Managed Care Director Jobs in Baltimore, MD

Elevate pharmacy network performance by leading pricing strategy execution and reconciliation processes. Ensure financial alignment with contractual expectations and foster collaboration across multip...

Execute integrated growth strategies by leading business development and strategic partnerships to drive innovation and market expansion across a diverse healthcare portfolio, enhancing competitivenes...

Join our team to lead and optimize a national record retrieval operation. Drive impactful processes across Risk Adjustment and quality initiatives, managing a remote workforce to enhance efficiency an...

Lead the strategic development and implementation of clinical services, ensuring high-quality client care and compliance with regulations. Oversee staff coordination, policy formulation, and community...

Transform the landscape of patient access services by spearheading strategic business growth initiatives. Drive impactful relationships and lead innovative solutions, maximizing potential in a complex...

Analyze legislative and regulatory developments, draft summaries, and communicate impacts to stakeholders while supporting the Government Affairs Counsel in maintaining strategic partnerships...

Pioneer medical leadership and quality improvement initiatives, driving utilization management and coordination of care for diverse populations. Collaborate across teams to enhance patient outcomes an...

Lead the charge in optimizing healthcare data analysis, driving insights into ACA risk adjustment processes that impact financial performance and ensuring accuracy through proactive validation of metr...

Drive compliance and regulatory strategies for our Political Action Committee, overseeing PAC management, reporting, and grassroots initiatives while collaborating with the Government Affairs team to...

Lead the charge in revolutionizing healthcare delivery by owning the entire product ecosystem. Drive innovation across patient applications, clinician workflows, and AI integrations to shape impactful...

Join a team that's dedicated to delivering high-quality rehabilitation services while supporting operational efficiency and staff development in both facility and home care settings...

Champion effective board governance and executive affairs while supporting leadership and enhancing collaboration across a dynamic nonprofit organization. Drive strategic engagement, streamline practi...

Innovate board governance and executive affairs by driving engagement and supporting leadership in a dynamic nonprofit environment. Enhance collaboration and operational effectiveness across executive...

Unlock the potential of post-discharge care as a key member of our interdisciplinary team. Provide virtual care to manage complex cases, enhance team culture, and improve patient outcomes during the c...

Optimize patient care by leading multiple service lines and enhancing operational efficiency. Leverage strategic vision to improve outcomes, staff development, and regulatory compliance while fosterin...

Lead the management of ABA health benefits through telephonic reviews, ensuring quality care and optimal member health outcomes while collaborating with healthcare teams to support complex cases and i...

Join a team that supports Actuarial Management by analyzing market segments and improving financial forecasting. Contribute to product development and collaborate in cross-functional initiatives while...

Drive innovation and strategy in Life New Business and Underwriting solutions, leading cross-functional teams to develop and commercialize products that enhance growth and market influence in the Life...

Lead the charge in shaping policy initiatives and advocacy strategies to enhance home-based care. Collaborate with a dynamic team to influence legislation and strengthen stakeholder relationships whil...

Inspire change by developing and executing strategies that influence health policy. Collaborate with stakeholders, manage regulatory projects, and provide critical policy insights to enhance healthcar...

Support compliance by ensuring clinical programming meets payer requirements while optimizing processes. Lead strategic initiatives, enhance documentation, and drive performance across all care levels...

Elevate client relationships as you manage a diverse portfolio, drive engagement, and achieve clinical outcomes. You'll collaborate proactively to enhance service offerings while ensuring client satis...

Manage and oversee the operational framework of rebate contract processes, ensuring efficient data flow, optimization, and compliance across various stakeholders while enhancing contract performance a...

Optimize member interactions by building AI systems to elevate performance across frontline teams and AI agents. Collaborate with leaders to redefine quality monitoring and coaching workflows to ensur...

Join a dynamic team driving evidence-based impact evaluation to enhance social strategies across diverse programs. Leverage your expertise to foster collaboration and innovative methodologies, shaping...