Managed Care Director Jobs

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...

Shape the future of claims management by leading a team of adjusters, ensuring regulatory compliance, and optimizing processes for complex Master Policy TLL and Contents Claims. Drive department effic...

Champion operational excellence in claims administration, ensuring compliance and accuracy while leading a high-performing team. Drive process improvements and strategic initiatives to align claims pr...

Transform pharmacy services by leading actuarial and underwriting strategies that optimize financial forecasting, pricing, and client performance. Collaborate with cross-functional teams to drive impa...

Join a team that's driving transformation in brain health care! As a senior leader, you'll manage innovative partnerships in healthcare, aligning strategies with operations to enhance clinical outcome...

Drive strategic leadership for value-based care initiatives enhancing care quality and outcomes. Collaborate across teams to align programs with regulatory standards, improve operational workflows, an...

Champion compliance and quality management across our organization to ensure adherence to DHS standards, driving continuous improvement within the Behavioral Health Managed Care setting while leading...

Develop comprehensive network strategies that optimize value, engage stakeholders, and enhance provider performance, ensuring alignment with market trends and regulatory requirements while leading cro...

Drive provider education initiatives to enhance documentation and coding accuracy, ensuring audit readiness and improved performance in value-based care through collaboration with cross-functional tea...

Empower insights by managing healthcare data analytics, optimizing benefit designs, and enhancing vendor performance to promote cost efficiency and member satisfaction. Drive strategic initiatives and...

Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...

Elevate your career by shaping and executing an enterprise data governance strategy, ensuring data quality and compliance while leading cross-functional teams to foster a data-driven culture as a stra...

Analyze financial and health information to support decision-making on healthcare revenue, costs, and outcomes. Collaborate to identify revenue opportunities and ensure accurate reporting while drivin...

Accelerate progress at a high-performing Sales Development function, building a robust pipeline generation strategy that drives revenue growth, enhances opportunity conversion, and fosters alignment a...

Champion the outbound sales development function, driving pipeline growth and revenue through effective strategies, coaching, and cross-team collaboration in a hybrid work environment...

Empower clients by designing and managing comprehensive health and benefits programs. Lead strategic initiatives, client relationships, and vendor negotiations while driving revenue growth and mentori...

Elevate operational performance by leading practice teams in strategy execution, workflow optimization, and patient care excellence. Collaborate with leadership to drive efficiency and foster a cultur...

Drive impactful content marketing strategies, lead a dynamic team, and oversee comprehensive communications initiatives to enhance brand visibility and engagement across multiple platforms...

Advance your career in healthcare leadership by overseeing quality improvement and utilization management across multiple product lines to enhance member outcomes and ensure regulatory compliance...

Join a team that's advancing healthcare quality through strategic oversight of quality improvement initiatives and utilization management programs, leading efforts to enhance member outcomes across di...

Help us enhance healthcare quality as a senior leader overseeing innovation in quality improvement and utilization management across diverse healthcare lines to drive member outcomes and ensure regula...

Lead the charge in transforming clinical quality and utilization management frameworks, ensuring excellence across all lines of health plans, driving compliance, improving member outcomes, and achievi...

Join as the senior clinical quality and utilization leader, overseeing quality improvement initiatives, utilization management processes, and regulatory compliance across diverse health plan product l...

Join our team as you develop strategic partnerships and drive commercial success in healthcare. Leverage your expertise in data and analytics while leading a dedicated business development team in a d...