Managed Care Director Remote Jobs

The Director of EHR Professional Services at eDerm Systems will oversee daily operations related to client relations, implementation, and training within the healthcare software sector. This role requ...

The Clinical Director of Community Living is responsible for overseeing clinical operations within the organization's Community Living programs, ensuring high-quality ABA services and compliance with...

The Program Manager, Operations will oversee the execution and delivery of Cotiviti's HEDIS/Quality Products and Services for a strategic client account. This role involves managing medical record ret...

The Program Manager, Operations will oversee the execution and delivery of Cotiviti's Risk Adjustment Products and Services for enterprise-level accounts. This role requires close collaboration with v...

The Field Medical Director - Great Lakes will focus on increasing awareness of IgAN and the role of BAFF and APRIL in disease-modifying therapy. This role involves engaging with key external experts...

The Director of Customer Support Operations at HealthMark Group is responsible for leading and optimizing the contact center's strategy, performance, and efficiency. This role involves managing a team...

The Senior LTSS Service Care Manager (RN) is responsible for performing care management duties to assess and coordinate medical services for adult members with complex health needs. This role involves...

The Senior LTSS Service Care Manager (RN) is responsible for performing care management duties to assess and coordinate medical services for adult members with complex health needs. This role involves...

Identify and engage key pharma companies, build strong relationships with decision-makers, and drive deals from initial contact through closing; lead the entire sales process, including prospecting, p...

The Provider Network Expansion Manager will play a strategic role in growing the provider network by identifying opportunities and establishing strong relationships with specialty providers. This posi...

The Product Manager, Clinical is responsible for managing and growing clinical content products throughout their life cycle, collaborating with various internal departments and external partners. This...

The Director of Implementation at Trella Health will lead the Implementation Services team, overseeing the onboarding of new customers to the Marketscape Platform and driving ongoing education for use...

The Medical/Clinical & Reimbursement Policy Writer is responsible for researching and developing medical, administrative, and reimbursement provider policies while ensuring compliance with company, st...

The Director of State Government Relations advocates for CareSource's business priorities and Medicaid & Medicare managed care at the state level. This role involves developing strategic advocacy effo...

The Director of Healthcare Data Management will work cross-functionally with the US Healthcare Team to identify and evaluate data monetization opportunities while managing the operational functions of...

The Clinical Manager, Clinical Operations will oversee and manage clinical studies to support the company's goals in evidence generation for kidney stone treatment. This role involves ensuring complia...

The Supervisor - Claims Quality Assurance is responsible for overseeing the performance management of Claims Auditor/Trainers and Claims Examiners, ensuring compliance with claims processing policies...

The Director of Pharmacy Actuarial Services will oversee the maintenance and enhancement of underwriting tools for forecasting pharmacy costs and rebates, while managing key actuarial assumptions and...

The Associate Director, Access Strategy and Reimbursement will lead the development and implementation of strategies to ensure patient access to therapies for neurodegenerative diseases. This role inv...

The Data Management Analyst is responsible for accessing, integrating, and analyzing data from various healthcare systems to ensure data quality and governance. This role involves conducting explorato...

The Epic Application Coordinator for ClinDoc is responsible for providing primary support and expertise for Epic applications, coordinating project issues, and developing best practice workflows. This...

The Director of Data Engineering will oversee and enhance data and platform engineering capabilities, focusing on technical excellence and efficient delivery of data solutions. This role involves coll...

The Associate Counsel will provide legal, regulatory, and healthcare-related research and advice to the Alliance leadership and staff. This role involves managing legal matters, negotiating complex co...

The Associate Counsel will provide legal, regulatory, and healthcare-related research and advice to leadership and staff at the Alliance. This role involves managing legal matters, negotiating complex...

The Associate Counsel will provide legal, regulatory, and healthcare-related research and advice to leadership and staff at the Alliance. This role involves managing legal matters, negotiating complex...