Managed Care Director Jobs in Iselin, NJ

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...

Elevate the standards of behavioral health by leading clinical oversight, ensuring high-quality care delivery, and fostering collaborative partnerships across care teams to achieve better health outco...

Shape the future of healthcare contracting by leading provider strategies, negotiating complex agreements, and building impactful relationships to enhance network performance and ensure quality care d...

Lead the charge in optimizing Health Homes Care Management, enhancing service delivery and outcomes through strategic workflows, staff development, and data-driven decision-making while fostering coll...

Deliver strategic leadership in compliance oversight, managing teams across diverse healthcare products. Drive regulatory implementation and audit readiness, ensuring enterprise-wide proactive complia...

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...

Lead the charge in optimizing organizational processes and driving operational excellence. Collaborate with cross-functional teams to tackle key challenges, enhance efficiency, and support project exe...

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...

Join a team that's dedicated to improving healthcare outcomes by managing clinical interventions and supporting data initiatives within a value-based care model. Collaborate to drive efficiency and en...

Champion innovation as a Product Manager, driving strategic roadmap execution through cross-functional collaboration to enhance healthcare solutions and deliver user-driven features, all while support...

Elevate data analytics by translating complex risk adjustment insights into actionable strategies. Lead cross-functional teams to enhance performance in Medicare Advantage and value-based care, ensuri...

Champion healthcare value through rigorous health economics and analytics. Lead a small team to measure and quantify clinical outcomes, translating them into defensible economic value for payers, whil...

Elevate operational processes by refining Core Systems. Collaborate across teams to enhance performance, ensure compliance, and drive system initiatives that meet business needs while addressing ineff...

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...

Empower your career by leading enterprise risk adjustment programs, ensuring compliance and financial performance across provider networks while enhancing coding and documentation practices...

Lead the charge in innovative health care consulting projects, collaborating with clients and stakeholders to enhance outcomes through strategic planning, clinical redesign, and data analytics while m...

Lead the charge in establishing a refined model for escalated provider issue resolution, collaborating with multiple operational teams to drive improvements, streamline processes, and enhance provider...

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...

Shape the future of healthcare analytics by leading teams, driving initiatives, and translating data insights into strategic solutions for multiple stakeholders, aiming to enhance performance and achi...

Shape the future of pharmacy benefits by leading high-performing teams and managing client relationships. Drive strategy and deliver results while enhancing service performance across multiple account...

Shape the future of healthcare finance by managing contracts in Epic, recovering underpayments, and collaborating with teams to refine reimbursement strategies for hospital and ASC operations...