Managed Care Director Jobs in Lockbourne, OH

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

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

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

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

Shape the future of product development, leading cross-functional teams to execute strategic initiatives and optimize customer engagement through innovative data solutions and market insights. Drive i...

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...

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...

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...

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...

Drive operational excellence in medical record management; collaborate with teams to enhance retrieval processes and support audits. Utilize strong analytical skills to drive insights, ensuring compli...

Lead the charge in underwriting complex pharmacy benefit deals, optimizing pricing strategies with cross-functional teams. Leverage automation and insights to enhance underwriting capabilities while m...

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...

Lead the charge in developing and commercializing payer analytics products, driving product strategy and execution within a matrixed environment. Collaborate cross-functionally to translate market ins...

Advance innovative healthcare analytics programs by leading evaluations of clinical outcomes, ensuring clear metrics, and establishing best practices. Collaborate with cross-functional teams to drive...

Advance your career by driving strategic Medicare Advantage decisions, leveraging deep data insights to optimize product offerings and enhance operational workflows with innovative analytics and AI-dr...

Champion revenue growth by leading a strategic sales team in healthcare solutions. Drive initiatives, collaborate with leadership, and leverage consultative sales techniques to optimize processes and...

Transform health care delivery by harnessing clinical insights for case management and medical necessity reviews. Collaborate across teams to enhance patient outcomes and advocate for customer needs i...

Join us to lead a team of clinicians in delivering superior results while managing inpatient utilization and population health initiatives. Drive clinical excellence by collaborating across business u...

Join a dynamic team to conduct medical case reviews, collaborate with healthcare professionals, and leverage your clinical skills to ensure appropriate patient care through evidence-based decision-mak...

Unlock potential by leading advanced measurement strategies for clients, analyzing marketing effectiveness, and driving data-driven decisions. Collaborate with cross-functional teams, mentor junior an...

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

Drive strategic direction and innovation in Actuarial Science, leading teams in pricing, forecasting, and financial analysis while ensuring regulatory compliance and enhancing operational efficiency a...

Transform healthcare navigation through analytical insights and hands-on clinical support. Drive optimal member outcomes by collaborating with cross-functional teams while enhancing best practices in...

Shape the future of federal advocacy by developing strategic plans, building relationships, tracking legislation, and promoting impactful policy outcomes, all while supporting organizational goals and...