Managed Care Director Remote Jobs

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 Clinical Risk Manager at ICON plc will coordinate and oversee risk management for clinical studies globally, ensuring adherence to quality standards and regulatory guidelines. This role involves l...

The Clinical Risk Manager at ICON plc will coordinate and oversee risk management for clinical studies globally, ensuring adherence to quality standards and regulatory guidelines. This role involves l...

The Claims Consultant for Physicians & Surgeons will manage claims and lawsuits against policyholders, focusing on coverage confirmation and litigation management. The role requires strong negotiation...

The Director of Provider Engagement is responsible for developing and executing a national provider engagement strategy to enhance participation in the Vatica program. This role involves building long...

The Senior Liability Adjuster - Medical Professional is responsible for managing a diverse range of nursing home E&O, medical malpractice, and other professional liability claims. This role involves i...

The Sr Business Analyst for Appeals & Grievances at Molina Healthcare will analyze complex business problems using data to provide insights for decision-makers. The role requires collaboration with cl...

The Senior Client Delivery Project Manager leads and manages the project implementation lifecycle for multiple projects and initiatives within the financial services industry. This role involves coord...

The MedRx Product Manager will shape the portfolio strategy by assessing industry trends and customer needs, maintaining the strategic roadmap, and prioritizing the product backlog. This role involves...

The Account Manager, Payer at Talkspace is responsible for implementation and account management, ensuring a seamless client experience in the mental health sector. This role involves building strong...

The Senior Director, Strategy & Analytics is responsible for driving growth initiatives in formulary management and value-based care programs at US Renal Care. This role involves setting strategic pla...

The CRO Director will lead the Conversion Rate Optimization efforts at Directive Consulting, transforming the team from a design-focused department to a results-oriented, data-driven powerhouse. This...

The Advisory Services Manager - EDS is a senior consulting expert responsible for leading complex enterprise program management and consulting engagements within the healthcare ecosystem. This role in...

The Medicare Advantage Enrollment Senior Associate at Clover Health is responsible for overseeing enrollment and billing activities, ensuring compliance with CMS regulations, and managing relationship...

The Director of the American Life and Health Group at United American Insurance Company is responsible for managing and supporting ALHG agents and agencies to increase production and recruitment. This...

The Product Program Manager at Stellar Health will work closely with the Head of Product to enhance team impact through strategic analyses and operational improvements. This role involves leading prod...

The Director of Compensation will lead the development and execution of key compensation deliverables for Liberty Mutual's Compensation Committee and Board of Directors. This role involves collaborati...

The Director of Value Delivery at Kalderos will lead the success of drug discount management solutions, focusing on empowering covered entities to collaborate transparently with drug manufacturers. Th...

The Manager, Innovation and Delivery is responsible for driving the incubation, scaling, and operationalization of new business ideas. This role involves leading partnerships, ensuring alignment with...

The Senior Manager, Document Management & Metrics will lead and manage document control processes and key performance metrics within the Quality Assurance department at Hims & Hers. This role involves...

The Director of Data Engineering will lead the development of a modern, scalable data platform while collaborating with cross-functional teams to enhance analytics capabilities. This role involves ove...

The Release Train Engineer (RTE) will lead a team of data professionals to enhance the Veteran experience through effective program and process improvements. This role involves facilitating Agile Rele...

The Meritain Account Director for the Northeast at CVS Health is responsible for developing and implementing account management strategies to enhance customer satisfaction and achieve revenue goals. T...

The Senior Clinical Data Manager is responsible for leading multiple complex studies in the oncology field, ensuring accurate and efficient data collection. This role involves collaboration with vario...

The Senior Actuary - Medicare Part D role at CVS Health involves determining and executing formulary and manufacturer rebate contracting strategies for Medicare Part D and other government services ph...