Managed Care Director Jobs in Baltimore, MD

Transform IT operations by leading a hands-on team focused on delivering high-quality support and maintaining cloud infrastructure for optimal productivity and security in a hybrid work environment...

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...

Accelerate project success by leading implementation initiatives and fostering client relationships across cross-functional teams, ensuring seamless delivery of services and technology from pre-sales...

Champion compliance and regulatory strategies for multi-state home care operations, ensuring readiness and accountability. Drive policy development and oversee audits while leading a dedicated team to...

Engage key healthcare payers by driving sales of BPaaS and EPaaS solutions. Leverage industry knowledge to strategize and execute account growth plans, focusing on achieving revenue goals while managi...

Shape care solutions by overseeing operations in the Care Management Department, collaborating with leadership to support strategic goals and improve patient care across various settings, while ensuri...

Transform client relationships by managing a diverse portfolio of health plans, ensuring exceptional service delivery, and driving strategic outcomes that generate value and demonstrate key metrics. E...

Oversee and redefine population health strategy while driving integrated care initiatives and collaborative partnerships, ensuring evidence-based clinical delivery and exceptional outcomes across dive...

Lead the charge in pharmacy network contracting, overseeing negotiations, contracts, and provider relationships. Drive strategic contract execution, ensuring alignment with financial goals and regulat...

Help us develop and execute data-driven communications strategies to drive growth, manage reputation, and support enterprise-wide objectives. Lead a high-performing team while navigating complex stake...

Optimize health initiatives and regulations while leading state engagement to enhance payment models and improve patient outcomes. Drive growth through strong advocacy with government officials and ag...

Transform healthcare delivery by leading clinical strategy and Medicaid management while driving compliance, innovation, and strong outcomes for members across Pennsylvania and beyond. Engage partners...

Serve as a key driver in defining product vision and strategy, collaborating with stakeholders to ensure successful execution. Leverage clinical data expertise to create a single source of truth, opti...

Unlock your potential in strategic planning, transforming data into insights that drive executive decisions. Collaborate with cross-functional teams to enhance operational efficiency and ensure alignm...

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

Join as an operational leader to ensure member success and satisfaction. Build strong relationships, enhance onboarding, and drive engagement, all while refining support processes to create an excepti...

Engage in transformative leadership within Patient Financial Services, overseeing cash applications, customer service, and advocacy teams. Shape operational excellence in healthcare finance while fost...

Lead the charge in optimizing utilization management by assessing medical necessity, ensuring compliance with standards, and collaborating on case management strategies to enhance patient care outcome...

Transform inpatient utilization management by leading a strategic team that enhances member engagement, optimizes quality care, and streamlines health resources in accordance with regulatory standards...

Champion growth in healthcare by leading strategic initiatives, enabling sales, and orchestrating complex solutions in Payment Integrity. Collaborate with cross-functional teams to drive market expans...

Shape the future of clinical therapy services by leading behavioral health programs, ensuring compliance with regulatory standards, and supervising a dynamic team to foster effective patient care and...

Join a dynamic team driving new customer acquisition in healthcare. This high-impact role focuses on executive relationship building, consultative sales, and solution development within dental and aes...

Drive the management and technical guidance for an actuarial team, overseeing pricing and rate development to ensure adherence to financial goals and compliance in collaboration with cross-functional...

Lead strategic case management initiatives across health plans, driving quality outcomes and regulatory compliance. Supervise teams, optimize care programs, and support innovative care delivery models...

Lead the charge in strategic case management initiatives, enhancing enrollee care across multiple health plans while optimizing operations, ensuring compliance, and fostering quality outcomes through...