Managed Care Director Remote Jobs

Champion proactive risk management strategies across the organization to enhance enterprise risk frameworks, collaborate with leaders to integrate risk assessment into strategic planning, and lead cor...

Help us drive growth and engagement in provider partnerships. Lead strategy, operations, and relationship management for our provider relations team, ensuring alignment with organizational goals and e...

Join a team that's driving healthcare analytics to transform data into actionable insights. Lead strategic initiatives and cultivate partnerships that enhance analytic capabilities, supporting multipl...

Unlock potential by leveraging your extensive Medicaid policy experience to guide agencies in program implementation and compliance, fostering healthier communities through innovative strategies and c...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Drive comprehensive analytics in acquisition cost and value strategies, transforming complex models into actionable narratives for manufacturers and pharmacies while ensuring efficiency translates to...

Lead the charge in claims operations by overseeing a team of examiners to ensure timely resolution of complex claims, drive process improvements, and maintain compliance, positively impacting client s...

Shape Alpine's medical expense reduction program by driving clinical initiatives and vendor partnerships, ensuring operational success and measurable financial impact across diverse markets. Collabora...

Drive operational excellence in medical record management; collaborate with teams to enhance retrieval processes and support audits. Utilize strong analytical skills to drive insights, ensuring compli...

Lead the Utilization Management team in ensuring high-quality healthcare delivery. Oversee provider engagement and compliance with standards, fostering collaboration with physicians and hospitals to e...

Elevate population health strategies through community engagement, innovative programs, and insightful analytics, ensuring delivery of optimal clinical outcomes in partnership with diverse stakeholder...

Empower healthcare improvement by ensuring compliance with medical policies, conducting reviews, and collaborating with providers to enhance service delivery in your designated areas of expertise...

Lead the charge in underwriting complex pharmacy benefit deals, optimizing pricing strategies with cross-functional teams. Leverage automation and insights to enhance underwriting capabilities while m...

Shape the future of customer experience by leading ICHRA product strategy and operational excellence. Leverage market insights and partner across functions to deliver innovative solutions that enhance...

Optimize broker and employer services by leading transformative strategies, enhancing customer experiences, and driving operational excellence in a highly collaborative environment focused on sustaina...

Join a team that champions proactive advocacy within healthcare policy. Lead government affairs initiatives, engage with federal agencies, and strengthen strategic partnerships to ensure impactful rep...

Advance the LTSS market by identifying and developing new business opportunities, managing implementation strategies, and fostering key relationships to enhance organizational revenue and operational...

Lead the charge in developing and commercializing payer analytics products, driving product strategy and execution within a matrixed environment. Collaborate cross-functionally to translate market ins...

Advance innovative healthcare analytics programs by leading evaluations of clinical outcomes, ensuring clear metrics, and establishing best practices. Collaborate with cross-functional teams to drive...

Revolutionize patient care by overseeing clinical activities and provider performance in a dynamic office practice. Collaborate with leadership to ensure budget management and implement cost-effective...

Advance your career by driving strategic Medicare Advantage decisions, leveraging deep data insights to optimize product offerings and enhance operational workflows with innovative analytics and AI-dr...

Drive successful delivery of innovative solutions for MSOs and broadband providers. Collaborate with internal and external teams to execute product initiatives from concept to rollout, ensuring they m...

Transform your career by leading quality improvement initiatives and healthcare oversight for a diverse population. Drive engagement with healthcare providers to ensure high standards of care delivery...

Champion revenue growth by leading a strategic sales team in healthcare solutions. Drive initiatives, collaborate with leadership, and leverage consultative sales techniques to optimize processes and...

Join a dynamic team to manage and optimize clinical operations, ensuring seamless supply-demand balance, enhancing care team workflows, and driving efficient practice infrastructure while overseeing o...