Managed Care Director Remote Jobs

Drive healthcare excellence by leading clinical consultations, training staff, and reviewing cases. Engage with providers and members while ensuring adherence to quality standards and regulatory guide...

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...

Join a vital leadership role in neonatology oversight, shaping clinical standards and managing care for newborns while enhancing quality initiatives and staff training for optimal patient outcomes...

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...

Partner with us to navigate complex regulatory environments, ensuring compliance and facilitating business expansions. Leverage your expertise to advise leadership and manage licensure processes effec...

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 clinical excellence by guiding clients through pharmacy benefit processes, conducting insightful reviews, and fostering partnerships. Drive innovative strategies that enhance client satisfact...

Unlock potential by partnering with executives to enhance customer strategies, streamline operations, and lead impactful initiatives that drive engagement and value for investor/customers in the healt...

Pioneer innovative clinical pharmacy strategies to enhance Medicare Stars performance. Leverage deep expertise in pharmacy quality, influence cross-functional teams, and drive measurable outcomes to i...

Elevate initiatives by managing key projects and leading teams to enhance healthcare access and performance. Drive strategic growth through collaboration, risk assessment, and effective communication...

Shape the future of healthcare analytics by leading teams, driving initiatives, and translating data insights into strategic solutions for multiple stakeholders, aiming to enhance performance and achi...

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...

Oversee the coordination of medical management and quality improvement initiatives, collaborating with clinical teams to enhance care effectiveness and support utilization review, while ensuring compl...

Shape the future of healthcare finance by managing contracts in Epic, recovering underpayments, and collaborating with teams to refine reimbursement strategies for hospital and ASC operations...

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...

Drive impactful Phase IV and observational research initiatives by partnering with biopharmaceutical sponsors. Leverage deep scientific expertise to create tailored study designs, foster relationships...

Transform provider network operations by leading strategic initiatives and ensuring compliance across divisions. Collaborate cross-departmentally to enhance performance metrics and provider satisfacti...

Optimize provider network operations by managing key functions, enhancing performance, and fostering collaboration across departments to ensure compliance and operational excellence in a dynamic healt...

Advance your career by leading operational excellence in provider network management, enhancing relationships, and driving strategy across all lines of business to optimize performance and ensure comp...

Optimize provider network operations while guiding strategic initiatives across divisions. Lead performance monitoring for key areas, ensuring compliance and efficiency while enhancing provider relati...

Support community engagement and business development in new markets. Lead relationship-building with local stakeholders to facilitate the successful entry of healthcare services, enhancing accessibil...

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...