Managed Care Director Remote Jobs

Join a dynamic team to enhance Medicare Plan Finder operations, ensuring compliance, optimizing processes, and delivering impactful insights. Collaborate across functions while driving efficient submi...

Shape strategic provider partnerships and drive innovative value-based solutions. Oversee entire contracting cycle to achieve quality and cost goals while managing complex negotiations and initiatives...

Innovate with us to manage a block of stop loss business through underwriting, pricing, and risk analysis while collaborating with sales and clinical teams to achieve financial goals and nurture team...

Unlock potential by leading physician and APP services to optimize compensation and contracts. Collaborate with stakeholders to develop solutions in a dynamic, financially challenging environment, ens...

Transform Medicaid initiatives by leading complex projects that enhance operational systems. Collaborate with senior management and mentor junior staff while driving impactful policy recommendations a...

Join a team that transforms appeals and grievance services, driving strategic goals across multiple health plan lines. Lead compliance and enhance member satisfaction through effective management and...

Lead the charge in scaling a high-impact analytics product portfolio, engaging with senior executives to drive business strategy, product management, and measurable outcomes within a complex matrix or...

Elevate healthcare standards by leading medical management, quality improvement, and utilization review efforts. Collaborate with clinical teams to enhance care quality and cost-effectiveness for dive...

Unlock potential by driving strategic partnerships and expanding market reach. Leverage your expertise in business development to manage key accounts and collaborate with leadership, ensuring growth a...

Lead the development of a high-performing General Liability claims team, ensuring timely resolution of complex claims while providing strategic direction and fostering professional growth across multi...

Engage with healthcare clients to identify product opportunities and drive impactful initiatives. Collaborate across teams to develop strategies for effective screening, credentialing, and onboarding...

Join as the primary privacy leader to manage and enhance an enterprise-wide privacy program while navigating complex regulations. Collaborate across departments to drive compliance, innovation, and ef...

Support strategic initiatives by leading multi-disciplinary teams, analyzing market trends, and collaborating with executives to drive informed decisions. Manage budget and staff while leveraging data...

Join our team as a Client Services Executive, leading strategic client management and nurturing key relationships in the healthcare sector. Drive tailored solutions, enhance client satisfaction, and e...

Lead the charge in client relations as you manage and grow Pharmacy Benefit Management accounts. Utilize your strategic thinking to enhance client satisfaction, retention, and drive business expansion...

Transform your career by providing operational leadership for remote teams managing Release of Information services. Drive excellence, ensure compliance, and foster relationships while traveling to de...

Lead the accounting and financial reporting functions within a growing healthcare organization. Drive integrity across multiple entities, ensure compliance, and strategize cash management while suppor...

Join a team that's dedicated to ensuring effective care coordination, providing supervision, education, and guidance to optimize member services and compliance while fostering team performance and con...

Help us enhance business operations through complex analysis and provider data solutions. Collaborate with teams to implement efficient systems and tools, driving organizational effectiveness and supp...

Join a team that's driving patient access through strategic leadership of regional Therapy Access Managers, optimizing operations while ensuring compliant support for healthcare practitioners across m...

Drive customer success excellence in a fast-paced healthcare environment, leading strategic initiatives to improve retention, operational scalability, and service quality while leveraging AI insights...

Shape the future of billing compliance by leading program development, audits, and training. Drive adherence to regulations while collaborating with cross-functional teams to enhance operational integ...

Collaborate across functions to enhance regulatory compliance, drive technology transformations, and optimize operational efficiencies within Pharmacy Network Services, ensuring strategic alignment wi...

Deliver AI-driven product strategies to enhance Finance operations. Lead cross-functional teams in developing scalable solutions that meet enterprise needs while fostering partnerships to drive produc...

Drive financial strategy and oversight, empowering leaders with insights to achieve market goals. This role ensures transparent reporting, supports growth initiatives, and enhances financial performan...