Managed Care Director Jobs in Philadelphia, PA

Drive impactful healthcare initiatives by providing clinical guidance, training, and oversight for care quality. Collaborate with providers and ensure adherence to regulatory standards while enhancing...

Engage in improving clinical outcomes through collaboration, education, and oversight, while ensuring regulatory compliance. Lead initiatives across care management, quality improvement, and clinical...

Shape a robust compliance program for pharmacy operations and Medicare Part D, ensuring adherence to regulations while promoting a culture of compliance. Lead audits, oversee risk management, and coll...

Accelerate progress at a leading BPaaS firm by providing strategic legal counsel, drafting and negotiating complex agreements, and ensuring compliance with regulatory standards in a dynamic, fast-pace...

Lead transformative Document Services operations and strategy, driving efficiency across Inbound Correspondence and Print Production. Collaborate with cross-functional teams to enhance member support...

Join a team committed to enhancing the lives of elderly participants through holistic medical care, operational oversight, and interdisciplinary collaboration in diverse settings...

Champion healthcare value through rigorous health economics and analytics. Lead a small team to measure and quantify clinical outcomes, translating them into defensible economic value for payers, whil...

Champion enterprise-wide capital planning and investment governance efforts, ensuring strategic alignment and maximizing ROI across health plan initiatives. Collaborate with executives to drive capita...

Lead the charge in optimizing pharmacy network financial performance by implementing effective pricing strategies, managing reconciliation processes, and driving corrective actions to achieve reimburs...

Optimize provider enrollment operations by providing strategic leadership and oversight, ensuring efficient service delivery, team performance, and operational excellence in alignment with organizatio...

Join a team that's redefining business processes by leading large-scale initiatives, driving impactful improvements, and ensuring effective collaboration across functions to achieve strategic objectiv...

Shape the future of pharmacy benefits by leading high-performing teams and managing client relationships. Drive strategy and deliver results while enhancing service performance across multiple account...

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

Drive revenue enhancement and strategic transformation for healthcare clients. Navigate complex contract negotiations and implement managed care solutions, improving financial performance across multi...

Join a dynamic leadership role to oversee Adult Community Medical Homes, blending clinical excellence with operational efficiency. Drive innovative care and enhance quality of life for adults in a sup...

Join a team that's redefining enterprise data strategy and governance. Lead innovative data initiatives to enhance analytics, architecture, and team performance while driving impactful insights across...

Accelerate progress at vendor management by overseeing governance, performance, and compliance for key partnerships. Drive operational excellence, risk management, and strategic alignment while foster...

Join a team that empowers employers and brokers by providing expert clinical guidance. Leverage your pharmacy benefit management experience to enhance client satisfaction and support innovative strate...

Champion innovative network strategies and provider relations to expand access and quality of care. Lead and mentor a dedicated team while driving market growth and navigating complex negotiations acr...

Shape the future of product development, leading cross-functional teams to execute strategic initiatives and optimize customer engagement through innovative data solutions and market insights. Drive i...

Lead the financial planning processes, managing forecasting cycles and analyses to drive strategic initiatives. Develop staff, oversee departmental operations, and communicate results to senior manage...

Grow your career with a leadership role overseeing operations and strategy for Behavioral Health Services, ensuring compliance, financial management, and high-quality patient care. Collaborate cross-f...

Champion growth initiatives to drive membership and enrollment across four key markets, leveraging data-driven strategies and cross-functional collaboration to optimize performance and market expansio...

Unlock potential by leading healthcare analytics initiatives to optimize medical loss ratio. Collaborate across teams to identify trends and improve cost and quality outcomes, delivering insights to s...

Join our team as a Project Manager to oversee clinical studies, ensuring adherence to protocols, timelines, and regulations. Collaborate with clinical teams and sponsors to drive project success and d...