Managed Care Director Jobs near me

The COE UM Program Director at Molina Healthcare Services is responsible for managing healthcare services clinical programs and ensuring the delivery of integrated care for high-need members. This rol...

The Case Manager (non-licensed) at Virginia Mason Franciscan Health Rehabilitation Hospital is responsible for coordinating patient care, facilitating team conferences, and ensuring effective communic...

The Clinical Manager oversees all direct care patient services provided by clinical personnel in a home health setting. This role involves managing caregiver assignments, ensuring compliance with regu...

The Behavioral Health Case Manager I is responsible for performing telephonic case management for members with behavioral health disorder needs. This role involves assessing member needs, developing c...

The General Manager, Value Based Care at MedInsight will drive the vision and execution of the provider product portfolio, focusing on value-based care and market dynamics. This role involves strategi...

The Health PBM Operations Senior Manager at Accenture is responsible for leading client engagements, optimizing pharmacy benefit management (PBM) operations, and implementing technology solutions. Thi...

The Medical Director for Home Health and Hospice at MultiCare is responsible for overseeing the quality of care provided to patients and providing medical leadership for clinical and business planning...

The OB MSS RN Case Manager provides maternity triage, direct nursing care, and patient education in a community health setting. This role involves integrated maternity support services and infant case...

The OB MSS RN Case Manager provides maternity triage, direct nursing care, patient education, and clinical documentation to support obstetrical practice. This role also involves integrated maternity s...

The Clinical Case Manager at Virginia Mason Franciscan Health Rehabilitation Hospital is responsible for coordinating patient care and collaborating with an interdisciplinary team to ensure optimal re...

As a Health Advisor at Sun Life, you will provide personalized support to members, guiding them through the healthcare system and ensuring they receive the best care possible. You will coordinate all...

The RN Care Manager Hybrid is responsible for ensuring continuity of care in the outpatient setting by utilizing advanced nursing knowledge and skills. This role involves coordinating treatment plans...

The Health Plan Digital Advisory Principal at ZS is responsible for leading client business development and managing relationships while demonstrating deep knowledge of the health plan sector and digi...

The Medical Clinic Manager oversees administrative activities within a healthcare clinic, including staff supervision, training, and management of patient issues. They also collaborate with various de...

The Health Payer Government Programs Operations Manager/Consultant at Accenture is responsible for managing day-to-day operations of government health payer programs, ensuring compliance with regulato...

The Manager Case Management oversees the daily operations of the Case Management Department, ensuring effective care coordination, discharge planning, and utilization management. This role involves ac...

The Primary Care Physician (PCP) at ChenMed is responsible for providing comprehensive care to a panel of up to 450 patients, focusing on health coaching and accountability for patient outcomes. The P...

The Senior Director of Payor Contracting will lead the management and execution of the Payor Access and Contracting strategy for specialty pharmacy across the Shields network in the Western United Sta...

The 340B Account Manager at Verity Solutions is responsible for managing ongoing account relationships and ensuring compliance with 340B program guidelines. This role involves educating customers on p...

The Health Plan Digital & Technology Manager at ZS is responsible for leading client business development and managing relationships within the health plan sector. This role requires deep knowledge of...

The Manager in Strategy& Health Services will work with clients to solve complex business issues related to corporate and business strategy, focusing on the payor and provider sectors. This role invol...

The Senior Medical Director is responsible for leading clinical development strategies and overseeing the operational activities of medical directors. This role involves collaboration with health serv...

The Sr Program Manager for Medicare Stars is responsible for leading and implementing quality improvement initiatives to enhance Star Ratings. This role involves managing cross-functional teams, overs...

The Sr Program Manager for Medicare Stars is responsible for leading and implementing quality improvement initiatives to enhance Star Ratings. This role involves managing cross-functional teams, overs...

The Sr Program Manager for Medicare Stars is responsible for leading and implementing quality improvement initiatives to enhance Star Ratings. This role involves managing cross-functional teams, overs...