Managed Care Director Jobs in Florham Park, NJ

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...

Pioneer impactful sales strategies to enhance community partnerships, drive membership growth, and lead a high-performing team. Your leadership will shape initiatives to strengthen outreach efforts an...

Champion a team of clinicians to enhance member outcomes and ensure quality medical management. Drive adherence to policies while optimizing resources, leading both directly and through effective coll...

Engage in strategic provider contracting to enhance healthcare networks. Oversee negotiations, manage budgets, and ensure compliance while collaborating across departments to improve member experience...

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...

Drive excellence in health care by leading provider education initiatives that enhance patient experience, population health, and affordability. Collaborate with multidisciplinary teams to implement p...

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...

Shape operational excellence by leading complex initiatives across multiple client accounts, driving measurable improvements in efficiency, cost, and quality. Collaborate with teams to optimize proces...

Join a dynamic team as a Medical Director, driving clinical strategy for National Accounts. Guide quality improvement initiatives and oversee utilization management, ensuring enhanced health outcomes...

Shape the future of provider operations by leading strategic initiatives that optimize processes, drive operational excellence, and enhance team performance while collaborating cross-functionally to e...

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...

Take ownership of managed care contracting strategies for specialty practices, enhancing payer relationships and ensuring optimal reimbursement performance while navigating a complex healthcare enviro...

Grow and lead the Integrated Care Team to enhance care coordination for members with complex needs, ensuring high-quality clinical oversight and regulatory compliance while driving operational excelle...

Transform Medicare performance management by integrating strategy, analytics, and cross-functional execution to enhance operational effectiveness and drive growth, ensuring compliance, financial sound...

Advance healthcare strategy and provider partnerships to enhance member outcomes and reduce costs. Lead negotiations and oversight while driving organizational transformation and innovation within the...

Contribute to organizational effectiveness by strategically supporting executive leadership, managing high-priority initiatives, and enhancing cross-functional collaboration to drive impactful outcome...

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...

Contribute to advancing care quality through data analysis, reporting, and compliance monitoring in support of health programs catering to HIV-positive members, while working collaboratively with vari...

Unlock organizational potential by leading claims operations, overseeing teams, and implementing policies to enhance operational efficiency and achieve departmental objectives while maintaining servic...

Lead the charge in optimizing claims operations by managing staff, overseeing daily processes, and implementing efficient policies that drive performance and meet departmental goals. Collaborate acros...

Elevate healthcare quality by leading improvement initiatives, ensuring compliance, and optimizing clinical informatics in a critical leadership role that drives patient safety and operational excelle...

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...

Lead a team to define and implement impactful Behavioral Health quality improvement strategies. Collaborate across departments to ensure optimal care, utilizing data analytics and project management t...