Managed Care Director Jobs in Southfield, MI

Shape the future of actuarial science by leading innovation, guiding strategies, and enhancing financial performance through advanced modeling and regulatory compliance. Collaborate with senior leader...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Join a team that's transforming mental healthcare through innovative finance strategies. Your expertise will guide strategic financial decisions, streamline operations, and foster a high-performing te...

Lead transformative healthcare growth by developing strategic partnerships and new business opportunities across your region. Drive market expansion while coaching a high-performing team dedicated to...

Manage critical partner integrations and optimize operational processes to enhance vendor verification speed and quality. Own the end-to-end relationship between our system and partner APIs for seamle...

Lead and direct grant programs and operations for a Foundation, ensuring alignment with strategic goals while maximizing community impact and fostering partnerships across multiple sectors to advance...

Transform client relationships by leading Revenue Cycle Operations initiatives. Oversee process improvements, drive strategic goals, and ensure compliance while managing multi-disciplinary teams acros...

Elevate member care by overseeing utilization management and evaluating treatment appropriateness. Collaborate with multidisciplinary teams, ensuring compliance with clinical standards and regulations...

Collaborate with leadership in formulating strategies for maximizing value-based reimbursement, analyzing payer performance, and enhancing financial outcomes through strong relationship management and...

Drive key commercial initiatives and strategic partnerships while leading cross-functional execution and managing stakeholder alignment to accelerate growth and operational effectiveness within a high...

Explore the opportunity to oversee cash management operations, driving strategic vision and optimizing workflows while enhancing inter-departmental collaboration and performance metrics in a dynamic h...

Lead the charge in enhancing our pre-bill DRG review program, ensuring coding integrity and compliance while imparting expert training to elevate staff competencies and collaborative efforts in revenu...

Lead transformative healthcare partnerships and drive revenue growth by connecting workforce challenges with innovative education solutions. Collaborate with healthcare executives to enhance talent pi...

Optimize the impact of medical writing by leading complex projects, managing teams, and ensuring compliance with regulatory standards, while contributing to the strategic growth of the organization in...

Analyze pharmacy trends and manage PBM relationships. Empower clients with actionable insights, oversee implementations, and ensure project success across multiple teams in a fast-paced environment fo...

Lead and execute growth strategies within the Payer vertical by building relationships with health plan executives, managing complex sales cycles, and driving revenue through tailored digital health s...

Shape the future of healthcare EDI solutions by leading product vision, strategy, and execution. Collaborate cross-functionally to deliver scalable, compliant integrations that enhance data quality an...

Drive employee development by designing and implementing scalable learning programs that enhance leadership capability and business performance. Collaborate globally to create engaging, AI-enabled lea...

Empower customer success by owning outcomes and navigating cross-functional teams. Drive retention and revenue growth while ensuring data integrity across strategic accounts within the healthcare land...

Transform the landscape of Long-Term Services and Supports by leading strategic planning, operational readiness, and performance oversight while ensuring exceptional service delivery and positive outc...

Advance your career by leading referral growth strategy in the healthcare sector. Leverage your established network to drive client acquisitions and mentor a dynamic team in a collaborative environmen...

Grow your career by building strategic relationships that drive growth, retention, and value realization across diverse member organizations. Collaborate with cross-functional teams to deliver high-im...

Champion quality care by leading clinical assessments for Medicare beneficiaries. Engage with teams to enhance compliance, improve service delivery, and ensure adherence to CMS guidelines while workin...

Oversee financial operations and reporting for a key healthcare initiative, ensuring accuracy in forecasting and budget adherence. Drive strategic insights and lead a team to enhance organizational fi...

Advance your career by optimizing processes to enhance operational efficiency and quality. Collaborate with teams to implement data-driven solutions using Lean and Six Sigma methodologies, driving imp...