Managed Care Director Remote Jobs

Transform healthcare delivery by leading consulting engagements that enhance member experiences and drive performance improvements in health plans. Collaborate with clients to analyze data, implement...

Transform health care delivery by harnessing clinical insights for case management and medical necessity reviews. Collaborate across teams to enhance patient outcomes and advocate for customer needs i...

Join us to lead a team of clinicians in delivering superior results while managing inpatient utilization and population health initiatives. Drive clinical excellence by collaborating across business u...

Join a dynamic team to conduct medical case reviews, collaborate with healthcare professionals, and leverage your clinical skills to ensure appropriate patient care through evidence-based decision-mak...

Unlock potential by leading advanced measurement strategies for clients, analyzing marketing effectiveness, and driving data-driven decisions. Collaborate with cross-functional teams, mentor junior an...

Serve as a clinical executive, leading strategic initiatives to enhance member health outcomes and adherence to regulations while collaborating with cross-functional teams for effective care delivery...

Drive strategic direction and innovation in Actuarial Science, leading teams in pricing, forecasting, and financial analysis while ensuring regulatory compliance and enhancing operational efficiency a...

Develop and execute business development strategies to drive growth. Oversee pipeline performance and strategic prospect relationships. Collaborate with cross-functional teams to identify opportunitie...

Transform healthcare navigation through analytical insights and hands-on clinical support. Drive optimal member outcomes by collaborating with cross-functional teams while enhancing best practices in...

Shape the future of federal advocacy by developing strategic plans, building relationships, tracking legislation, and promoting impactful policy outcomes, all while supporting organizational goals and...

Champion innovative sales strategies and develop key client relationships to drive growth in a complex health services market. Leverage analytics and consultative selling to meet defined sales targets...

Shape the future of business development by leading strategies, conducting analyses, and collaborating with cross-functional teams to support growth initiatives and enhance proposal management efforts...

Deliver measurable outcomes by translating customer needs into scalable data solutions and optimized business processes. Lead cross-functional teams to drive data strategy execution while enhancing au...

Unlock impactful insights by leading data strategies for business units. Drive revenue and enhance decision-making through data empowerment while ensuring compliance and risk management. Collaborate a...

Shape the future of integrated healthcare by leading Total Health Solutions and Occupational Health programs; drive innovation, strategic partnerships, and advance client-focused solutions that enhanc...

Lead and develop a high-performing analytics team to deliver strategic insights, enhance data-driven decision-making, and drive measurable business outcomes through innovative analytics solutions and...

Unlock potential by leading clinical decision-making in a remote, dynamic startup. Oversee medical necessity reviews, peer discussions, and policy development, ensuring optimal care while driving util...

Empower growth and strategy for a key provider network, leading team efforts and high-level partnerships. Shape the commercial model while driving performance and representing strategy effectively at...

Drive network strategy development and contract negotiations to enhance coverage for commercial and government networks. Lead a team, manage operations, and analyze compensation strategies while ensur...

Lead transformative network strategies by overseeing provider relations, contract negotiations, and reimbursement frameworks. Drive operational success across national levels while ensuring compliance...

Unlock potential by providing clinical oversight in payment integrity programs, enhancing provider engagement and ensuring compliance with reimbursement policies for improved healthcare outcomes and o...

Drive complex projects by utilizing expert project management and LEAN principles. Collaborate across teams and maintain accountability, overseeing projects from initiation to completion within a tech...

Collaborate with us to shape Medicare policies by providing medical leadership, developing coverage determinations, and ensuring regulatory compliance to enhance evidence-based healthcare practices ef...

Shape digital product strategy by advocating for customer needs and aligning stakeholders. Collaborate across teams to deliver exceptional digital experiences that drive business value and customer sa...

Join a team that's leading market strategies and enhancing Medicare Advantage products while driving cross-functional collaboration and evaluating competitive performance to ensure optimal product dev...