Managed Care Director Jobs in Miami, FL

Lead the charge in planning and executing multiple healthcare projects, ensuring adherence to quality standards while fostering collaboration and growth. Drive results through strategic oversight, res...

Advance client satisfaction and operational excellence by leading the Group Health Division, overseeing team performance, enhancing processes, and ensuring profitability while managing key metrics and...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

Advance the standards of care by ensuring compliance with medical policies and regulations in a collaborative multidisciplinary team environment. Conduct critical reviews of medical necessity for trea...

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

Advance transformative AI initiatives in healthcare by spearheading commercial strategy and key partnerships. Collaborate with C-suite leaders to build impactful business cases and streamline innovati...

Oversee payment integrity initiatives, ensuring alignment between clinical coding and organizational strategy. Partner with cross-functional teams to strengthen provider relations and improve audit op...

Help us lead our Enhanced Care Management program, ensuring optimal performance and collaboration while driving quality patient care and cost efficiency through innovative management and strategic ove...

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...

Transform healthcare data environments by developing advanced cloud data platforms. Lead a technical team to innovate, assess, and build robust solutions that enhance AI deployment, effectively removi...

Unlock potential by leading healthcare operations consulting engagements, optimizing claims processing, and driving improvements across client workflows. Collaborate with diverse teams in a dynamic en...

Strategize and execute comprehensive market approach for health plans, enhancing engagement and brand positioning. Collaborate across teams, leveraging deep healthcare expertise to drive growth and st...

Provide strategic leadership in pharmacy contract strategy and provider engagement, driving enterprise alignment and supporting scalable growth. Lead contract frameworks, compliance, and partnerships...

Elevate patient support services by leading teams to provide exemplary care, driving operational efficiency and performance metrics while fostering a culture of continuous improvement and collaboratio...

Champion operational excellence in a senior leadership role by enhancing client services through innovative process improvement. Collaborate with cross-functional teams to drive performance management...

Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...

Drive the success of our Corporate Compliance and Privacy Program as you lead governance, risk management, and training initiatives. Collaborate with operational leaders to uphold ethical standards an...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Unlock your potential by driving enterprise sales in healthcare AI, leading strategic initiatives, and fostering partnerships to enhance patient outcomes. Your expertise will shape market strategies w...

Empower your career by leading provider relations for individuals with IDD. Drive strategic initiatives to enhance provider network quality and compliance, while fostering strong collaborations to ens...

Lead the charge in driving transformative financial strategies and operational excellence across organizational functions. Collaborate with executive leadership to elevate decision-making and foster a...

Lead and optimize the clinical appeals function within Utilization Management, ensuring compliance and excellent outcomes through strategic oversight and collaboration with healthcare teams, while dri...

Lead the charge in transforming provider escalation operations by leveraging AI and digital workflows. Drive proactive solutions and enhance provider relationships while ensuring operational excellenc...

Engage your expertise in provider network strategies and lead complex health plan contracting. Drive negotiations with hospitals and IPAs to secure value-based agreements, enhancing operational perfor...

Engage stakeholders by leading compliance initiatives and regulatory updates, ensuring successful implementation of standards across products. Drive collaboration among departments to navigate changes...