Explore Managed Care Director Jobs

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.

Who Is a Managed Care Director?

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.

Qualifications and Skills

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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$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...

US-AnywhereRemote

5 days ago

  •   8 - 10 years exp.  •   Healthcare

$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...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Legal & Accounting

$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...

US-AnywhereRemote

1 month ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Real Estate & Construction

$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...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

Today

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

1 month ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$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...

US-AnywhereRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$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...

US-AnywhereRemote

1 month ago

  •     Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

1 month ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

1 month ago

  •     Healthcare

$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...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

4 days ago

  •   Less than 5 years exp.  •   Staffing

$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...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

1 week ago

  •     Hospitals & Medical Centers

$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...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$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...

US-AnywhereRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What are the duties of a Managed Care Director?question toggle

    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?question toggle

    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?question toggle

    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?question toggle

    Key skills include leadership, decision-making, effective communication, a solid understanding of healthcare practices, and the ability to manage numerous responsibilities.