Managed Care Director Jobs in Carlisle, PA

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

Advance client satisfaction and operational excellence by leading the Group Health Division, overseeing team performance, enhancing processes, and ensuring profitability while managing key metrics and...

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

Advance transformative AI initiatives in healthcare by spearheading commercial strategy and key partnerships. Collaborate with C-suite leaders to build impactful business cases and streamline innovati...

Shape the future of sales by leading strategic development and execution for key brands. Drive revenue growth and team performance while managing P&L. Collaborate cross-functionally to innovate and en...

Join a dynamic team to oversee and enhance patient care operations, ensuring compliance with regulations, managing staff, and improving agency profitability in a rewarding healthcare environment...

Join our team to lead provider contracting and network development, ensuring compliance and efficiency. Drive recruitment strategies in diverse markets while optimizing financial performance and overs...

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...

Transform healthcare data environments by developing advanced cloud data platforms. Lead a technical team to innovate, assess, and build robust solutions that enhance AI deployment, effectively removi...

Advance strategic partnerships by leading a team focused on value-based care, provider engagement, and performance optimization. Drive insightful analysis and foster collaboration to enhance care deli...

Empower quality improvement initiatives and lead teams to enhance clinical and operational excellence in healthcare delivery, focusing on outcomes management and compliance with industry standards whi...

Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...

Lead the operational excellence of the Group Health Division, optimizing performance metrics and driving client satisfaction through tailored initiatives and a dedicated team. Collaborate with medical...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Unlock your potential by driving enterprise sales in healthcare AI, leading strategic initiatives, and fostering partnerships to enhance patient outcomes. Your expertise will shape market strategies w...

Develop impactful analytics strategies to enhance operational performance and participant outcomes. Collaborate with leaders to solve complex challenges through data-driven insights and foster relatio...

Shape the future of healthcare strategy as a leader in consulting, driving innovation and transformation while mentoring the next generation of consulting talent across multiple client projects...

Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Lead billing operations while ensuring accuracy, compliance, and team efficiency. Optimize workflows, enhance customer service, and manage the integration of systems in a collaborative environment foc...

Drive the evolution of medical payment policies as a subject matter expert, collaborating closely with clients to analyze data, present insights, and advocate for strategic policy adoption. Shape the...

Manage strategic client engagements, oversee implementation and service delivery, mentor junior staff, and drive retention efforts while collaborating across teams to ensure exceptional care and compl...

Lead innovative initiatives in clinical operations, driving excellence in primary care delivery while overseeing medical directors. Optimize participant satisfaction and operational metrics to enhance...

Unlock potential by leading Managed Care Contracting & Medical Economics, leveraging quantitative analysis to evaluate risks in value-based care contracts while engaging with payor partners and collab...