Managed Care Director Jobs in Baltimore, MD

Pioneer innovative clinical pharmacy strategies to enhance Medicare Stars performance. Leverage deep expertise in pharmacy quality, influence cross-functional teams, and drive measurable outcomes to i...

Join our team to drive clinical performance in pharmacy measures, transforming strategies into actionable insights that enhance member health. Collaborate cross-functionally to elevate clinical qualit...

Shape the future of healthcare analytics by leading teams, driving initiatives, and translating data insights into strategic solutions for multiple stakeholders, aiming to enhance performance and achi...

Shape the future of pharmacy benefits by leading high-performing teams and managing client relationships. Drive strategy and deliver results while enhancing service performance across multiple account...

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...

Drive revenue enhancement and strategic transformation for healthcare clients. Navigate complex contract negotiations and implement managed care solutions, improving financial performance across multi...

Lead the charge in managing a high-profile Medicaid behavioral health account. Drive strategic initiatives, oversee contract performance, and foster critical client relationships to ensure operational...

Join a team that's redefining enterprise data strategy and governance. Lead innovative data initiatives to enhance analytics, architecture, and team performance while driving impactful insights across...

Manage strategic risk adjustment operations for Medicare, Medicaid, and ACA programs. Lead cross-functional initiatives, enhance data accuracy, and drive performance improvements while mentoring teams...

Drive impactful Phase IV and observational research initiatives by partnering with biopharmaceutical sponsors. Leverage deep scientific expertise to create tailored study designs, foster relationships...

Accelerate progress at the forefront of healthcare by leading strategic initiatives for the UMMS 340B program. Ensure compliance, optimize operations, and drive financial performance while enhancing p...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Empower a dedicated team in providing vital home healthcare services, ensuring compliance with regulations while enhancing patient well-being and organizational efficiency for growing operations in Vi...

Lead and innovate data operations, establishing a best-in-class Center of Excellence. Drive monitoring and reliability of data pipelines, ensuring effective automation and governance for optimal perfo...

Unlock potential by leading healthcare analytics initiatives to optimize medical loss ratio. Collaborate across teams to identify trends and improve cost and quality outcomes, delivering insights to s...

Unlock potential by leveraging your extensive Medicaid policy experience to guide agencies in program implementation and compliance, fostering healthier communities through innovative strategies and c...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Drive comprehensive analytics in acquisition cost and value strategies, transforming complex models into actionable narratives for manufacturers and pharmacies while ensuring efficiency translates to...

Lead the charge in claims operations by overseeing a team of examiners to ensure timely resolution of complex claims, drive process improvements, and maintain compliance, positively impacting client s...

Create impactful business strategies to accelerate growth in the health care sector, overseeing a talented team while collaborating across functions to enhance brand presence and drive substantial rev...

Lead corporate engagement strategies to enhance partnerships and drive fundraising initiatives. Oversee events from planning to execution, cultivating relationships to secure sponsorships and achieve...

Lead, manage, and innovate care delivery as the nursing department's head, ensuring high-quality and compassionate services for residents. Foster teamwork and uphold clinical standards while driving i...

Contribute to strategic leadership in pharmacy operations, optimizing formulary management and medication utilization. Collaborate with stakeholders to enhance patient outcomes while ensuring regulato...

Lead the charge in developing and optimizing AI/ML solutions that enhance operational efficiencies and drive innovation. Oversee a skilled team of engineers, managing the entire ML lifecycle while ens...

Lead the charge in underwriting complex pharmacy benefit deals, optimizing pricing strategies with cross-functional teams. Leverage automation and insights to enhance underwriting capabilities while m...