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.
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.
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.
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New Provider Recruitment Director
$85K - $100K *
The Provider Recruitment Director is responsible for recruiting physicians and advanced practice providers for Privia Care Centers, ensuring adherence to best practices. This role involves developing...
1 month ago
Director, Product Management - Health Benefits Administration - Remote
$120K - $180K *
The Director of Product Management will lead a team in the ideation, development, and launch of innovative health benefits administration products. This role requires collaboration with cross-function...
1 month ago
Manager, Central Study Coordinator - Retention
$80K - $120K *
The Manager, Central Study Coordinator - Retention is responsible for hiring, developing, and managing a team of Central Study Coordinators to ensure high performance and exceptional participant exper...
3 weeks ago
Program Director - Process Optimization - Remote
$100K - $130K *
The Program Director - Process Optimization is responsible for managing internal business projects and programs, overseeing cross-functional teams to deliver products from design to completion. This r...
3 days ago
Practice Manager - Virtual Medicine
$70K - $131K *
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...
1 month ago
Senior Provider Contracting Professional
$78K - $107K *
The Senior Provider Contracting Professional is responsible for initiating, negotiating, and executing contracts with healthcare providers for a health insurance organization. This role involves analy...
2 weeks ago
Senior Provider Contracting Professional
$78K - $107K *
The Senior Provider Contracting Professional is responsible for initiating, negotiating, and executing contracts with healthcare providers for a health insurance organization. This role involves analy...
5 days ago
Director Health Economic Outcomes - Remote
$124K - $239K *
The Director of Health Economic Outcomes will lead the Primary Data Collection (PDC) group, focusing on innovative research strategies to improve health outcomes. This role involves business developme...
Today
VP, Network Development & Contracting
$182K - $345K *
The VP of Network Development & Contracting at Centene will direct provider network and contracting activities, leading strategy and operations to enhance network access and manage costs. This role in...
3 weeks ago
$200K - $300K *
The Medical Director will lead clinical trial strategy, design, and execution while serving as the primary Medical Monitor for safety oversight of enrolled subjects. This role involves collaboration w...
3 weeks ago
$184K - $396K *
The Senior Medical Director of Health Informatics and Analytics leads a team focused on the strategy, implementation, and governance of electronic health records systems at CVS Health. This role invol...
1 month ago
Director- Revenue Cycle Managment
$120K - $180K *
The Director/Senior Director of Revenue Cycle Management will oversee all aspects of the revenue cycle for a network of approximately 100 clinics, ensuring efficiency, compliance, and financial perfor...
5 days ago
$80K - $120K *
The Director of Data Operations is responsible for overseeing the implementation, management, and delivery of all data files, including eligibility and claim files. This role involves managing a team...
1 week ago
Program Manager, Provider Grants
$92K - $118K *
The Director of Clinical Services for the Northern WI Region will oversee and manage the clinical performance of Advanced Practice Providers across various specialties, ensuring high-quality patient c...
2 weeks ago
RN Care Manager - Health Alliance
$73K - $106K *
The RN Care Manager plays a vital role in delivering comprehensive and coordinated care to patients within UNC Health. This position involves conducting patient assessments, developing patient-centere...
1 week ago
$108K - $196K *
The Clinical Specialist manages the accessibility, quality, and cost-effectiveness of drug and medical therapy for members and providers. This role involves reviewing prior authorization requests, pro...
1 week ago
$80K - $120K *
The Clinical/Wellness Director at Pinnacle Senior Living is responsible for overseeing the Wellness department to ensure residents achieve and maintain their highest level of wellness. This role invol...
1 month ago
Medical Director - Pediatric Infectious Disease - EviCore
$203K - $338K *
The Pediatric Infectious Disease Medical Director at EviCore will leverage clinical expertise to conduct evidence-based medical reviews and collaborate with healthcare providers to ensure appropriate...
3 weeks ago
Director of Client Operations - Remote
$100K - $137K *
The Director of Client Operations oversees and directs the operations management of multiple employer worksites, focusing on health and fitness services within a designated geographic area. This role...
1 month ago
Executive Director, Claim Platform Quality Assurance
$131K - $303K *
The Executive Director for Claim Platform Quality Assurance at Aetna will lead the design and implementation of the organization's claim platform test strategy, ensuring high-quality standards and com...
1 week ago
SVP, Compliance Officer-Healthcare (Remote)
$150K - $250K *
The Senior Vice President, Compliance Officer is responsible for leading Access TeleCare's Corporate Compliance Program, ensuring adherence to state and federal healthcare regulations. This role invol...
3 weeks ago
Senior Vice President of Business Informatics
$116K - $172K *
The Senior Vice President of Business Informatics is responsible for aligning data strategy with business objectives and overseeing the Business Informatics and Data Analytics functions within the IT...
1 month ago
$82K - $182K *
The Sr Mgr, Medical Economics role involves leading analytics efforts to support clinical teams in improving healthcare quality and cost-effectiveness. The position requires collaboration with busines...
2 weeks ago
Medical Director - New York Region
$174K - $374K *
The Medical Director for the New York Region at CVS Health will oversee medical policy implementation and support the development of clinical programs. This remote role requires providing clinical exp...
1 week ago
Executive Account Director-United Health Group/Optum
$132K - $199K *
The Executive Account Director will oversee and lead Medline's sales efforts within key health systems in the Minnesota area. This role involves establishing sales strategies, maintaining consultative...
3 weeks ago
What are the duties of a Managed Care Director?
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?
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?
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?
Key skills include leadership, decision-making, effective communication, a solid understanding of healthcare practices, and the ability to manage numerous responsibilities.