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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Medical Director (Clinical Chart Validation Team)
$190K - $260K *
The Medical Director is responsible for overseeing audit and appeals decisions, analyzing medical policies, and guiding processes related to inpatient audits and documentation. This role also involves...
2 weeks ago
Director, PerformRX Encounter - PDE Management - Remote
$80K - $120K *
The Director of PerformRx Encounter/PDE Management is responsible for overseeing encounter and PDE compliance across the PerformRx enterprise, ensuring adherence to federal and state requirements. Thi...
2 weeks ago
Director, PerformRX Encounter - PDE Management - Remote
$80K - $120K *
The Director of PerformRx Encounter/PDE Management is responsible for overseeing encounter and PDE compliance across the PerformRx enterprise, ensuring adherence to federal and state requirements. Thi...
2 weeks ago
$82K - $139K *
The Implementation Manager is responsible for managing the transition of new business into MedImpact, ensuring customer satisfaction during the implementation process. This role involves collaborating...
1 month ago
$90K - $130K *
The Director Demand Partnership at HealthPlanOne is responsible for managing and growing monetization partners in the health and Medicare insurance sectors. This role involves prospecting new business...
2 weeks ago
$80K - $120K *
The Associate Medical Director will assist in creating grants for funding and content for funded activities, collaborating with internal team members and external faculty. This role involves writing n...
2 weeks ago
$78K - $147K *
The Medicaid Contract Director is responsible for overseeing the Medicaid contract and ensuring compliance with state regulatory requirements. This role involves collaboration with various stakeholder...
5 days ago
Senior Medical Director, Oncology Solutions- EviCore
$218K - $363K *
The Senior Medical Director, Oncology Solutions, leads EviCore's Oncology management programs, providing mentorship and clinical supervision to Medical Directors. This role involves responding to esca...
3 weeks ago
Senior Medical Director, Oncology Solutions- EviCore
$218K - $363K *
The Senior Medical Director, Oncology Solutions, leads EviCore's Oncology management programs, providing mentorship and clinical supervision to Medical Directors. This role involves responding to esca...
3 weeks ago
Medical Director - In Home & Virtual Chronic Care
$250K - $300K *
The Medical Director for In Home & Virtual Chronic Care at Accompany Health will lead integrated care teams to provide holistic, patient-centered care for low-income patients with complex needs. This...
1 week ago
$80K - $120K *
The Client Success Director is responsible for managing the holistic relationship with assigned clients, ensuring client satisfaction and value realization. This role involves building professional re...
1 month ago
Sr Director- Clinical Services Account Management
$160K - $240K *
The Sr. Director of Clinical Services will lead the go-to-market strategy for newly launched clinical services, leveraging deep expertise in the healthcare payer/provider landscape. This role involves...
3 days ago
Sr Director- Clinical Services Account Management
$160K - $240K *
The Sr. Director of Clinical Services will lead the go-to-market strategy for newly launched clinical services, leveraging deep expertise in the healthcare payer/provider landscape. This role involves...
5 days ago
$86K - $154K *
The Manager of Comprehensive Autism Care provides clinical oversight for the autism care program, including authorizations, care coordination, and audits for behavioral services. This role involves ma...
3 weeks ago
$150K - $200K *
The Senior Director, Product will lead the product strategy, development, and management efforts at Oasis Health Partners, focusing on advancing primary care for seniors. This role requires a seasoned...
6 days ago
Associate Director - Clinical Solutions - Care Management/Utilization Management
$144K - $216K *
The Associate Director - Clinical Solutions will lead consulting engagements focused on transforming clinical operating models for healthcare organizations. This role involves managing client relation...
1 month ago
Manager, Utilization Management Operations (mostly remote)
$98K - $130K *
The Manager of Utilization Management Operations oversees the utilization management team to ensure high standards of service delivery and performance. This role involves problem resolution, complianc...
1 month ago
$71K - $141K *
The Care Manager is responsible for researching and analyzing members' medical and behavioral health needs to develop effective care plans. This remote position requires collaboration with members and...
1 month ago
$69K - $138K *
The Care Manager is responsible for assessing and addressing the medical and behavioral health needs of members while working remotely. This role involves collaborating with members and the interdisci...
1 month ago
$203K - $378K *
The Dental Director is responsible for clinical and provider network management within a dental organization, overseeing daily departmental activities including care management, quality improvement, a...
1 month ago
Senior Manager, Quality Risk Adjustment Programs
$110K - $193K *
The Senior Manager, Quality Risk Adjustment Programs is responsible for overseeing the execution of Quality Risk Adjustment programs and ensuring compliance across the organization. This role involves...
3 days ago
Senior Director, Revenue Cycle Management
$120K - $180K *
The Senior Director of Revenue Cycle Management is responsible for directing and managing all components of the revenue cycle process to maximize cash collection for PM Pediatric Care. This leadership...
4 days ago
Senior Director, Revenue Cycle Management
$120K - $180K *
The Senior Director of Revenue Cycle Management is responsible for directing and managing all components of the revenue cycle process to maximize cash collection for PM Pediatric Care. This leadership...
5 days ago
Senior Director, Revenue Cycle Management
$120K - $180K *
The Senior Director of Revenue Cycle Management is responsible for directing and managing all components of the revenue cycle process to maximize cash collection for PM Pediatric Care. This leadership...
Yesterday
Senior Director, Revenue Cycle Management
$120K - $180K *
The Senior Director of Revenue Cycle Management is responsible for directing and managing all aspects of the revenue cycle process within PM Pediatrics, including billing, coding, and collections. Thi...
1 week 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.