Managed Care Director Jobs in Miami Beach, FL

Lead the charge in shaping a comprehensive Medicare Advantage strategy by leveraging extensive expertise to enhance member experience and operational efficiencies, while collaborating with cross-funct...

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...

Reimagine the delivery of professional services by leading cross-functional teams to exceed customer expectations. Leverage strategic partnerships and expertise to drive project success, ensuring qual...

Join a team that's dedicated to enhancing behavioral health provider engagement through management, coaching, and strategic relationship building. Oversee operations and ensure compliance while drivin...

Optimize marketing strategy to elevate our presence in healthcare AI. Lead cross-functional initiatives to generate impactful content, drive revenue growth, and establish Qualified Health as the trust...

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

Lead operational excellence and high-quality service delivery in mental health programs while mentoring staff and ensuring compliance with regulations. Drive innovation and enhance employee engagement...

Join us in overseeing service delivery and operations within a designated region. Lead program administration, develop staff, and ensure compliance to deliver exceptional services while fostering a su...

Transform community health delivery by leading operational efforts across teams in multiple counties. Ensure integration, performance, and compliance as you streamline resources to enhance care manage...

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

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...

Drive impactful HR initiatives and programs as you collaborate with teams, optimize processes, and enhance employee engagement to align organizational objectives and foster compliance...

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...

Pioneer a robust Encounters submissions strategy to MassHealth and New Hampshire DHHS. Lead cross-functional teams, ensuring compliance and quality while driving continuous improvement and operational...

Lead value-based contracting efforts to drive cost improvement and quality performance, managing complex provider relationships. Oversee contract lifecycle, strategic planning, and cross-functional co...

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...

Lead compliance for Medicare Advantage and ACO programs, overseeing regulatory adherence and operational excellence. Collaborate with internal teams and external partners to ensure effective complianc...

Lead the charge in developing a robust healthcare provider network, ensuring compliance and strategic collaboration across departments while driving growth and managing costs through innovative practi...

Pioneer impactful strategies in value-based care operations, leading cross-functional initiatives and partnerships to enhance risk stratification insights and support practices in delivering sustainab...

Oversee the end-to-end Medicare Advantage product experience, driving member engagement and care delivery. Collaborate with cross-functional teams to create scalable solutions that meet unique Medicar...

Elevate care team performance management and operations by overseeing hiring, training, and metrics for quality standards. Collaborate with cross-functional leaders to ensure optimal staffing and regu...

Innovate within healthcare finance by leading Medicaid strategy and consulting engagements. Leverage your expertise to enhance business performance for clients while driving strategic initiatives in p...

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...