Managed Care Director Jobs

Join a team that's driving growth and profitability by delivering managed care contracting expertise. You'll negotiate, analyze, and oversee contracts while collaborating with various stakeholders to...

Deliver clinical and administrative oversight for Medicare Advantage and Dual Eligible populations, ensuring compliance with regulations and optimizing care management processes to enhance member outc...

Drive compliance and operational excellence by overseeing charge audits and collaborating with clinical departments. Utilize your expertise in healthcare reimbursement to enhance billing accuracy and...

Join a dynamic team to enhance risk adjustment strategies and initiatives. Lead transformative projects, ensure compliance and optimize clinical documentation to support organizational growth and effi...

Lead a high-performing team of actuaries, overseeing key projects and strategies, while driving compliance and fostering relationships across business segments to ensure informed decision-making and c...

Lead a dynamic team of actuaries, driving strategy and project management while fostering relationships and ensuring compliance to support key business objectives in a fast-paced environment...

Lead and direct a team of actuaries, overseeing long-term projects while providing strategic insight and expert guidance in actuarial concepts that drive decision-making and enhance compliance with in...

Shape the actuarial landscape by leading a skilled team, steering strategic projects, and delivering insights for high-level decision making while fostering compliance and continuous improvement in ac...

Lead a team of actuaries to drive strategic initiatives and enhance decision-making through expert insights and compelling presentations. Ensure compliance with standards while developing key relation...

Transform healthcare delivery by leading strategic payer relationships, contract negotiations, and operational management. Collaborate with executives to optimize contract performance and enhance popu...

Lead the charge in transforming sales operations to drive member acquisition and retention while building strategic collaborations and managing high-performing teams in a dynamic healthcare environmen...

Transform managed care strategies and performance by leading contract negotiations and payer relations across diverse healthcare settings. Collaborate with cross-functional teams to optimize financial...

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...

Transform healthcare sales by building strategic relationships within managed care organizations. Drive revenue growth through effective selling and relationship management while maximizing exposure t...

Shape the future of healthcare by providing expert clinical oversight in utilization management, ensuring appropriate care delivery and regulatory compliance while leading initiatives to mitigate frau...

Join a dynamic team as you manage payer relationships and contracts, ensuring alignment with strategic priorities. Collaborate with stakeholders to drive efficient operations and meet organizational g...

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

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...

Optimize provider networks by leading complex contract negotiations and establishing strategic relationships with health systems and physician groups, ensuring high-impact results and fostering collab...

Join a team that's leading provider network development through complex contract negotiations and collaborative initiatives, driving value-based projects to improve healthcare services and provider re...

Lead the development of provider networks through complex contract negotiations and relationship management with health systems and providers, driving value-based initiatives and serving as a key expe...

Engage in complex provider network management through strategic contracting, negotiations, and relationship development with major health systems. Drive initiatives that enhance value-based care while...

Shape the future of clinical policy by providing strategic oversight and leadership in developing and implementing evidence-based practices to enhance healthcare delivery, compliance, and operational...

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...

Transform value-based care programs by driving execution across cross-functional teams. Ensure operational delivery aligns with strategic goals while overcoming barriers to achieve measurable outcomes...