Managed Care Director Remote Jobs

The Market Director is responsible for fostering positive relationships between Highmark Inc. and the provider community in the SEPA and Delaware markets. This role involves engaging with providers on...

The Sr. Contract Specialist is responsible for the accurate loading and management of Professional, Facility, and Ancillary contracts within EmblemHealth's systems. This role requires collaboration wi...

The Care Manager I is responsible for coordinating and managing care services for senior members, focusing on their physical, emotional, and financial needs. This role involves developing individual c...

The Project Manager, Payer Operations will act as a vital link between health insurance partners and internal teams, overseeing high-impact projects that promote Alma's growth. This role involves mana...

The Lead Director of Data Science at CVS Health will oversee a diverse team of analytics professionals to drive business value through data science solutions in healthcare. This role involves collabor...

The Account Director, Market Access leads the development and execution of strategic marketing plans for clients, focusing on market access stakeholders and HCP/patient initiatives. This role involves...

The Account Director, Market Access is responsible for leading strategic and tactical marketing plans for clients, focusing on engaging market access stakeholders and addressing access and reimburseme...

The Behavioral Health Therapy Clinical Administrator will provide clinical leadership in the Behavioral Health Department, overseeing the development and delivery of Behavioral Health Therapy services...

The Client Results Executive I is responsible for maintaining and nurturing client relationships while ensuring client satisfaction and supporting engagement plans. This role involves daily client int...

The Behavioral Health Therapy Clinical Administrator will provide clinical leadership in the Behavioral Health Department, overseeing the development and delivery of Behavioral Health Therapy services...

The Product Director for State Public Sector Business Development is responsible for developing and executing product initiatives across Prime's strategic business units. This role involves collaborat...

The Manager, Health Plan Quality Interventions is responsible for developing, implementing, and monitoring quality improvement initiatives within the healthcare plan. This role requires collaboration...

The Associate, Payment Integrity at Clover Health is responsible for managing cost containment vendors and ensuring compliance with service-level agreements and internal policies. This role involves o...

The Director of Account Management for Enterprise Client Solutions is responsible for driving growth and retention on assigned enterprise accounts by developing C-level client relationships and leadin...

The Technical Program Manager for EHR Integrations at Counterpart Health will drive the integration of Clover Assistant with external EHR systems, collaborating with internal teams and external partne...

The Senior Director, Client Success will lead the mid-market Client Success team at Progyny, focusing on client retention, upselling, and overall client health. This role involves acting as an Executi...

Expertise in developing senior-level, trust, and performance-based relationships by identifying products/services and selling opportunities that best meet clients’ needs...

The Sales VP will focus on securing new sales in the healthcare payer space, specifically targeting Health Plan executives. This role requires extensive experience in selling software solutions relate...

The Executive Director of Behavioral Health is responsible for overseeing the development, implementation, and evaluation of high-quality behavioral health programs. This role includes securing fundin...

The SAP Functional Analyst is responsible for analyzing, designing, and implementing SAP Financial Services Collections and Disbursements (FSCD) solutions within an SAP S4/HANA environment. This role...

The Sr Analyst, Config Info Mgmt is responsible for the accurate implementation and maintenance of critical information on claims databases. This role involves synchronizing data among operational sys...

The Senior Director of Non-Clinical Business Development is responsible for managing direct sales in the oncology CRO space, focusing on early pharmaceutical development. This role combines sales and...

The Delivery/Project Manager-Public Sector will oversee and manage multiple implementation projects within Cotiviti, acting as the primary liaison between customer teams and Cotiviti teams. This role...

The VP of Revenue Cycle is responsible for overseeing all revenue cycle activities within a healthcare company, aiming to maximize reimbursement while ensuring compliance with billing requirements. Th...

The Senior Industry Analyst at Velera will manage and resolve product knowledge-based tickets from stakeholders while maintaining a comprehensive knowledge base. This role also involves conducting res...