Managed Care Director Jobs in Southfield, MI

Optimize operational efficiencies across Primary Care services while ensuring compliance, improving quality outcomes, and driving strategic growth initiatives. Collaborate with clinical teams to imple...

Unlock potential by partnering with executives to enhance customer strategies, streamline operations, and lead impactful initiatives that drive engagement and value for investor/customers in the healt...

Pioneer innovative clinical pharmacy strategies to enhance Medicare Stars performance. Leverage deep expertise in pharmacy quality, influence cross-functional teams, and drive measurable outcomes to i...

Shape the future of healthcare analytics by leading teams, driving initiatives, and translating data insights into strategic solutions for multiple stakeholders, aiming to enhance performance and achi...

Shape the future of pharmacy benefits by leading high-performing teams and managing client relationships. Drive strategy and deliver results while enhancing service performance across multiple account...

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

Drive revenue enhancement and strategic transformation for healthcare clients. Navigate complex contract negotiations and implement managed care solutions, improving financial performance across multi...

Lead nursing operations by directing staff and ensuring quality care delivery for residents. Collaborate with teams to implement care plans, maintain regulatory standards, and enhance health program t...

Join a team that's dedicated to delivering exceptional nursing care while leading a passionate staff. Oversee operations, ensure quality and compliance, and enhance the well-being of residents in a vi...

Join a team that's redefining enterprise data strategy and governance. Lead innovative data initiatives to enhance analytics, architecture, and team performance while driving impactful insights across...

Drive impactful Phase IV and observational research initiatives by partnering with biopharmaceutical sponsors. Leverage deep scientific expertise to create tailored study designs, foster relationships...

Advance strategic leadership in care management, ensuring compliance with regulations while improving program operations and fostering collaborative relationships within the community. Drive quality o...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Lead and innovate data operations, establishing a best-in-class Center of Excellence. Drive monitoring and reliability of data pipelines, ensuring effective automation and governance for optimal perfo...

Unlock potential by leading healthcare analytics initiatives to optimize medical loss ratio. Collaborate across teams to identify trends and improve cost and quality outcomes, delivering insights to s...

Unlock potential by leveraging your extensive Medicaid policy experience to guide agencies in program implementation and compliance, fostering healthier communities through innovative strategies and c...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Drive comprehensive analytics in acquisition cost and value strategies, transforming complex models into actionable narratives for manufacturers and pharmacies while ensuring efficiency translates to...

Lead the charge in claims operations by overseeing a team of examiners to ensure timely resolution of complex claims, drive process improvements, and maintain compliance, positively impacting client s...

Lead the charge in developing and optimizing AI/ML solutions that enhance operational efficiencies and drive innovation. Oversee a skilled team of engineers, managing the entire ML lifecycle while ens...

Lead the charge in underwriting complex pharmacy benefit deals, optimizing pricing strategies with cross-functional teams. Leverage automation and insights to enhance underwriting capabilities while m...

Join a team that champions proactive advocacy within healthcare policy. Lead government affairs initiatives, engage with federal agencies, and strengthen strategic partnerships to ensure impactful rep...

Lead the charge in developing and commercializing payer analytics products, driving product strategy and execution within a matrixed environment. Collaborate cross-functionally to translate market ins...

Lead the charge in managing cross-functional projects, driving initiatives forward, and fostering strong relationships with physicians and stakeholders. Ensure timely delivery of projects while naviga...

Advance innovative healthcare analytics programs by leading evaluations of clinical outcomes, ensuring clear metrics, and establishing best practices. Collaborate with cross-functional teams to drive...