Managed Care Director Jobs in New York, NY

The Chief Medical Officer, Medicare, provides clinical expertise and guidance to the daily operations and administration of medical management for VNS Health Plans. The role involves implementing medi...

The Director of Social Work Case Management provides senior clinical and supervisory expertise in patient care, treatment planning, and staff development within an active department. This role involve...

The Provider Network Manager Sr is responsible for developing the provider network through contract negotiations and relationship management, focusing on complex providers. This role requires high-lev...

The Administrative Manager will oversee the education, administrative, and reporting team within the department, assisting the Department Administrator in managing various priorities. This role includ...

The Manager of Claims System Configuration oversees the configuration and maintenance of the claims system for VNS Health Plan products, ensuring compliance with business rules and regulations. This r...

The Senior Director, Insurance Optimization Services - Health & Welfare (H&W) Project Manager will lead client projects focused on transforming and optimizing insurance products to drive growth and pr...

The Care Manager, RN will work on a multidisciplinary healthcare team in a primary care setting, focusing on coaching and coordination of care for patients needing navigation and follow-up. This role...

The Director of Market Engagement is responsible for developing and executing strategies for market engagement while overseeing provider recruitment, retention, and performance management. This role r...

The Division Director of Traditional Supports oversees various Home and Community-Based Services programs, ensuring compliance with regulations and promoting the well-being of individuals supported. T...

The Health Payer Workforce Management Manager at Accenture is responsible for building strong client relationships and optimizing workforce operations for payer clients. This role involves developing...

The Health Payer Workforce Management Manager at Accenture is responsible for building strong client relationships and optimizing workforce operations for payer clients. This role involves implementin...

The Medical Director/Clinician at Community Healthcare Network will lead clinical affairs at the Washington Heights Health Center, supervising other clinicians and managing medical operations. The rol...

The Senior Claim Director-TPA Oversight is responsible for investigating and settling high exposure claims while ensuring exceptional customer service and claim file quality. This role involves provid...

The Account Manager is responsible for driving growth in the Program of All-inclusive Care for the Elderly (PACE) by building strategic relationships with referral partners and educating the community...

The Director of Quality Management Analytics oversees a team responsible for maintaining the QM data repository and ensuring accurate reporting of quality measures such as HEDIS and QARR. This role in...

The Director of Operations is responsible for overseeing the daily operations of various departments within APluscare, ensuring compliance with relevant regulations and quality assurance standards. Th...

The Complex Claim Director - Major Litigation Unit is responsible for managing a team of highly technical claims professionals within general liability. The role involves driving business results, ens...

The Complex Claim Director - Major Litigation Unit is responsible for managing a team of highly technical claims professionals within general liability. The role involves driving business results, ens...

The Complex Claim Director - Major Litigation Unit is responsible for managing a team of highly technical claims professionals within general liability. The role involves driving business results, ens...

The Complex Claim Director - Major Litigation Unit manages a team of highly technical claims professionals within general liability. Responsibilities include driving business results, managing claims...

The Complex Claim Director - Major Litigation Unit manages a team of highly technical claims professionals within general liability. Responsibilities include driving business results, managing claims...

The Provider Contract Specialist Manager is responsible for managing complex pricing arrangements and coordinating the process for provider contracts within large health systems. This role involves en...

The Executive Account Manager will lead Medline's sales efforts within the Managed Care division, focusing on developing strategies and managing relationships with major health insurance companies. Th...

The Director of Health and Wellness is responsible for overseeing the health and well-being of residents within a senior living community. This role includes ensuring compliance with regulations, mana...

The Solution Sales Director, Member Experience will drive growth and expansion of solutions for health plan clients, focusing on improving member experience and reducing churn. This role involves busi...