Managed Care Director Jobs in Warwick, RI

Oversee strategic operations in group configuration, enrollment, and compliance. Lead vendor management and performance while ensuring data integrity and regulatory adherence. Drive process improvemen...

Transform the legislative landscape by steering health care policy advocacy. Engage with state and federal leaders to shape strategic initiatives, analyze impactful legislation, and drive coalition-bu...

Advance client satisfaction and operational excellence by leading the Group Health Division, overseeing team performance, enhancing processes, and ensuring profitability while managing key metrics and...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

Advance the standards of care by ensuring compliance with medical policies and regulations in a collaborative multidisciplinary team environment. Conduct critical reviews of medical necessity for trea...

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

Advance transformative AI initiatives in healthcare by spearheading commercial strategy and key partnerships. Collaborate with C-suite leaders to build impactful business cases and streamline innovati...

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...

Transform healthcare data environments by developing advanced cloud data platforms. Lead a technical team to innovate, assess, and build robust solutions that enhance AI deployment, effectively removi...

Unlock potential by leading healthcare operations consulting engagements, optimizing claims processing, and driving improvements across client workflows. Collaborate with diverse teams in a dynamic en...

Join a dedicated team to drive healthcare transformation by analyzing trends, developing strategies, and engaging stakeholders to improve primary care and health outcomes across Rhode Island's healthc...

Provide strategic leadership in pharmacy contract strategy and provider engagement, driving enterprise alignment and supporting scalable growth. Lead contract frameworks, compliance, and partnerships...

Lead the charge in improving patient care as a Medical Director with a focus on collaboration, quality assurance, and effective management of skilled nursing facilities...

Elevate patient support services by leading teams to provide exemplary care, driving operational efficiency and performance metrics while fostering a culture of continuous improvement and collaboratio...

Empower the Health Information Management department by overseeing operations, ensuring compliance with laws, and enhancing patient care quality. Lead a dedicated team in managing records, implementin...

Champion operational excellence in a senior leadership role by enhancing client services through innovative process improvement. Collaborate with cross-functional teams to drive performance management...

Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Unlock your potential by driving enterprise sales in healthcare AI, leading strategic initiatives, and fostering partnerships to enhance patient outcomes. Your expertise will shape market strategies w...

Shape the future of healthcare strategy as a leader in consulting, driving innovation and transformation while mentoring the next generation of consulting talent across multiple client projects...

Lead the charge in optimizing strategic retirement plans while driving operational excellence and regulatory compliance. Build and mentor high-performing teams to transform complex data into actionabl...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Make your mark at a leading home health provider by overseeing patient care, fostering team growth, and ensuring quality outcomes in a supportive environment focused on improving lives for patients an...

Lead the charge in transforming provider escalation operations by leveraging AI and digital workflows. Drive proactive solutions and enhance provider relationships while ensuring operational excellenc...

Shape the future of patient care by leading multiple ambulatory clinics. Drive operational excellence, collaborate with healthcare teams, and enhance patient experiences while managing performance and...