Managed Care Director Jobs

Transform provider network operations by leading strategic initiatives and ensuring compliance across divisions. Collaborate cross-departmentally to enhance performance metrics and provider satisfacti...

Drive the evolution of our Provider Network Operations by overseeing key functions and enhancing performance across diverse healthcare lines. Lead initiatives to ensure operational effectiveness and i...

Lead strategic initiatives and operational excellence for Provider Network, overseeing functions like provider relations, data management, and compliance to drive performance and collaboration across...

Optimize provider network operations by managing key functions, enhancing performance, and fostering collaboration across departments to ensure compliance and operational excellence in a dynamic healt...

Join a team that's committed to excellence in provider network operations. Oversee essential functions in provider relations, data management, and system interoperability to drive strategic initiative...

Join a team that empowers employers and brokers by providing expert clinical guidance. Leverage your pharmacy benefit management experience to enhance client satisfaction and support innovative strate...

Advance your career by leading operational excellence in provider network management, enhancing relationships, and driving strategy across all lines of business to optimize performance and ensure comp...

Optimize provider network operations while guiding strategic initiatives across divisions. Lead performance monitoring for key areas, ensuring compliance and efficiency while enhancing provider relati...

Shape the future of healthcare by leading clinical and administrative excellence across multiple sites. Collaborate with diverse teams to enhance patient care standards and support provider developmen...

Transform healthcare outreach by building vital relationships with providers, enhancing patient care access, and driving strategic growth initiatives. Collaborate with leaders to implement data-driven...

Engage in strategic oversight for legal affairs, providing expert counsel across healthcare, insurance, and regulatory matters while leading a high-performing legal team in a complex environment...

Champion the strategic direction of Legal Affairs, guiding executive counsel on complex legal matters in healthcare and insurance, while ensuring compliance, governance, and risk management across the...

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

Contribute to organizational development by advising leaders on strategies for change management, leadership growth, and cultural transformation. Facilitate training to enhance employee engagement and...

Champion financial excellence by leading accounting operations and grants management. Collaborate with leadership, ensuring regulatory compliance and strong internal controls while developing a high-p...

Advance healthcare delivery by managing hospital-based programs, optimizing operations, and driving quality initiatives in collaboration with clinical leaders. Ensure financial sustainability and stra...

Elevate care standards by overseeing vendor health coordination, ensuring optimal utilization management. Collaborate with clinical leaders to assess complex cases and improve service efficiency while...

Lead oversight of vendor operations in utilization and care management, ensuring compliance with medical necessity standards and optimizing service utilization to enhance patient outcomes across vario...

Join a team that's dedicated to optimizing clinical operations and outcomes. You'll oversee vendor-managed care and utilization management processes, ensuring adherence to standards while enhancing se...

Lead the charge in optimizing claims processing operations, ensuring compliance and efficiency. Manage a team dedicated to accurate adjudication while collaborating with internal and external stakehol...

Champion enterprise-wide analytics initiatives to enhance forecasting, financial modeling, and operational insights, driving strategic decision-making and transformative objectives. Lead a team, integ...

Drive compliance excellence by overseeing Medigap program operations and regulatory adherence. Lead initiatives to implement federal and state requirements, assess compliance risks, and provide strate...

Empower a dedicated team in providing vital home healthcare services, ensuring compliance with regulations while enhancing patient well-being and organizational efficiency for growing operations in Vi...

Optimize clinical program strategies to enhance client engagement and performance. Collaborate with sales and analytics teams, deliver impactful presentations, and provide insights for improving progr...

Engage clients by leveraging analytical insights to enhance clinical program performance. Collaborate with sales and account teams to design impactful strategies and drive improvements in health outco...