Managed Care Director Jobs in Iselin, NJ

Drive revenue enhancement and strategic transformation for healthcare clients. Navigate complex contract negotiations and implement managed care solutions, improving financial performance across multi...

Lead client partnerships and drive agency excellence by shaping strategies for promotional advertising execution, fostering creativity, mentoring talent, and integrating innovative solutions within a...

Contribute to strategic market access initiatives, providing leadership across client accounts by translating complex payer dynamics into actionable strategies through product lifecycles. Collaborate...

Lead a dynamic clinical team driving innovative solutions for healthcare partners. Provide strategic insights and clinical support to enhance client relationships, drive performance, and ensure optima...

Drive impactful Phase IV and observational research initiatives by partnering with biopharmaceutical sponsors. Leverage deep scientific expertise to create tailored study designs, foster relationships...

Join a team that's redefining enterprise data strategy and governance. Lead innovative data initiatives to enhance analytics, architecture, and team performance while driving impactful insights across...

Transform medical strategy by developing insightful content and guidance for clients while collaborating across teams to ensure accuracy and compliance. Leverage your expertise to mentor others and st...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Contribute to organizational development by advising leaders on strategies for change management, leadership growth, and cultural transformation. Facilitate training to enhance employee engagement and...

Help us drive growth and engagement in provider partnerships. Lead strategy, operations, and relationship management for our provider relations team, ensuring alignment with organizational goals and e...

Strategize and oversee the operations of comprehensive behavioral health services, ensuring high-quality patient care, compliance with regulations, and effective staffing while driving business develo...

Optimize clinical program strategies to enhance client engagement and performance. Collaborate with sales and analytics teams, deliver impactful presentations, and provide insights for improving progr...

Transform clinical offerings by collaborating with sales to craft strategies, analyze data, and advise clients, ensuring optimal program performance and innovation in employee health solutions...

Lead oversight of vendor operations in utilization and care management, ensuring compliance with medical necessity standards and optimizing service utilization to enhance patient outcomes across vario...

Unlock potential by leveraging your extensive Medicaid policy experience to guide agencies in program implementation and compliance, fostering healthier communities through innovative strategies and c...

Drive comprehensive analytics in acquisition cost and value strategies, transforming complex models into actionable narratives for manufacturers and pharmacies while ensuring efficiency translates to...

Lead the charge in claims operations by overseeing a team of examiners to ensure timely resolution of complex claims, drive process improvements, and maintain compliance, positively impacting client s...

Lead and enhance quality improvement initiatives while overseeing clinical care management to ensure top-tier patient outcomes and compliance with accreditation standards across the organization...

Drive managed care contracting initiatives by negotiating agreements, ensuring compliance, and coordinating team efforts to enhance financial performance and contract standards across the health syste...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Execute client success strategies by leading Health Plan and TPA relationships, fostering growth, and ensuring operational excellence. Drive collaboration across teams to resolve complex challenges an...

Shape the future of strategic initiatives by leading cross-functional projects, analyzing departmental metrics, and fostering collaboration to ensure successful program execution throughout the organi...

Join a dynamic team to oversee and enhance healthcare program effectiveness, ensuring compliance with regulations while advancing care quality objectives. Lead initiatives that shape healthcare delive...

Lead the charge in developing and optimizing AI/ML solutions that enhance operational efficiencies and drive innovation. Oversee a skilled team of engineers, managing the entire ML lifecycle while ens...

Join a team that champions proactive advocacy within healthcare policy. Lead government affairs initiatives, engage with federal agencies, and strengthen strategic partnerships to ensure impactful rep...