Managed Care Director Jobs in Brice, OH

Drive end-to-end operational excellence for stop-loss and funding processes. Oversee program administration, manage relationships with vendors, and enhance operational efficiency while leading high-pe...

Drive strategic business development initiatives in the Medicare landscape, fostering key partnerships with national payers to enhance care access. Collaborate cross-functionally to accelerate growth...

Champion operational excellence by leading membership status determinations, ensuring accuracy and compliance while driving improvements and utilizing AI tools to optimize workflows in a fast-paced, i...

Optimize marketing strategy to elevate our presence in healthcare AI. Lead cross-functional initiatives to generate impactful content, drive revenue growth, and establish Qualified Health as the trust...

Lead the charge in managing and optimizing partnerships with Community Health Centers. This strategic role focuses on enhancing collaboration, driving growth, and ensuring program success through effe...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...

Transform the enterprise reporting landscape by leading cross-functional initiatives, developing performance dashboards, and establishing data infrastructure to enhance decision-making and drive impac...

Transform the future of healthcare interoperability by leading strategic initiatives, ensuring compliance, and collaborating across teams to enhance data exchange and clinical outcomes, while managing...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

Lead the care management team to enhance healthcare outcomes through strategic oversight, compliance, and performance improvement, ensuring high-quality and cost-effective care for members. Foster col...

Shape the future of claims management by leading a team of adjusters, ensuring regulatory compliance, and optimizing processes for complex Master Policy TLL and Contents Claims. Drive department effic...

Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...

Pioneer impactful strategies in value-based care operations, leading cross-functional initiatives and partnerships to enhance risk stratification insights and support practices in delivering sustainab...

Innovate within healthcare finance by leading Medicaid strategy and consulting engagements. Leverage your expertise to enhance business performance for clients while driving strategic initiatives in p...

Drive healthcare excellence by leading clinical consultations, training staff, and reviewing cases. Engage with providers and members while ensuring adherence to quality standards and regulatory guide...

Drive impactful healthcare initiatives by providing clinical guidance, training, and oversight for care quality. Collaborate with providers and ensure adherence to regulatory standards while enhancing...

Engage in improving clinical outcomes through collaboration, education, and oversight, while ensuring regulatory compliance. Lead initiatives across care management, quality improvement, and clinical...

Shape a robust compliance program for pharmacy operations and Medicare Part D, ensuring adherence to regulations while promoting a culture of compliance. Lead audits, oversee risk management, and coll...

Accelerate progress at a leading BPaaS firm by providing strategic legal counsel, drafting and negotiating complex agreements, and ensuring compliance with regulatory standards in a dynamic, fast-pace...

Champion healthcare value through rigorous health economics and analytics. Lead a small team to measure and quantify clinical outcomes, translating them into defensible economic value for payers, whil...

Unlock potential by partnering with executives to enhance customer strategies, streamline operations, and lead impactful initiatives that drive engagement and value for investor/customers in the healt...

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...

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...

Shape the future of healthcare finance by managing contracts in Epic, recovering underpayments, and collaborating with teams to refine reimbursement strategies for hospital and ASC operations...