Managed Care Director Jobs in Baltimore, MD

Join us to oversee Utilization Case Management and Discharge Planning. Drive program success, manage resources, and enhance patient transitions while ensuring compliance and quality standards are met...

Transform your career by driving growth through strategic partnerships, building physician relationships, and executing revenue growth initiatives in a dynamic healthcare environment. Collaborate with...

Join a team that's building a new quality program to ensure excellence in patient care across diverse partners. Own quality oversight, monitor performance, and drive continuous improvement to elevate...

Manage pivotal customer support and training strategies to drive provider enablement within a healthcare technology organization. Leverage operational excellence and continuous improvement for optimal...

Shape the future of actuarial science by leading innovation, guiding strategies, and enhancing financial performance through advanced modeling and regulatory compliance. Collaborate with senior leader...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Join a team that's transforming mental healthcare through innovative finance strategies. Your expertise will guide strategic financial decisions, streamline operations, and foster a high-performing te...

Support strategic initiatives that drive the mission and operational goals of the organization by overseeing high-priority projects, facilitating collaboration, and ensuring cross-departmental alignme...

Manage critical partner integrations and optimize operational processes to enhance vendor verification speed and quality. Own the end-to-end relationship between our system and partner APIs for seamle...

Champion operational excellence by leading a multidisciplinary team to ensure high-quality care delivery, compliance, and performance; drive engagement and implement strategic initiatives across multi...

Transform client relationships by leading Revenue Cycle Operations initiatives. Oversee process improvements, drive strategic goals, and ensure compliance while managing multi-disciplinary teams acros...

Drive impactful public policy initiatives by analyzing regulations, developing communications, and guiding advocacy efforts. Collaborate across teams to influence Medicaid strategies and enhance CareF...

Elevate member care by overseeing utilization management and evaluating treatment appropriateness. Collaborate with multidisciplinary teams, ensuring compliance with clinical standards and regulations...

Empower healthcare outcomes by managing care for diverse patient populations. Collaborate with a dynamic team, leveraging your clinical expertise to drive efficiency and compliance in care management...

Transform quality and compliance initiatives by leading organizational excellence and continuous improvement efforts. Collaborate with leadership to meet regulatory standards and enhance performance t...

Drive key commercial initiatives and strategic partnerships while leading cross-functional execution and managing stakeholder alignment to accelerate growth and operational effectiveness within a high...

Explore the opportunity to oversee cash management operations, driving strategic vision and optimizing workflows while enhancing inter-departmental collaboration and performance metrics in a dynamic h...

Lead the charge in enhancing our pre-bill DRG review program, ensuring coding integrity and compliance while imparting expert training to elevate staff competencies and collaborative efforts in revenu...

Lead transformative healthcare partnerships and drive revenue growth by connecting workforce challenges with innovative education solutions. Collaborate with healthcare executives to enhance talent pi...

Optimize the impact of medical writing by leading complex projects, managing teams, and ensuring compliance with regulatory standards, while contributing to the strategic growth of the organization in...

Drive pharmacy benefit strategy, manage vendor relations, analyze costs, and implement solutions to optimize pharmacy spending for clients. Lead cross-functional teams and ensure compliance while deli...

Analyze pharmacy trends and manage PBM relationships. Empower clients with actionable insights, oversee implementations, and ensure project success across multiple teams in a fast-paced environment fo...

Champion client relationships by managing a portfolio of Health Plan and PBM clients, focusing on retention and revenue growth while collaborating strategically to enhance client value and achieve mut...

Lead and execute growth strategies within the Payer vertical by building relationships with health plan executives, managing complex sales cycles, and driving revenue through tailored digital health s...

Shape the future of healthcare EDI solutions by leading product vision, strategy, and execution. Collaborate cross-functionally to deliver scalable, compliant integrations that enhance data quality an...