Managed care directors play a vital role in the health care industry, ensuring the efficient operation of health care organizations while promoting patient care quality. They are proficient in managed care activities, including provider relation duties, contracting, and compliance with managed care standards.
A managed care director is a professional who oversees the activities of a health care organization or department. They develop and implement strategies that are in line with the organization's goals and health care regulations.
Most managed care directors hold a bachelor’s degree in health care management, business administration, or a similar field. A master’s degree and experience in health care management is generally preferred. Essential skills include leadership, communication, decision-making, and a deep understanding of health care laws and practices.
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Medical Director - Cigna Supplemental Benefits
$206K - $343K *
The Cigna Supplemental Benefits Medical Director will leverage extensive clinical experience to enhance the delivery of Medicare Supplement and Supplemental Health and Life products. This role involve...
5 days ago
Associate Managed Care Liaison Director
$206K - $298K *
The Associate Managed Care Liaison Director will leverage clinical and scientific expertise to present Neurocrine's innovative therapies to key decision-makers in managed care. This role involves forg...
4 weeks ago
$92K - $118K *
The Sr. Tax Specialist at Azenta will be responsible for preparing tax provisions, ensuring compliance with federal and state tax regulations, and supporting tax audits. The ideal candidate will lever...
1 week ago
Director, Behavioral Health Strategy - National
$113K - $210K *
The Director of Behavioral Health Strategy will provide strategic and operational direction for national behavioral health initiatives, collaborating with cross-functional teams to enhance care delive...
1 month ago
$90K - $110K *
The Manager of Clinical Operations is responsible for overseeing the Clinical Operations team, focusing on Quality and Testing for Claims Editing and Payment Integrity. This role involves managing wor...
2 weeks ago
$92K - $161K *
The Manager, Group Product leads the development and execution of digital strategies to enhance the user experience for members. This role involves coaching a team of product managers, collaborating w...
6 days ago
Medical Director - Post-Acute Care Management - Care Transitions - Remote
$286K - $397K *
The Medical Director for Post-Acute Care Management will oversee utilization and communication with network physicians and hospitals, ensuring effective care transitions for patients. This role involv...
1 month ago
$269K - $425K *
The Medical Director will lead the development and delivery of evidence-based clinical content for the InterQual Care Planning suite, ensuring accuracy and consistency in medical necessity reviews. Th...
Today
$286K - $397K *
The Medical Director role in the Clinical & Coding Advisory Team at Optum involves providing clinical leadership and expertise to improve healthcare operations and outcomes. This position requires col...
1 month ago
Medical Director - Medical Policy & Operations (DRG Team)
$174K - $374K *
The Medical Director for Medical Policy & Operations at CVS Health is responsible for providing clinical expertise and business direction to enhance medical management programs. This role involves sup...
2 weeks ago
$80K - $120K *
The Clinical Program Manager at Caregility is responsible for overseeing clinical training, implementation, and adoption services for telehealth solutions. This role involves building strong relations...
3 weeks ago
Medical Director - New Hampshire
$206K - $392K *
The Medical Director will assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing functions for the business unit. This role involves...
1 month ago
$108K - $196K *
The Clinical Program Manager optimizes the clinical quality and cost-effectiveness of drug therapy for plan sponsors and their members. This role involves providing strategic recommendations, clinical...
2 weeks ago
Director, Foster Care Operations
$103K - $191K *
The Director of Foster Care Operations will oversee behavioral health projects and programs for the Foster Care program, ensuring effective management of care for foster children. This role involves c...
1 month ago
$206K - $392K *
The Medical Director will assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing functions for the business unit. This role involves...
1 month ago
Director, Foster Care Operations
$103K - $191K *
The Director of Foster Care Operations oversees behavioral health projects and programs for the Foster Care program, focusing on improving health outcomes for foster children. This role involves colla...
1 week ago
Medical Director, Medicare Strategy
$185K - $367K *
The Medical Director, Medicare Strategy at Blue Cross NC will serve as a clinical consultant and expert in Medicare, focusing on building partnerships and driving healthcare strategies. This role invo...
Yesterday
$90K - $110K *
The Manager of Clinical Operations is responsible for overseeing the Clinical Operations team, focusing on Quality and Testing for Claims Editing and Payment Integrity. This role involves managing wor...
2 weeks ago
Director, Compliance Operations
$132K - $158K *
The Director, Compliance Operations at WelbeHealth is responsible for developing and overseeing the compliance program related to PACE and clinical elements. This role involves coordinating compliance...
2 weeks ago
$86K - $118K *
The Manager, Care Management will lead teams of nurses and behavioral health professionals in managing care for elderly and special needs populations. This role involves overseeing daily operations, e...
4 days ago
$73K - $132K *
The Senior Care Manager (RN) is responsible for assessing, planning, and implementing complex care management activities to ensure quality and cost-effective healthcare outcomes for members. This role...
2 weeks ago
$81K - $116K *
The Care Manager is responsible for planning and managing behavioral and physical care for members and their beneficiaries, collaborating with healthcare teams to address member needs. This role invol...
1 week ago
$71K - $116K *
The Care Manager is responsible for planning and managing behavioral and physical care for members, collaborating with healthcare teams to enhance member experiences and health outcomes. This role inv...
1 week ago
Director, Contracting & Network Development
$120K - $160K *
The Director of Contracting & Network Development will oversee provider contracting activities and network development functions to ensure compliance and efficiency. This role involves supporting new...
4 days ago
Project Manager III (Claims/Benefits/Config/Encounters & UM Experience)
$92K - $161K *
The Project Manager III is responsible for managing medium to high complexity projects, ensuring successful delivery and adherence to project management best practices. This role involves collaboratio...
4 days ago
What are the duties of a Managed Care Director?
Managed Care Directors oversee contractual relationships with healthcare providers, handle provider relation functions, ensure compliance with managed care standards, and develop strategies that align with organizational goals.
What qualifications do you need for a job as a Managed Care Director?
Typically, Managed Care Directors hold at least a bachelor's degree in healthcare management, business administration, or a related field. Experience in healthcare management and a deep understanding of healthcare laws and practices are necessary. A master's degree is often preferred.
Where can I find Managed Care Director jobs that pay over $100,000?
Ladders offers a variety of vetted professional Managed Care Director jobs that pay over $100,000. Explore our curated collection to find the opportunities best suited to your career goals.
What skills are needed for Managed Care Director positions?
Key skills include leadership, decision-making, effective communication, a solid understanding of healthcare practices, and the ability to manage numerous responsibilities.