Managed Care Director Jobs in Philadelphia, PA

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

Drive healthcare excellence by leading HEDIS audits, data collection, and analysis, ensuring compliance and quality reporting to empower management decision-making across departments. Guide your team...

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

Shape the future of sales by leading strategic development and execution for key brands. Drive revenue growth and team performance while managing P&L. Collaborate cross-functionally to innovate and en...

Shape operational excellence by leading complex initiatives across multiple client accounts, driving measurable improvements in efficiency, cost, and quality. Collaborate with teams to optimize proces...

Empower growth by leading fundraising initiatives and strategies. Manage a dedicated team while cultivating key donor relationships and ensuring organizational development goals are met through innova...

Champion claims management by leading operations from intake to resolution, ensuring compliance and collaboration with defense counsel, insurers, and internal teams to enhance our healthcare system's...

Take ownership of managed care contracting strategies for specialty practices, enhancing payer relationships and ensuring optimal reimbursement performance while navigating a complex healthcare enviro...

Transform the project management landscape by leading strategic initiatives, optimizing processes, and ensuring operational excellence across cross-functional teams within a dynamic organization...

Create an efficient program management framework to enhance collaboration and drive operational excellence across teams. Lead growth, influence strategy, and ensure consistent project execution for cl...

Lead the operational excellence of the Group Health Division, optimizing performance metrics and driving client satisfaction through tailored initiatives and a dedicated team. Collaborate with medical...

Develop impactful analytics strategies to enhance operational performance and participant outcomes. Collaborate with leaders to solve complex challenges through data-driven insights and foster relatio...

Lead the charge in operational execution and strategic oversight of MLTSS programs, ensuring high-quality, compliant, and member-centric services. Collaborate cross-functionally to optimize care manag...

Play a key role in shaping corporate strategies by leading project teams and conducting in-depth analyses. Collaborate across departments to provide strategic insights that drive executive decision-ma...

Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...

Shape the future of healthcare strategy as a leader in consulting, driving innovation and transformation while mentoring the next generation of consulting talent across multiple client projects...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Lead the charge in driving software sales for healthcare solutions with a focus on claims administration. Collaborate with internal teams to optimize strategies and exceed expectations in a fast-paced...

Drive the evolution of medical payment policies as a subject matter expert, collaborating closely with clients to analyze data, present insights, and advocate for strategic policy adoption. Shape the...

Grow your career with a strategic role in client services, driving project delivery in the pharmaceutical and medical education sectors. Engage with clients, ensure success, manage teams, and lead com...

Lead innovative initiatives in clinical operations, driving excellence in primary care delivery while overseeing medical directors. Optimize participant satisfaction and operational metrics to enhance...

Create impactful learning experiences as you lead the L&D function, driving people development and business performance. Develop onboarding, leadership, and training programs to elevate our workforce...

Unlock potential by leading Managed Care Contracting & Medical Economics, leveraging quantitative analysis to evaluate risks in value-based care contracts while engaging with payor partners and collab...

Empower strategic engagement with top pharmaceutical clients to drive business growth. Develop and execute plans to deliver innovative solutions, oversee the entire sales process, and enhance client r...

Advance your career by supporting community providers and resolving complex claims issues, enhancing provider satisfaction while collaborating with multiple departments to drive operational efficiency...