Managed Care Director Jobs in Grove City, OH

Lead the charge in enhancing our pre-bill DRG review program, ensuring coding integrity and compliance while imparting expert training to elevate staff competencies and collaborative efforts in revenu...

Unlock your potential as a strategic leader driving national payer partnerships and negotiations in healthcare. Spearhead initiatives to enhance financial performance, multi-state market entry, and va...

Optimize the impact of medical writing by leading complex projects, managing teams, and ensuring compliance with regulatory standards, while contributing to the strategic growth of the organization in...

Analyze pharmacy trends and manage PBM relationships. Empower clients with actionable insights, oversee implementations, and ensure project success across multiple teams in a fast-paced environment fo...

Lead and execute growth strategies within the Payer vertical by building relationships with health plan executives, managing complex sales cycles, and driving revenue through tailored digital health s...

Shape the future of healthcare EDI solutions by leading product vision, strategy, and execution. Collaborate cross-functionally to deliver scalable, compliant integrations that enhance data quality an...

Join a team that provides strategic oversight for audit activities, optimizing operations within Medicare Advantage and Commercial sectors while ensuring compliance and driving continuous improvement...

Drive employee development by designing and implementing scalable learning programs that enhance leadership capability and business performance. Collaborate globally to create engaging, AI-enabled lea...

Empower customer success by owning outcomes and navigating cross-functional teams. Drive retention and revenue growth while ensuring data integrity across strategic accounts within the healthcare land...

Join us in shaping the future of healthcare operations by ensuring provider network accuracy and compliance. Leverage your expertise in claims analysis and enhance operational efficiency while collabo...

Transform the landscape of Long-Term Services and Supports by leading strategic planning, operational readiness, and performance oversight while ensuring exceptional service delivery and positive outc...

The Senior Clinical & Population Health Analyst is responsible for creating data-driven insights to identify actionable opportunities that align with the Quadruple Aim of Healthcare. This role involve...

Unlock potential by managing effective utilization of medical services through expert clinical reviews, collaboration with healthcare professionals, and ensuring compliance with regulatory guidelines...

Discover innovative strategies to enhance consumer engagement and participation. Collaborate cross-functionally to design, execute, and optimize impactful marketing campaigns that prioritize health an...

Lead the charge in enhancing value-based care operations by driving quality initiatives and optimizing processes across ACO programs. Collaborate with providers and stakeholders to ensure compliance a...

Drive strategic provider partnerships, enhance relationships and resolve complex issues. Collaborate with internal teams to optimize provider experiences while supporting the health plan's goals and e...

Lead the charge in executing client implementation activities with operational excellence. Drive strategy into scalable processes while fostering cross-functional collaboration and ensuring successful...

Contribute to the design and operation of specialty benefit programs, transforming complex requirements into scalable models that enhance member experience and drive savings, while collaborating acros...

Advance a high-performing partner network by managing relationships, overseeing team execution, and driving strategic market decisions to enhance operational efficiency and partner success across a su...

Drive excellence in vendor management by developing strategic partnerships, optimizing performance, and ensuring compliance. Lead operational oversight, foster relationships, and mitigate risks for su...

Elevate your career as a Program Manager focused on optimizing risk and compliance for vendor credentialing, enhancing processes and frameworks, and collaborating with cross-functional teams to ensure...

Join a team that's redefining enterprise application management by leading and overseeing innovative engineering and project execution across important enterprise ecosystems, ensuring support for stra...

Innovate the pharmacy practice by overseeing services, developing programs, and managing staff. Collaborate with healthcare professionals to enhance patient care and optimize medication management acr...

Drive program success by managing Ohio Claims for Medicaid, overseeing client relationships and coordinating project delivery. Collaborate across teams to resolve issues, ensuring compliance and timel...

Lead the charge in forming strategic partnerships within healthcare, enhancing client success through data-driven insights and operational excellence. Drive retention and growth while ensuring unparal...