Managed Care Director Jobs in Miami Beach, FL

Engage in improving clinical outcomes through collaboration, education, and oversight, while ensuring regulatory compliance. Lead initiatives across care management, quality improvement, and clinical...

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...

Lead transformative Document Services operations and strategy, driving efficiency across Inbound Correspondence and Print Production. Collaborate with cross-functional teams to enhance member support...

Drive compliance and audit excellence in healthcare reimbursement by performing detailed charge audits, presenting findings, and leading efforts to enhance accuracy and efficiency within financial ope...

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...

Lead innovative medical management practices to elevate quality care and efficiency in utilization management. Collaborate with healthcare professionals to ensure compliance with regulations while enh...

Champion enterprise-wide capital planning and investment governance efforts, ensuring strategic alignment and maximizing ROI across health plan initiatives. Collaborate with executives to drive capita...

Lead the charge in optimizing pharmacy network financial performance by implementing effective pricing strategies, managing reconciliation processes, and driving corrective actions to achieve reimburs...

Join a team that's redefining business processes by leading large-scale initiatives, driving impactful improvements, and ensuring effective collaboration across functions to achieve strategic objectiv...

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...

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...

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...

Accelerate progress at vendor management by overseeing governance, performance, and compliance for key partnerships. Drive operational excellence, risk management, and strategic alignment while foster...

Optimize provider network operations by managing key functions, enhancing performance, and fostering collaboration across departments to ensure compliance and operational excellence in a dynamic healt...

Champion innovative network strategies and provider relations to expand access and quality of care. Lead and mentor a dedicated team while driving market growth and navigating complex negotiations acr...

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...

Lead the financial planning processes, managing forecasting cycles and analyses to drive strategic initiatives. Develop staff, oversee departmental operations, and communicate results to senior manage...

Champion growth initiatives to drive membership and enrollment across four key markets, leveraging data-driven strategies and cross-functional collaboration to optimize performance and market expansio...

Join our team as a Project Manager to oversee clinical studies, ensuring adherence to protocols, timelines, and regulations. Collaborate with clinical teams and sponsors to drive project success and d...

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...

Shape Alpine's medical expense reduction program by driving clinical initiatives and vendor partnerships, ensuring operational success and measurable financial impact across diverse markets. Collabora...

Lead the digital transformation by driving strategic initiatives that enhance user engagement and deliver innovative solutions, ensuring alignment of technology with business goals while managing a hi...