Managed Care Director Jobs in Philadelphia, PA

Lead the charge in shaping a comprehensive Medicare Advantage strategy by leveraging extensive expertise to enhance member experience and operational efficiencies, while collaborating with cross-funct...

Reimagine the delivery of professional services by leading cross-functional teams to exceed customer expectations. Leverage strategic partnerships and expertise to drive project success, ensuring qual...

Join a team that's dedicated to enhancing behavioral health provider engagement through management, coaching, and strategic relationship building. Oversee operations and ensure compliance while drivin...

Optimize marketing strategy to elevate our presence in healthcare AI. Lead cross-functional initiatives to generate impactful content, drive revenue growth, and establish Qualified Health as the trust...

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

Transform community health delivery by leading operational efforts across teams in multiple counties. Ensure integration, performance, and compliance as you streamline resources to enhance care manage...

Transform the enterprise reporting landscape by leading cross-functional initiatives, developing performance dashboards, and establishing data infrastructure to enhance decision-making and drive impac...

Transform the future of healthcare interoperability by leading strategic initiatives, ensuring compliance, and collaborating across teams to enhance data exchange and clinical outcomes, while managing...

Drive impactful HR initiatives and programs as you collaborate with teams, optimize processes, and enhance employee engagement to align organizational objectives and foster compliance...

Develop and manage strategic payer relationships to drive growth, negotiate agreements, and enhance operational execution. Collaborate with leadership to align payer strategies with organizational pri...

Oversee clinical reviews and collaborate with medical teams to ensure optimal service utilization, enhancing patient care quality while ensuring compliance with regulatory guidelines and internal stan...

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...

Lead the care management team to enhance healthcare outcomes through strategic oversight, compliance, and performance improvement, ensuring high-quality and cost-effective care for members. Foster col...

Lead health plan strategy to unlock growth, build partnerships, and influence product direction. Partner closely with executives to shape Leap's commercial model and manage a high-performing team driv...

Pioneer a robust Encounters submissions strategy to MassHealth and New Hampshire DHHS. Lead cross-functional teams, ensuring compliance and quality while driving continuous improvement and operational...

Champion the evolution of operational reporting and analytics, driving strategic insights that enhance performance, optimize resources, and elevate member experience while leading a talented team in a...

Lead value-based contracting efforts to drive cost improvement and quality performance, managing complex provider relationships. Oversee contract lifecycle, strategic planning, and cross-functional co...

Lead compliance for Medicare Advantage and ACO programs, overseeing regulatory adherence and operational excellence. Collaborate with internal teams and external partners to ensure effective complianc...

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...

Join our team as you develop strategic partnerships and drive commercial success in healthcare. Leverage your expertise in data and analytics while leading a dedicated business development team in a d...

Pioneer impactful strategies in value-based care operations, leading cross-functional initiatives and partnerships to enhance risk stratification insights and support practices in delivering sustainab...

Oversee the end-to-end Medicare Advantage product experience, driving member engagement and care delivery. Collaborate with cross-functional teams to create scalable solutions that meet unique Medicar...

Elevate care team performance management and operations by overseeing hiring, training, and metrics for quality standards. Collaborate with cross-functional leaders to ensure optimal staffing and regu...

Innovate within healthcare finance by leading Medicaid strategy and consulting engagements. Leverage your expertise to enhance business performance for clients while driving strategic initiatives in p...

Drive healthcare excellence by leading clinical consultations, training staff, and reviewing cases. Engage with providers and members while ensuring adherence to quality standards and regulatory guide...