans, ensuring quality assurance and adherence to clinical standards while fostering a collaborative and ada...