Managed Care Director Remote Jobs

The Product Manager for Community Hospitals / Regulatory will lead the regulatory strategy and execution for the Paragon community hospital solution, ensuring compliance with evolving healthcare regul...

The Territory Manager for Specialty Care Business Development is responsible for marketing, managing, and underwriting commercial business with select agencies or brokers. This role requires a combina...

The IT Manager PMO will lead the IT Project Management team to implement projects that deliver operational value while ensuring adherence to PMO standards. This role involves managing project scope, b...

The Supervisor of Behavioral Health Coordination is responsible for overseeing daily operations, coordinating work, and ensuring quality and service within the Medical Care Management department. This...

The Chief Executive Officer (CEO) of Aetna Better Health of North Carolina is responsible for leading and growing the Medicaid business in the state. This role involves overseeing all aspects of the p...

The Data Architecture Manager will lead the design, development, and implementation of data architecture solutions to support the organization's strategic objectives. This role involves overseeing a t...

The Compliance Audit Manager at Devoted Health will oversee audit and monitoring activities to ensure adherence to healthcare regulations, enhancing patient care and operational integrity. This role r...

The Enterprise Risk Management (ERM) Program Manager at City of Hope is responsible for executing the Enterprise Risk Assessment process and collaborating with various departments across multiple loca...

The Provider Business Sales Coach at McKesson is responsible for enhancing the performance of sales teams within the Specialty Healthcare Sector through advanced coaching and training. This role invol...

The Director, Global FSP 360 at Syneos Health is responsible for driving growth strategies and operational excellence within the Functional Service Provider model. This role involves collaborating wit...

The Strategic Compensation Partner provides strategic guidance on Total Rewards strategies aligned with business objectives. This role involves collaborating with HR Business Partners and business lea...

The ALTCS Case Management Manager is responsible for the development, management, and oversight of the ALTCS case management program, ensuring effective care delivery to members served by Managed Care...

The Client Growth Executive II is responsible for managing relationships with credit unions, utilizing a consultative approach to enhance client portfolios and drive sales of Velera's products and ser...

Develop strategy for educating hospital administrators (C- suite level, billing and reimbursement personnel, chargemaster personnel) on appropriate formulary, access, coverage and coding requirements...

The Associate Director, Value Analytics at AbbVie will lead the Value Analytics Center, focusing on evidence synthesis, analytic value assessments, and economic modeling to support health technology a...

The Regulatory Affairs Director is responsible for overseeing complex regulatory filings and policy analysis that impact the health system. This role involves collaboration with various stakeholders t...

The Medical Director will lead and develop clinical operations for OpenLoop's medical weight loss programs, focusing on improving clinical quality metrics and mentoring medical providers in virtual he...

The SVP of Coding Services is responsible for leading the coding services team to help clients achieve their financial health goals through scalable solutions and clinical expertise. This role involve...

The Associate Director Quality, Management & Compliance (QMC) at Cencora is responsible for providing a broad range of QMC support and consulting, implementing operational tasks, and managing client r...

The Field Case Manager serves as a single point of contact for physicians, providing education on program services and assisting with necessary documentation for patient coverage. This role involves r...

The VP of Sales at VIVIO Health will lead efforts to acquire new customers and establish the company as a trusted partner in the pharmacy benefits management marketplace. This role requires building s...

The Director of Oracle Applications is responsible for leading the governance, development, implementation, and support of Oracle E-Business Suite applications. This role involves collaborating with c...

The Executive Director will lead the Commercial team for the Pharma and Life Sciences channel, developing and implementing strategies to drive sales and increase revenue. This role involves managing a...

The Market Physician Executive (MPE) is a physician leader responsible for improving patient health outcomes through the management of in-home multi-specialty care. This role involves overseeing clini...

The Process Improvement Manager at Guardant Health is responsible for identifying and implementing continuous improvement initiatives within the Reimbursement operations. This role involves collaborat...