Managed Care Director Jobs in Chicago, IL

Lead a team of actuaries to drive strategic initiatives and enhance decision-making through expert insights and compelling presentations. Ensure compliance with standards while developing key relation...

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...

Unlock potential by leading enterprise-wide Cost of Care solutions. Drive scalability, optimize deployment, and enhance operational effectiveness across diverse markets, collaborating with stakeholder...

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 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...

Transform clinical operations by driving innovative strategies and performance improvements that enhance member health outcomes and engagement at scale. Lead cross-functional teams to optimize prevent...

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...

Develop comprehensive network strategies that optimize value, engage stakeholders, and enhance provider performance, ensuring alignment with market trends and regulatory requirements while leading cro...

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

Lead underwriting operations for small group business, driving growth through strategic innovations and team leadership. Collaborate with sales and cross-functional teams to enhance risk management an...

Lead strategic underwriting initiatives for small group and level-funded businesses, ensuring disciplined growth and operational excellence. Collaborate cross-functionally to enhance risk assessment a...

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...

Unlock potential by leading enterprise forecasting and pipeline governance. Collaborate with cross-functional teams to drive performance insights, improve planning accuracy, and optimize revenue strat...

Drive compliance in privacy by managing a team focused on interpreting laws and regulations. Collaborate with stakeholders to negotiate agreements and oversee privacy initiatives, ensuring adherence t...

Drive compliance and oversight in privacy management, analyzing laws and guiding projects while managing a dedicated team to protect sensitive information and support key privacy initiatives across th...

Explore a strategic leadership role driving medical economics through analytics and collaborative efforts. Lead a team to enhance value-based care while translating complex data into impactful busines...

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...

Join a team that's driving strategic proposal development and management, enhancing sales support through cross-functional collaboration while leading initiatives that impact our enterprise national a...