Managed Care Director Jobs

Elevate your career by leading strategic oversight of a key 340B Program, ensuring compliance and driving operational improvements across multiple sites to enhance patient access and program success...

Lead the charge in evolving a premier healthcare program, driving innovative care solutions while ensuring exceptional patient experiences and operational excellence in a high-touch environment. Shape...

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...

Grow your leadership in healthcare management by supervising teams and driving program innovations. Oversee quality services and enhance member engagement, impacting lives while fostering cross-functi...

Lead the charge in program innovation and development to drive quality care for high-need populations while mentoring a team of Lead Care Managers across the county, ensuring effective member services...

Optimize care delivery by leading ECM initiatives, mentoring teams, and ensuring quality while driving program innovations. Collaborate with community partners to enhance member engagement and satisfa...

Shape innovative healthcare solutions as a leader in program management, overseeing care teams, ensuring quality services, and driving program growth initiatives. Your contributions will significantly...

Join a team that's dedicated to enhancing the lives of vulnerable populations. You'll oversee program quality, lead regional teams, and drive innovative solutions that foster health equity and ensure...

Transform healthcare quality and compliance by leading a dedicated team to enhance patient outcomes and mitigate risks while ensuring adherence to regulatory standards. Collaborate with clinical and e...

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...

Empower state-level advocacy by developing and implementing legislative strategies. Collaborate with healthcare stakeholders, provide expertise on policy issues, and effectively represent interests in...

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...

Shape Alpine's medical expense reduction program by driving clinical initiatives and vendor partnerships, ensuring operational success and measurable financial impact across diverse markets. Collabora...

Oversee health and wellness initiatives, lead a clinical team, and ensure compliance with regulations while delivering quality care and tailored service plans to residents. Collaborate with healthcare...

Innovate strategies for Medicare Advantage benefits, driving value-based care. Collaborate across teams to optimize payer relationships, enhance product offerings, and navigate regulatory requirements...

Take ownership of payer strategy and contracting within a healthcare system. Lead negotiations and manage contracts with payers to optimize reimbursement in fee-for-service and value-based care while...

Elevate brain health care through strategic collaborations and program management, ensuring innovative solutions are operationally feasible and scalable. Drive impactful initiatives across complex hea...

Lead and enhance quality improvement initiatives while overseeing clinical care management to ensure top-tier patient outcomes and compliance with accreditation standards across the organization...

Lead and innovate medical management strategies to deliver high-quality care. Collaborate with clinical teams, oversee utilization management, and ensure compliance while enhancing cost-effectiveness...

Unlock potential by leading a transformative compliance initiative. This key role focuses on enhancing billing integrity, mentoring a talented team, and driving strategic compliance efforts to ensure...

Collaborate to drive enterprise strategic planning and align priorities across functions, enhancing decision-making and execution. Lead multi-year strategy development, ensuring measurable business ou...

Champion enterprise strategy by leading cross-functional collaboration and aligning strategic priorities. Drive measurable outcomes by translating strategy into actionable plans while serving as a tru...

Manage enterprise projects with compliance to established methodologies, ensuring timely delivery within budget. Oversee project lifecycle, provide strategic guidance, and collaborate cross-functional...

Drive clinical pharmacy strategy and operations by overseeing formulary development, medical policy, and medication management, ensuring compliance and innovative services that enhance the health care...