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.

Remote

caret down

Compensation

caret down

Position Level

caret down

Industries

caret down

More

2
caret down

$200K - $270K *

The Director of Managed Care is responsible for developing and executing a targeted Regional account plan to enhance coverage, contracting, and revenue pull-through with California Independent Physici...

US-AnywhereRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$80K - $120K *

The Clinical Director of Care Management is responsible for the strategic direction and oversight of care management for QHP Members at WellSense Health Plan. This role involves optimizing care practi...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$200K - $225K *

The Director of Managed Care at Artera will lead efforts to secure private payer coverage and contracts for innovative precision diagnostic products. This role requires a deep understanding of the US...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $120K *

The Manager of Utilization Management and Complex Care Management leads operational efforts for care management teams, focusing on improving health outcomes and reducing healthcare costs for complex p...

US-AnywhereRemote

1 month ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $135K *

The Managed Care Executive will be responsible for developing new managed care relationships and managing existing agreements within the Mid-Atlantic area. This role involves negotiating contracts, ma...

US-AnywhereRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $145K *

The Manager of Care Management oversees a team of healthcare professionals, including RNs and Social Workers, to ensure effective care coordination and management for members. This role involves devel...

US-AnywhereRemote

1 week ago

  •     Hospitals & Medical Centers

$231K - $440K *

The Remote Medical Director will provide medical leadership in utilization management, quality improvement, and credentialing functions for the business unit. This role involves collaborating with cli...

US-AnywhereRemote

3 days ago

  •     Healthcare

$174K - $374K *

The Medical Director - Medicare Case Management will oversee clinical operations and collaborate with case management teams to develop Individual Care Plans for members. This role requires active comm...

US-AnywhereRemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$110K - $205K *

The Director, Risk Adjustment is a strategic leader responsible for driving Risk Adjustment initiatives and achieving revenue targets across various lines of business. This role involves improving the...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $120K *

The Manager, Care Management Programs will oversee the daily operations of Care Management roles and ensure compliance with regulatory standards. This position involves managing internal and external...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$286K - $397K *

The Inpatient Care Management Medical Director is responsible for providing physician support to Enterprise Clinical Services operations, focusing on clinical reviews and benefit coverage determinatio...

US-AnywhereRemote

1 month ago

  •   5 - 7 years exp.  •   Healthcare

$231K - $440K *

The Remote Behavioral Medical Director will provide medical leadership in utilization management, quality improvement, and credentialing functions for the organization. This role involves collaboratin...

US-AnywhereRemote

2 weeks ago

  •     Healthcare

$100K - $186K *

The Manager of Complex Care Management is responsible for overseeing the care management team and coordinating care for behavioral health members. This role involves managing escalated care cases, ens...

US-AnywhereRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$182K - $345K *

The VP of PHCO Utilization Management for Medicare & Duals oversees operations related to referral management, telephonic utilization review, and prior authorization across multiple product lines. Thi...

US-AnywhereRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$183K - $235K *

The Medical Director is an expert in insurance medicine responsible for assessing mortality and morbidity risks associated with individual life insurance applications. This role involves providing str...

US-AnywhereRemote

1 month ago

  •   5 - 7 years exp.  •   Finance & Insurance

$258K - $423K *

The Behavioral Medical Director is responsible for overseeing the Clinical Management Program for members in the Commercial and Medicare Advantage space in Michigan. This role involves collaborating w...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$73K - $132K *

The Senior Care Manager is responsible for developing, assessing, and coordinating complex care management activities focused on behavioral health needs for members. This role involves creating person...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $132K *

The Senior Care Manager is responsible for developing and coordinating complex care management activities focused on behavioral health needs for members. This role involves creating personalized care...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $132K *

The Senior Care Manager is responsible for developing and coordinating complex care management activities focused on behavioral health needs for members. This role involves creating personalized care...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $132K *

The Senior Care Manager is responsible for developing and coordinating complex care management activities focused on behavioral health needs for members. This role involves creating personalized care...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $132K *

The Senior Care Manager is responsible for developing, assessing, and coordinating complex care management activities focused on behavioral health needs for members. This role involves creating person...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $132K *

The Senior Care Manager is responsible for developing, assessing, and coordinating complex care management activities focused on behavioral health needs for members. This role involves creating person...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $193K *

The Director, Operations Regulatory Oversight is responsible for leading all regulatory and compliance activities within the Operations division, serving as a liaison with internal and external stakeh...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $113K *

The Health Partner Network Manager is responsible for executing the Health Partner contracting strategy, developing contract provisions, and monitoring key metrics within the assigned market. This rol...

US-AnywhereRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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

1 week ago

  •   8 - 10 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.