Managed Care Director Jobs

Lead the care management team to enhance healthcare outcomes through strategic oversight, compliance, and performance improvement, ensuring high-quality and cost-effective care for members. Foster col...

Champion claims management by leading operations from intake to resolution, ensuring compliance and collaboration with defense counsel, insurers, and internal teams to enhance our healthcare system's...

Drive strategic growth by architecting innovative healthcare payor programs, navigating regulatory landscapes, and establishing robust market entry strategies. Collaborate across teams to transform co...

Accelerate organizational effectiveness by shaping CEO strategies and fostering cross-functional collaboration, ensuring prioritized decision-making and clarity across all levels of leadership for sus...

Contribute to effective care coordination operations, collaborating with interdisciplinary teams to align activities and achieve healthcare goals in an integrated delivery system and fast-paced enviro...

Drive operational excellence in integrated care by leading multi-disciplinary teams. Oversee service lines, enhance patient outcomes, and implement strategic growth initiatives in a dynamic healthcare...

Discover the opportunity to lead strategic initiatives that drive growth and innovation. Collaborate with executive teams to shape the vision, establish diversification strategies, and enhance communi...

Unlock potential by leading strategic managed care initiatives and developing robust payer relationships to enhance financial performance and ensure sustainable reimbursement models that support organ...

Join a dynamic team as you oversee the Behavioral Health program, ensuring compliance with key contracts and quality standards while leading initiatives to enhance care delivery and improve community...

Lead the delivery of patient-centered primary care by overseeing the medical staff in skilled nursing facilities, collaborating with Nurse Practitioners, and driving quality improvement initiatives wh...

Lead the charge in developing and managing compliance and privacy programs, ensuring adherence to federal and state regulations while fostering a culture of ethics and excellence across the organizati...

Elevate member health outcomes through innovative clinical strategies and operational excellence. Lead cross-functional initiatives to enhance preventive care metrics and foster a culture of performan...

Transform clinical operations by driving innovative strategies and performance improvements that enhance member health outcomes and engagement at scale. Lead cross-functional teams to optimize prevent...

Shape the future of Medicare Advantage by overseeing regulatory guidance, developing implementation strategies, and collaborating across teams to ensure compliance and operational excellence in a dyna...

Lead the charge in coordinating care management services while ensuring optimal patient outcomes. Collaborate with a cross-functional team to enhance processes, drive compliance, and support departmen...

Manage the design and implementation of health equity programs for vulnerable populations, enhancing care quality and cost-effectiveness while ensuring stakeholder alignment and program efficiency. Le...

Shape strategic medical management initiatives, leading clinical and care programs while engaging healthcare networks to enhance quality and affordability across diverse services...

Join a team that's driving product marketing strategy by crafting compelling narratives from market insights, and leading go-to-market initiatives that enhance buyer engagement and pipeline growth in...

Drive operational excellence by leading a diverse team, ensuring effective systems and processes for delivering quality healthcare services while meeting corporate objectives and fostering collaborati...

Join a team that's committed to excellence in regulatory compliance. Lead NCQA accreditation efforts while collaborating across departments to ensure ongoing adherence to standards and support the org...

Shape your career by managing complex program initiatives, improving business processes, and collaborating with leadership to drive strategic goals and operational excellence within a dynamic environm...

Transform regulatory reporting by leading a dynamic team, ensuring data integrity and compliance. Drive operations for accurate report generation and analysis, collaborating cross-functionally to meet...

Provide leadership in managing MDS processes, ensure compliance with CMS regulations, and oversee reimbursement strategies across facilities while supporting clinical documentation improvement and tra...

Advance the effectiveness of our utilization management team, ensuring compliance with best practices, improving member experiences, and managing daily operations to achieve optimal outcomes and cost...

Accelerate progress at the forefront of care management by overseeing operational excellence and regulatory compliance across multiple healthcare programs while enhancing provider engagement and impro...