Managed Care Director Jobs

Lead a dedicated team of clinicians to enhance member outcomes, optimize benefits, and drive effective resource utilization, ensuring high-quality and cost-effective healthcare delivery within a colla...

Champion a team of clinicians to enhance member outcomes and ensure quality medical management. Drive adherence to policies while optimizing resources, leading both directly and through effective coll...

Advance quality member outcomes by leading a team of clinicians to optimize resources and ensure adherence to medical policies while fostering a dynamic and adaptable workplace. Utilize clinical exper...

Redefine medical management by leading a clinical team to enhance member outcomes, optimize benefits, and drive resource efficiency through policy adherence and cost-effective care coordination...

Empower a team of clinicians to enhance member outcomes, optimize benefits, and promote cost-effective service delivery, driving quality and adherence to medical policies in a collaborative work envir...

Innovate and lead strategic initiatives to drive growth and revenue, aligning managed care clients with comprehensive solutions while enhancing AMCP's market presence across diverse healthcare sectors...

Transform managed care services by providing strategic leadership, ensuring quality and compliance in Medicaid programs, and fostering collaboration. Drive operational excellence and community engagem...

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

Inspire operational excellence as you lead claims execution, ensuring accurate and compliant processes while fostering team development and performance improvements to achieve business goals effective...

Unlock operational excellence by leading Claims Execution, ensuring effective management of claims processing, vendor oversight, and regulatory compliance. Drive performance improvements and foster hi...

Explore a leadership role overseeing provider data management and credentialing. Drive strategic initiatives, ensure compliance, and improve operational efficiency while managing resources and relatio...

Manage critical healthcare product initiatives and ensure organizational readiness. Lead cross-functional teams to drive compliance and innovation, while overseeing product lifecycle planning and exec...

Champion operational excellence by leading the Prior Authorization team, ensuring compliance and quality in clinical reviews while optimizing workflows to enhance member satisfaction in a fast-paced h...

Take ownership of corporate compliance and privacy programs, guiding a team to ensure effective operations and adherence to regulatory standards. Promote a culture of accountability while managing com...

Advance provider network contracting by overseeing recruitment, compliance, and strategy development while leading a team to enhance business efficiency and financial performance across diverse market...

Optimize provider network performance by leading strategic operations, enhancing provider experiences, and ensuring regulatory compliance. Drive data-driven improvements that foster a high-performing...

Engage in strategic oversight of operations in Balance Billing, Fee Negotiation, and Contracting within the Provider Relations department to ensure compliance and drive operational efficiency while ef...

Lead operational excellence in managing complex claims while developing a high-performing team and collaborating with key stakeholders to enhance customer service and drive growth in the health insura...

Transform the future of healthcare interoperability by leading strategic initiatives, ensuring compliance, and collaborating across teams to enhance data exchange and clinical outcomes, while managing...

Elevate our interoperability strategy by leading multi-functional teams, driving compliance, and shaping vendor partnerships to enhance healthcare data exchange and operational success across a comple...

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...

Shape lasting client relationships and drive strategic growth by leading Client Success teams focused on maximizing retention and delivering impactful results across enterprise accounts in a dynamic e...

Elevate client success through strategic account leadership, driving retention and growth while mentoring a high-performing team. Focus on delivering tangible value and optimizing client relationships...

Elevate your career by managing claims operations, leading a cohesive team, ensuring compliance, and driving performance metrics in a healthcare setting. Collaborate cross-functionally while overseein...

Champion operational excellence by leading strategic provider contracting and team development. Collaborate company-wide to enhance compliance, drive projects, and achieve outstanding results while sh...