Managed Care Director Jobs in Fairfax, VA

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...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

Advance the standards of care by ensuring compliance with medical policies and regulations in a collaborative multidisciplinary team environment. Conduct critical reviews of medical necessity for trea...

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...

Accelerate progress at a thriving practice, providing top-notch primary care while leading a dedicated team. Enjoy a balanced schedule with minimal on-call duties and ample opportunities to enhance co...

Inspire optimal healthcare delivery through effective management of utilization processes for diverse member populations, ensuring compliance, quality, and customer satisfaction in clinical services...

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...

Unlock potential by leading healthcare operations consulting engagements, optimizing claims processing, and driving improvements across client workflows. Collaborate with diverse teams in a dynamic en...

Champion operational excellence in a senior leadership role by enhancing client services through innovative process improvement. Collaborate with cross-functional teams to drive performance management...

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...

Inspire change as you partner with sales for national accounts, leveraging your medical expertise to drive quality, outcomes, and cost-effectiveness in healthcare, while enhancing client relationships...

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...

Drive quality patient care as a Medical Director in skilled nursing facilities, overseeing clinical staff and ensuring compliance with regulations while actively participating in quality initiatives a...

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 the strategic direction of centralized utilization management to enhance service delivery, ensure compliance, and improve clinical outcomes. Collaborate across teams to optimize processes, drive...

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...

Oversee the execution of patient access strategies across the enterprise, ensuring centralized access functions deliver a seamless patient experience. Collaborate with leaders to drive performance imp...

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...

Champion regulatory excellence and policy innovation in home health and hospice. Drive strategic initiatives, provide expert analysis, and advise members on evolving regulations while enhancing organi...