Managed Care Director Jobs in Philadelphia, PA

Explore a critical role enhancing healthcare through quality management and client success. Leverage robust data analysis and cross-functional collaboration to drive impactful healthcare initiatives f...

Drive compliance excellence by overseeing healthcare regulatory activities, managing governance policies, and collaborating cross-functionally to ensure adherence to regulations and operational readin...

Lead the charge in behavioral health network engagement by driving adoption through a focused team. Empower providers and streamline operations using AI to enhance relationships and ensure effective i...

Lead and innovate data operations to enhance data quality and delivery. Collaborate with stakeholders and engineering teams to ensure services meet business needs, and drive continuous improvement in...

Lead a high-performing team to deliver over 40 complex healthcare implementations annually, ensuring excellence in clinical and operational outcomes while fostering cross-functional collaboration and...

Lead the charge in implementing complex regulatory initiatives across Medicare Advantage. Collaborate cross-functionally to ensure compliance and operational readiness, drive project execution, and su...

Join a team that's shaping the future of internal audits! Lead operational and financial audits in a dynamic environment, focusing on risk assessment and fostering strong stakeholder relationships whi...

Champion initiatives to enhance provider engagement and quality metrics, leading risk adjustment strategies and education across teams. Drive operational excellence and improve healthcare outcomes thr...

Optimize legal strategies and counsel across complex employment, regulatory, and corporate matters while leading litigation efforts and guiding executive leadership to mitigate risks and enhance opera...

Champion the optimization of claims processing efficiency and compliance. Collaborate cross-functionally to enhance workflow, resolve escalated issues, and drive continuous improvement initiatives in...

Pioneer your career by leading financial analysis processes like budgeting and forecasting, improving financial performance, and collaborating with senior management in a dynamic environment. Your exp...

Shape the future of learning by leading scalable programs for healthcare call centers, enhancing onboarding and continuous development to achieve compliance and drive performance. Collaborate across t...

Grow your career with a leadership role that shapes rehabilitation strategies, manages teams, and collaborates with partners to ensure high-quality, integrated care across multiple service lines and s...

Drive optimized clinical documentation improvement strategies and oversee a multidisciplinary team to enhance pre-bill validation processes, ensuring compliance and accuracy while supporting client ou...

Lead the charge in redesigning and managing cloud infrastructure, ensuring reliability and efficiency. Collaborate cross-functionally to drive innovative architectural solutions and optimize platform...

Drive growth as a strategic sales leader, cultivating relationships and managing complex accounts in the healthcare technology domain to maximize revenue and ensure exceptional customer success throug...

Transform clinical operations by leading a high-performing team to enhance patient experience, streamline processes, and ensure compliance while fostering innovation that drives organizational growth...

Manage patient support hubs, ensuring reimbursement expertise and project leadership to optimize access solutions for specialty products, while collaborating with various teams and vendors to meet str...

Join us to lead the development and management of patient reimbursement hubs, enhancing access and affordability solutions for our products. Collaborate with stakeholders to optimize operations and en...

Join a team that drives impactful member engagement through innovative communication strategies. Oversee a diverse portfolio of campaigns, ensuring accuracy, compliance, and strategic execution to enh...

Engage in comprehensive claims operations by overseeing submission, adjudication, and reporting processes. Develop scalable workflows and maintain compliance, working cross-functionally to enhance eff...

Inspire a team of investigators and coordinators to enhance incident management and compliance. Lead investigations, ensure regulatory adherence, and optimize processes. Collaborate with stakeholders...

Drive provider performance in the NYC market by utilizing data analysis and relationship management to enhance cost, quality, and access initiatives while executing improvement strategies with key hea...

Lead the charge in advancing strategic partnerships with health plans. Shape and optimize BetterHelp’s payer strategy, enhance agreements, and identify growth opportunities while collaborating across...

Pioneer impactful real-world evidence initiatives, leading research and consulting efforts while mentoring junior staff. Collaborate closely with clients and internal teams to enhance health economics...