Managed Care Director Remote Jobs

The Medicare Program Manager II is responsible for planning, organizing, and overseeing programs to meet business needs and strategic objectives within the Medicare line of business. This role involve...

The Medical Director of Radiation Oncology at Optum will provide clinical guidance to implement a comprehensive Radiation Oncology solution aimed at improving health outcomes. This remote position req...

The Practice Manager for Virtual Medicine is responsible for planning, managing, and coordinating all patient care activities within a medical office. This role involves overseeing daily operations, e...

The Contracts Manager is responsible for negotiating agreements with healthcare providers to create a network of high-quality, cost-effective services. This role involves managing contract implementat...

The Contracts Manager is responsible for negotiating agreements with healthcare providers to create a network of high-quality, cost-effective services. This role involves managing contract implementat...

The Director of Data Analytics & Intelligence will lead the strategic direction of data products and orchestrate cross-disciplinary teams to enhance healthcare solutions. This role involves establishi...

The RN Case Manager is responsible for providing professional nursing care by assessing, planning, implementing, and evaluating patient care under supervision. This role involves coordinating with cli...

The Director of Partner Success at Twin Health is responsible for driving success for strategic employer partners by delivering partner value, driving revenue retention and expansion, and being the vo...

The Patient Advocate Manager will lead a team of patient advocates to enhance patient engagement and support healthcare providers in delivering quality care. This role involves managing outreach campa...

The Medical Director is responsible for reviewing health claims and making determinations on service authorizations based on clinical guidelines and regulatory compliance. This role involves complex c...

The Medical Director is responsible for reviewing health claims and making determinations on service authorizations based on clinical guidelines and regulatory compliance. This role involves complex c...

The Cyber Security Analyst - Cyber Security Certification Manager is responsible for overseeing the certification of lab policies and procedures in accordance with cyber security industry standards. T...

The Medical Director is responsible for reviewing health claims and making determinations on service authorizations based on clinical guidelines and regulatory compliance. This role involves complex c...

The role involves assessing customer needs and implementing capitation strategies within a healthcare setting. The candidate will serve as a subject matter expert, manage project timelines, and ensure...

The Provider Payment Performance Senior Manager at Devoted Health will lead efforts to monitor and manage provider payment rates, ensuring accuracy and financial health within the provider network. Th...

The Pediatric Care Manager is responsible for planning and managing pediatric medical and behavioral care for members and their beneficiaries. This role involves developing member-centric care plans...

The Medical Case Manager is responsible for ensuring that members with complex medical and psychosocial needs have access to high-quality healthcare services. This role involves assessing, planning, c...

The Manager, Client Services oversees the technical service support team and operations, ensuring that all jobs are completed on time and within budget. This role involves managing staffing, financial...

The Director of Operations for Virtual Care Management is responsible for overseeing the strategic and operational management of virtual care programs within CardioOne. This role involves leading a cr...

The Behavioral Health Medical Director will oversee the delivery of behavioral health services within Aetna Better Health of Louisiana, ensuring compliance with state regulations and the implementatio...

The Sr. Client Manager is responsible for managing a book of business and fostering strategic relationships with existing accounts. This role involves renewing accounts, selling new products, and ensu...

The Director - Clinical Networks will lead the growth strategies of the ASH clinical network, overseeing recruitment and contracting of practitioners across various specialties. This role requires str...

The National Provider Engagement Director for Oncology is responsible for leading a national team to engage specialty provider practices on behalf of payer clients. This role involves improving provid...

The Director of Data Governance will lead the development and execution of the enterprise data governance strategy within the healthcare industry. This role involves managing cross-functional teams, i...

The US Family Health Plan Director of Growth is responsible for leading the growth of Martin's Point Uniformed Services Family Health Plan by developing and executing market strategies and operational...