Managed Care Director Jobs in Brighton, MA

Drive transformative analytics for healthcare cost and utilization. Leverage data insights to inform decision-making, support regulatory compliance, and evaluate clinical programs within Medicare Adva...

Unlock potential by leading clinical operations in the MA, CT, and RI area. Drive staffing, manage performance, and ensure compliance while fostering a culture of teamwork and support to enhance quali...

Empower product excellence through clinical training, customer interaction, and research. Foster cross-department collaboration to enhance AirLife products while ensuring customer satisfaction. Drive...

Help us drive healthcare innovation by delivering insightful analyses on medical costs and utilization trends. Collaborate across teams to enhance reporting, support regulatory compliance, and improve...

Lead the charge in ensuring Medicare Advantage compliance with CMS regulations. Collaborate cross-functionally to uphold quality standards in risk adjustment, coding, and documentation. Drive initiati...

Drive the product vision for an AI-powered outreach platform, managing the roadmap and backlog while coordinating with cross-functional teams. Ensure effective data flow and integration to deliver per...

Join a team that drives excellence in training and compliance. As a strategic leader, you'll enhance public safety operations, ensuring adherence to regulations and fostering continuous improvement ac...

Grow your career by developing strategic corporate partnerships to fuel mission-driven revenue initiatives, focusing on six- to seven-figure investments while advising territories to enhance their pip...

Contribute to product strategy and compliance by executing filings, managing objections, and collaborating across departments. Support multiple projects with a focus on quality, productivity, and regu...

Shape the future of product development and compliance by analyzing and enhancing product filing strategies. Collaborate with cross-functional teams to ensure efficient delivery of competitive insuran...

Elevate your career by driving client success as a Customer Program Manager. Use your healthcare expertise to deliver tactical project plans and enhance service quality for healthcare payer clients, o...

Champion clinical services initiatives, driving strategic content development and mentoring teams to enhance market access and client success. Lead projects, ensure compliance with standards, and reso...

Join a team that's dedicated to providing evidence-based medical reviews and consultations, ensuring optimal patient care through collaboration with over 500 physicians while working 100% remotely in...

Transform patient care by overseeing hospice programs and collaborating with medical teams to ensure quality standards. Lead interdisciplinary efforts, assess patient needs, and guide care evaluations...

Lead strategic initiatives for patient engagement, integrating patient insights into research and advocacy to enhance care and outcomes for the kidney community. Collaborate with stakeholders to drive...

Transform your career by providing strategic leadership and operational guidance to propel organizational growth and excellence. Collaborate with senior leaders to drive performance, manage risks, and...

Unlock your potential as a Salesforce Administrator by mastering platform capabilities, enhancing user experiences, and driving business process success with Salesforce's Sales and Service Clouds. Col...

Accelerate progress at expanding mental health access by fostering strategic partnerships. Leverage your expertise to build relationships with health plans and EAPs, driving efforts that enhance behav...

Lead strategic regulatory consulting efforts for companion diagnostics, integrating insights across IVD development, clinical trials, and commercialization. Collaborate with stakeholders to ensure com...

Drive the coordination of care for MassHealth members with complex health needs. Oversee clinical review activities, ensure compliance with regulations, and foster team collaboration to enhance servic...

Accelerate progress at Patient Services by evolving workforce strategies, enhancing operational management, and driving performance across contact center & pharmacy operations. Optimize processes and...

Play a key role in developing and executing EHS programs across a multi-state organization, fostering a safety culture and integrating health and safety into all operational aspects while leading a hi...

Empower organizational strategy by designing solutions for Medicaid operations, enhancing competitiveness through effective partnerships and innovative consulting practices. Drive profitable growth wh...

Drive the actuarial finance function by ensuring accurate VBC performance analysis, collaborating with cross-functional teams, and automating workflows to enhance insights for senior leadership decisi...

Elevate partnerships by driving new product initiatives, structuring innovative deals, and ensuring long-term partner success. Collaborate cross-functionally to build a robust partnerships pipeline an...