Managed Care Director Remote Jobs

The Senior Care Manager for Autism ABA is responsible for authorizing and reviewing autism services, including Applied Behavioral Analysis (ABA), while ensuring coordination with other service provide...

The Configuration Architect is responsible for defining and overseeing the development of custom configuration solutions, ensuring alignment with business requirements and project goals. This role inv...

The Senior Legal Counsel will provide legal support to the company's Medicaid lines of business, advising on a range of legal, regulatory, and compliance issues. The role requires collaboration with i...

The Regional Finance Director at ArchWell Health is responsible for shaping financial performance and strategic decision-making within the organization. This role involves collaborating with cross-fun...

The National Medical Director, Occupational Health will lead the strategic enhancement of occupational health services, focusing on injury management, regulatory compliance, and workforce health strat...

The Manager, UM Physical Health Nurse at Humana Healthy Horizons in Oklahoma is responsible for utilizing clinical nursing skills to coordinate and communicate medical services and benefit administrat...

The Director of AI at Claritev will lead the evolution of AI capabilities in healthcare, utilizing generative AI to enhance operations and develop innovative products. This role involves driving resea...

The Director of Product at Health eCareers will lead the product development lifecycle, focusing on innovative solutions for healthcare talent acquisition. This role requires a deep understanding of u...

The Manager, Business Coding and Support Implementations oversees the implementation of new products and lines of business, ensuring accurate benefit requirements and code sets are developed within de...

The Compliance Analyst II is responsible for supporting the Compliance Program by overseeing high-risk areas to ensure effective compliance practices. This role involves analyzing regulations, collabo...

The Account Manager - Customer Success at VIVIO Health is responsible for managing and nurturing relationships with a dedicated group of customers, ensuring they receive exceptional service and suppor...

The Data Product Management Principal is responsible for managing the entire lifecycle of enterprise data products and services, aligning them with company goals. This role involves leading cross-func...

Work cross-functionally with Client Success, Solution Consulting, Engagement, Reporting and Commercialization teams to ensure teams are operationally ready to deliver value on new products and enhance...

The Hub Operations Director at McKesson is responsible for overseeing daily operations of the Hub, managing a team of customer service representatives, and implementing strategies to enhance customer...

The Director, Client Success is responsible for leading Client Success Managers and fostering long-term relationships with clients. This role involves monitoring client performance, ensuring complianc...

The Actuary for Medicare Part D will support forecasting and the monthly closing process while conducting analysis and risk assessments for financial outcomes of Medicare Part D plans. This role invol...

The Manager of Strategic Care Operations (Healthcare) will provide high-level operational and strategic support across multiple healthcare business operations, focusing on enhancing care delivery and...

The Chief Medical Officer (CMO) for the Community Plan of Idaho is responsible for driving clinical excellence and ensuring compliance with state regulations while improving health outcomes. This role...

The Senior Manager of Accounting Operations at Clearway Health is responsible for overseeing the day-to-day activities of the Accounting Department, including financial reporting, accounts receivable...

The Configuration Architect is responsible for defining and overseeing the development of custom configuration solutions, ensuring alignment with business requirements and project goals. This role inv...

The Head of Clinical Outcomes Assessment is responsible for leading the COA Science function and making strategic decisions that impact clinical trials and regulatory consulting. This role involves ma...

The Director of Analytics and Operations is responsible for leading process improvement initiatives to enhance efficiency and drive cost savings within the division. This role involves collaborating w...

The Sr. Medicare Program Analyst will develop and optimize analytics processes for the Medicare Value-Based Care Program, focusing on automation and integration of data analytics. This role requires c...

The Sr. Medicare Program Analyst will develop and optimize analytics processes for the Medicare Value-Based Care Program, focusing on automation and integration of data analytics. This role requires c...

The Director of Specialty Solutions will lead strategic solutions alignment and operational excellence in specialty markets, collaborating with sales and product management to enhance client engagemen...