Managed Care Director Jobs in Iselin, NJ

Lead strategic partnerships with benefit consultants and health plans to enhance B2B expansion. Engage high-trust networks, driving employer opportunities while navigating self-funded and insured dyna...

Transform Medicaid rebate operations by leveraging automation and data-driven strategies. Lead a team to optimize compliance, drive operational excellence, and eliminate revenue leakage while enhancin...

Transform healthcare administration by leading divisional operations, directing teams, and implementing strategic policies in collaboration with key stakeholders to enhance service delivery and organi...

Shape the future of enterprise data architecture by designing scalable, reusable solutions that integrate AI and automation. Lead cross-functional collaboration to transform data capabilities into pro...

Transform patient care by leading clinical and medical operations in a residential treatment setting. Your role will include psychiatric evaluations and support for adults facing mental health and sub...

Transform healthcare delivery by leading contracting and network strategies, optimizing provider relationships, and ensuring network adequacy. Drive value-based care initiatives, manage contracts, and...

Pioneer innovative clinical strategies and lead interdisciplinary teams to enhance care delivery and drive clinical excellence in a dynamic healthcare environment focused on pharmacy and specialty sol...

Accelerate progress at Managed Markets by leading strategies to optimize access and drive revenue growth through effective account management and collaboration with cross-functional teams. Shape marke...

Shape the future of healthcare by driving risk adjustment solutions that enhance interoperability, improve documentation accuracy, and ensure compliance across Medicare, Medicaid, and ACA programs thr...

Lead the charge in overseeing compliance protocols for healthcare operations, ensuring adherence to laws and regulations while fostering a culture of ethical conduct and risk management across the org...

Lead operational enhancements by evaluating and optimizing Core systems across diverse departments, ensuring alignment with business objectives and efficient workflow management in a dynamic healthcar...

Provide strategic legal expertise in Medicare and healthcare compliance to senior leadership and business units. You'll advise on regulations, manage contracts, and mitigate risks while promoting oper...

Discover innovative solutions through strategic marketing initiatives, enhancing brand engagement and internal communications while collaborating cross-functionally. Drive measurable outcomes to suppo...

Unlock potential by leading a team dedicated to enhancing client satisfaction in the Pharmacy Benefit Management sector, ensuring strategic execution, relationship-building, and continuous improvement...

Join a team that's dedicated to optimizing interdisciplinary operations and participant care while driving quality improvement and regulatory compliance in a dynamic healthcare environment...

Join our team to provide leadership and strategic direction in actuarial processes. Drive compliance, innovation, and develop financial modeling to support key business initiatives and ensure your tea...

Lead the charge in enhancing behavioral health strategies and compliance, providing clinical consultation and oversight to ensure high-quality care and outcomes within a collaborative healthcare envir...

Transform organizational HR strategies to support growth, compliance, and workforce effectiveness. Lead a high-performing team, drive employee engagement, and enhance workplace culture while ensuring...

Transform Medicaid risk adjustment through strategic leadership, analytics, and compliance. Lead a diverse team while innovating analytics methodologies and ensuring accuracy in reporting and risk sco...

Join an innovative health care team focused on enhancing quality and compliance in medical services. Leverage regulatory knowledge and leadership skills to improve patient care standards and drive qua...

Pioneer quality excellence in healthcare by ensuring compliance, coordinating programs, and mentoring staff. Your expertise will contribute significantly to regulatory readiness and the elevation of p...

Transform your career by leading a dynamic Medical Underwriting team, driving risk management strategies, and optimizing complex clinical evaluations to enhance service excellence and improve client o...

Drive strategic clinical risk management initiatives by leading and mentoring a high-performing Medical Underwriting team. Oversee accurate data analysis, mentor staff, and collaborate cross-functiona...

Lead initiatives to enhance provider performance and improve Medicare Stars metrics. Collaborate across functions to develop strategies, reporting frameworks, and quality programs that optimize provid...

Transform healthcare delivery by leading Medicare Advantage market expansions and enterprise technology implementations, ensuring compliance and operational success through effective governance and cr...