Managed Care Director Jobs in Bronx, NY

Elevate workforce management by leading recruitment, onboarding, and performance strategies. Drive clinician readiness and productivity while ensuring quality care through data-driven decision-making...

Accelerate progress at the department by overseeing strategic projects, enhancing communication, and driving operational readiness. Collaborate cross-functionally to implement initiatives and resolve...

Lead the charge in transforming provider data management by defining product strategy, enhancing workflows, and ensuring data accuracy. Collaborate with cross-functional teams to deliver scalable solu...

Unlock potential by leading transformative initiatives in clinical operations. Collaborate with senior leadership to enhance health system strategies, mentor teams, and drive process improvements acro...

Lead the charge in enhancing health plan quality management and performance. Oversee compliance with NCQA and HEDIS standards while driving continuous improvement initiatives and managing a dedicated...

Join us to lead a dynamic team focused on quality management and performance improvement in healthcare. Drive compliance with NCQA and HEDIS standards while enhancing health plan quality initiatives a...

Innovate member experience strategies by translating enterprise goals into actionable plans. Drive performance improvements in CAHPS and HOS programs through provider engagement and data analysis, ens...

Lead the charge in driving enterprise growth within healthcare by building relationships with national and regional health plans. Own new logo acquisition and expansion, leveraging a robust support sy...

Unlock your potential by leading managed care contracting strategies, overseeing high-value agreements, and driving operational efficiency. Collaborate with cross-functional teams to enhance reimburse...

Optimize legal operations by driving efficiency, implementing AI solutions, and enhancing workflows. Lead strategic initiatives to improve scalability and performance within the Legal Department, ensu...

Lead the charge in enhancing medical management and quality improvement. Drive utilization review, collaborate with providers, and implement performance initiatives to optimize care quality and cost-e...

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

Lead the charge in developing referral growth and market strategies across multiple states. Drive sustainable growth by optimizing processes, leveraging CRM systems, and building high-performing teams...

Drive the acquisition and usability of clinical data to enhance healthcare outcomes. Collaborate with diverse teams to analyze data gaps, implement integrations, and optimize processes, ensuring timel...

Drive strategic leadership in Care Management services, enhancing operational efficiency and quality outcomes. Oversee program performance, regulatory compliance, and stakeholder relationships to deli...

Unlock potential by leading Health and VA claims operations, driving strategic initiatives, enhancing recovery outcomes, and ensuring operational excellence across multiple teams and client portfolios...

Drive growth by identifying and securing new business opportunities in risk management and medical education. Collaborate with teams to develop proposals, manage sales pipelines, and ensure alignment...

Join a team that's dedicated to enhancing client relationships and driving success. Oversee client performance, mentor staff, and ensure compliance while collaborating with various departments to deli...

Champion client success by overseeing relationships, ensuring operational excellence, and mentoring teams to exceed expectations. Utilize analytics to drive performance and resolve issues, fostering c...

Join an innovative team to oversee Utilization Management across Medicaid, Commercial, and Medicare functions. Drive strategic leadership, operational performance, and regulatory compliance while enha...

Unlock potential by leading actuarial strategies that drive innovation and performance. Oversee a team, develop statistical models, and engage with regulators to ensure compliance and support business...

Join a team that's dedicated to optimizing complaint resolution across departments. Oversee a skilled group focused on member satisfaction and regulatory compliance while promoting process improvement...

Unlock potential by leading HRIS strategy and optimization, overseeing a team to enhance Workday and UKG systems. Drive transformation and collaboration across HR, Finance, and Operations for impactfu...

Lead the charge in evaluating complex clinical scenarios and authorizing services based on national guidelines and regulatory compliance. Collaborate with healthcare professionals to ensure quality ca...

Drive strategic leadership in industry partnerships and payor strategy, enhancing market access and competitive positioning. Lead a high-performing team to execute a multiyear plan that fosters sustai...