Managed Care Director Remote Jobs

Shape the future of actuarial science by leading innovation, guiding strategies, and enhancing financial performance through advanced modeling and regulatory compliance. Collaborate with senior leader...

Pioneer innovative healthcare payment solutions, driving growth through strategic partnerships across health plans, employers, and technology firms. Leverage Mastercard's capabilities to enhance consu...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Optimize risk adjustment and Star Ratings processes by bridging technical and operational teams, enhancing data-driven decisions, and fostering cross-functional collaboration to align goals and improv...

Grow your career with a dynamic role driving medical management programs, optimizing utilization processes, and ensuring compliance while leading data-driven strategies to improve outcomes across dive...

Join a team that's redefining CEO engagement, ensuring flawless operations for impactful communications, events, and leadership interactions across the organization while fostering alignment and readi...

Lead transformative healthcare growth by developing strategic partnerships and new business opportunities across your region. Drive market expansion while coaching a high-performing team dedicated to...

Join our team as you drive operational excellence in technology delivery, managing production support and customer interactions for a mid-size HealthPlan. You'll play a key role in ensuring seamless c...

Lead product development and analysis to enhance Health Initiatives. Collaborate with stakeholders to deliver impactful solutions, manage projects effectively, and identify new opportunities to drive...

Manage critical partner integrations and optimize operational processes to enhance vendor verification speed and quality. Own the end-to-end relationship between our system and partner APIs for seamle...

Lead the evolution of a comprehensive Compliance Program, ensuring regulatory adherence across Medicare and beyond. Collaborate strategically with leaders to embed a culture of compliance while drivin...

Lead state government affairs initiatives, shaping policy and advocating for key issues in the Southeast. Collaborate with teams to analyze and manage regulatory strategies, providing expert guidance...

Transform client relationships by leading Revenue Cycle Operations initiatives. Oversee process improvements, drive strategic goals, and ensure compliance while managing multi-disciplinary teams acros...

Empower your career by leading provider relationships and performance initiatives, driving operational excellence and compliance within a dynamic health care environment while collaborating across tea...

Drive efficient resolution of provider production incidents and manage cross-functional workflows. Collaborate with technology and business teams to identify root causes and monitor issue status, ensu...

Elevate member care by overseeing utilization management and evaluating treatment appropriateness. Collaborate with multidisciplinary teams, ensuring compliance with clinical standards and regulations...

Transform your career by leading innovative strategies for network optimization within healthcare systems. You will drive comprehensive network solutions to ensure access and performance across crucia...

Empower product performance across multiple lines of business through strategic analysis, collaboration, and improvement initiatives, ensuring robust financial performance and compliance with regulato...

Drive innovative program development while ensuring stakeholder alignment and optimal performance outcomes. Lead cross-unit integration, adapt technology use, and enhance consumer experience through e...

Champion innovative healthcare solutions by building and managing a robust pipeline targeting hospitals and health systems, driving stakeholder engagement and sales growth while delivering measurable...

Oversee and enhance behavioral health utilization review operations, ensuring appropriate member care and compliance with industry standards while leading and developing a high-performing management t...

Tackle healthcare regulatory compliance and audit challenges. Lead a dynamic team driving accreditation, risk management, and operational audits to ensure organizational success in a rapidly evolving...

Oversee and innovate the performance, strategy, and governance of a multi-channel contact center, leading a dynamic team to drive operational excellence across diverse markets while enhancing customer...

Drive key commercial initiatives and strategic partnerships while leading cross-functional execution and managing stakeholder alignment to accelerate growth and operational effectiveness within a high...

Transform local health plan operations through strategic oversight, driving financial efficiency and clinical outcomes. Lead collaborative teams to enhance member experience and ensure compliance whil...