Managed Care Director Jobs in Iselin, NJ

Drive end-to-end operational excellence for stop-loss and funding processes. Oversee program administration, manage relationships with vendors, and enhance operational efficiency while leading high-pe...

Deliver clinical and administrative oversight for Medicare Advantage and Dual Eligible populations, ensuring compliance with regulations and optimizing care management processes to enhance member outc...

Lead the charge in transforming sales operations to drive member acquisition and retention while building strategic collaborations and managing high-performing teams in a dynamic healthcare environmen...

Transform managed care strategies and performance by leading contract negotiations and payer relations across diverse healthcare settings. Collaborate with cross-functional teams to optimize financial...

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...

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

Champion operational excellence by leading the Prior Authorization team, ensuring compliance and quality in clinical reviews while optimizing workflows to enhance member satisfaction in a fast-paced h...

Transform the enterprise reporting landscape by leading cross-functional initiatives, developing performance dashboards, and establishing data infrastructure to enhance decision-making and drive impac...

Take ownership of corporate compliance and privacy programs, guiding a team to ensure effective operations and adherence to regulatory standards. Promote a culture of accountability while managing com...

Optimize provider network performance by leading strategic operations, enhancing provider experiences, and ensuring regulatory compliance. Drive data-driven improvements that foster a high-performing...

Engage in strategic oversight of operations in Balance Billing, Fee Negotiation, and Contracting within the Provider Relations department to ensure compliance and drive operational efficiency while ef...

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...

Unlock potential by leading financial strategies that enhance decision-making and optimize resource allocation. Collaborate with C-suite executives to deliver impactful insights through rigorous analy...

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...

Accelerate organizational effectiveness by shaping CEO strategies and fostering cross-functional collaboration, ensuring prioritized decision-making and clarity across all levels of leadership for sus...

Shape the future of Medicare Advantage by overseeing regulatory guidance, developing implementation strategies, and collaborating across teams to ensure compliance and operational excellence in a dyna...

Shape strategic medical management initiatives, leading clinical and care programs while engaging healthcare networks to enhance quality and affordability across diverse services...

Drive operational excellence by leading a diverse team, ensuring effective systems and processes for delivering quality healthcare services while meeting corporate objectives and fostering collaborati...

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...

Drive impactful content marketing strategies, lead a dynamic team, and oversee comprehensive communications initiatives to enhance brand visibility and engagement across multiple platforms...

Lead the charge in delivering integrated brand campaigns by overseeing project management, ensuring cohesion across teams, and guiding financial stewardship. Your expertise will drive successful outco...

Lead a dynamic team to optimize our contact center ecosystem, enhancing product management and driving strategic alignment. You'll be at the forefront of customer service excellence through innovative...