Managed Care Director Jobs in Southfield, MI

Drive strategic business development initiatives in the Medicare landscape, fostering key partnerships with national payers to enhance care access. Collaborate cross-functionally to accelerate growth...

Unlock potential by leading enterprise-wide Cost of Care solutions. Drive scalability, optimize deployment, and enhance operational effectiveness across diverse markets, collaborating with stakeholder...

Deliver impactful value-based care programs by leading cross-functional execution, ensuring alignment and efficient operations to drive measurable outcomes across the enterprise in a dynamic healthcar...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...

Transform the future of healthcare interoperability by leading strategic initiatives, ensuring compliance, and collaborating across teams to enhance data exchange and clinical outcomes, while managing...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

Lead the care management team to enhance healthcare outcomes through strategic oversight, compliance, and performance improvement, ensuring high-quality and cost-effective care for members. Foster col...

Drive operational excellence in integrated care by leading multi-disciplinary teams. Oversee service lines, enhance patient outcomes, and implement strategic growth initiatives in a dynamic healthcare...

Transform clinical operations by driving innovative strategies and performance improvements that enhance member health outcomes and engagement at scale. Lead cross-functional teams to optimize prevent...

Provide leadership in managing MDS processes, ensure compliance with CMS regulations, and oversee reimbursement strategies across facilities while supporting clinical documentation improvement and tra...

Accelerate progress at the forefront of care management by overseeing operational excellence and regulatory compliance across multiple healthcare programs while enhancing provider engagement and impro...

Shape the future of claims management by leading a team of adjusters, ensuring regulatory compliance, and optimizing processes for complex Master Policy TLL and Contents Claims. Drive department effic...

Develop comprehensive network strategies that optimize value, engage stakeholders, and enhance provider performance, ensuring alignment with market trends and regulatory requirements while leading cro...

Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...

Drive healthcare excellence by leading clinical consultations, training staff, and reviewing cases. Engage with providers and members while ensuring adherence to quality standards and regulatory guide...

Drive impactful healthcare initiatives by providing clinical guidance, training, and oversight for care quality. Collaborate with providers and ensure adherence to regulatory standards while enhancing...

Engage in improving clinical outcomes through collaboration, education, and oversight, while ensuring regulatory compliance. Lead initiatives across care management, quality improvement, and clinical...

Accelerate progress at our Long-Term Acute Care Hospital by providing strategic oversight, driving growth initiatives, and fostering sustainable partnerships that align with organizational goals in a...

Shape a robust compliance program for pharmacy operations and Medicare Part D, ensuring adherence to regulations while promoting a culture of compliance. Lead audits, oversee risk management, and coll...

Accelerate progress at a leading BPaaS firm by providing strategic legal counsel, drafting and negotiating complex agreements, and ensuring compliance with regulatory standards in a dynamic, fast-pace...

Unlock potential by leading enterprise forecasting and pipeline governance. Collaborate with cross-functional teams to drive performance insights, improve planning accuracy, and optimize revenue strat...

Unlock potential by leading market expansion and operational excellence in healthcare. Provide strategic oversight, ensure compliance, and foster team development to enhance patient care and drive gro...

Lead the charge in optimizing provider network performance through strategic initiatives, data analysis, and cross-department collaboration to enhance healthcare quality and efficiency, while fosterin...

Explore a strategic leadership role driving medical economics through analytics and collaborative efforts. Lead a team to enhance value-based care while translating complex data into impactful busines...

Advance clinical program leadership by driving policy development, enhancing utilization management, and supporting cross-functional teams to achieve strategic goals. Your expertise will elevate our c...