Managed Care Director Jobs in Baltimore, MD

Champion growth by optimizing payer partnerships and driving strategic initiatives. Collaborate with cross-functional teams to enhance contract performance and ensure operational excellence, while fos...

Lead the charge in executing population health strategies, ensuring high-quality consulting delivery and team performance across regions. Collaborate with leadership to drive impactful solutions and f...

Drive medical leadership in quality improvement and utilization management, ensuring effective care delivery and cost containment. Collaborate with clinical teams to enhance patient outcomes and suppo...

Elevate Medicaid partnerships by driving strategic sales initiatives, securing contracts, and fostering client relationships. Lead a team to achieve growth targets while navigating market dynamics and...

Elevate healthcare delivery by overseeing utilization review and care management, ensuring compliance with medical standards while enhancing quality and cost-effectiveness in patient care. Collaborate...

Help us drive operational excellence in provider data management, ensuring accuracy and efficiency throughout the lifecycle. Collaborate with teams to enhance processes, leverage insights, and impleme...

Drive client success by leading strategic initiatives and fostering strong relationships in healthcare technology. Leverage deep domain expertise to enhance outcomes and ensure effective use of soluti...

Partner with us to drive advocacy and public affairs initiatives, providing research and recommendations for health coverage policies. Build relationships with stakeholders and represent on coalitions...

Drive advocacy and public affairs initiatives by conducting research, developing policy recommendations, and fostering relationships with stakeholders. Author key documents and represent the organizat...

Champion a transformative clinical team, leading 60-70 RNs in delivering exceptional post-discharge care. Drive innovative strategies to enhance patient outcomes and foster a culture of collaboration...

Lead the charge in driving Medicare partnerships, enhancing contract value, and achieving growth targets through strategic sales initiatives and relationship management with health plans...

Drive the administration of medical services, ensuring quality care for millions. Collaborate with clinical teams to enhance operations, implement innovative programs, and provide strategic guidance w...

Join a team that's dedicated to enhancing healthcare quality and outcomes. As a Medical Director, you'll oversee medical services, drive innovative programs, and provide strategic clinical consultatio...

Support compliance initiatives by monitoring claims activities, analyzing data, and collaborating cross-functionally to enhance operational standards and address compliance gaps. Drive project trackin...

Lead the charge in overseeing claims compliance activities, enhancing operational quality, and ensuring audit readiness. Collaborate cross-functionally to identify gaps, monitor KPIs, and drive improv...

Elevate workforce management by leading recruitment, onboarding, and performance strategies. Drive clinician readiness and productivity while ensuring quality care through data-driven decision-making...

Lead organization-wide clinical operations and innovation initiatives, driving best-in-class outcomes through strategic problem-solving, rapid experimentation, and operational excellence across comple...

Drive innovative clinical operations to enhance member care and outcomes. Collaborate across teams to implement strategies, optimize processes, and scale programs, ensuring seamless coordination and e...

Lead the effective daily operations of Risk Management, integrating corporate programs and supervising staff to ensure compliance and continuous reporting within a dynamic healthcare environment...

Lead the charge in coordinating governance activities and strategic projects, ensuring efficient communication and administrative processes across the organization. Collaborate with executives and boa...

Advance behavioral health services by leading operations, integrating care, and ensuring quality standards. Collaborate with teams to develop strategic plans and manage resources effectively, driving...

Innovate member experience strategies by translating enterprise goals into actionable plans. Drive performance improvements in CAHPS and HOS programs through provider engagement and data analysis, ens...

Lead the charge in driving enterprise growth within healthcare by building relationships with national and regional health plans. Own new logo acquisition and expansion, leveraging a robust support sy...

Champion cross-functional projects to enhance operational efficiency and achieve organizational goals. Lead initiatives from planning to completion, ensuring timely delivery within scope and budget wh...

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...