Managed Care Directors lead programs and teams that help health plans and healthcare organizations coordinate high-quality, cost-effective care. Browse vetted Managed Care Director opportunities paying $100,000 or more on Ladders, and discover roles aligned with your experience in healthcare leadership, operations, and strategy.
Managed Care Directors oversee care management and utilization programs, guide clinical and operational teams, and work with providers, health plans, and other stakeholders. Depending on the organization, responsibilities may include developing policies, monitoring quality and performance, managing budgets, and improving member or patient outcomes while supporting regulatory and contractual requirements.
Employers often seek experienced leaders with knowledge of managed care, healthcare operations, and population health. Relevant strengths may include team leadership, strategic planning, financial and performance analysis, quality improvement, regulatory compliance, and effective communication with clinical and business partners. A background in nursing, healthcare administration, public health, or a related field may be useful; specific education and licensure requirements vary by role.
Find leadership positions across health plans, provider organizations, and healthcare services companies. Use Ladders to explore vetted jobs with salaries of $100,000 or more, compare role requirements, and identify opportunities that match your career goals.
$69K - $125K *
Join a team that's driving strategic initiatives and leading complex projects across divisions. Oversee project teams, manage resources, and ensure alignment with business goals while engaging with se...
6 days ago
$69K - $125K *
Shape your career by leading complex business analysis and project management initiatives. Collaborate across divisions to drive strategic goals, ensuring efficiency and alignment in high-impact proje...
6 days ago
Vice President, Care Management
$160K - $200K *
Join a dynamic team to elevate Care Management services, ensuring strategic leadership, operational excellence, and regulatory compliance while enhancing patient outcomes and community health across d...
Yesterday
$69K - $125K *
Lead the charge in crafting high-quality proposals and managing complex RFP processes while ensuring alignment with customer specifications and company standards under tight deadlines...
Reposted 4 weeks ago
VP, Network Development & Contracting - Sunshine State Health Plan
$207K - $392K *
Oversee provider network strategy and contracting activities, driving growth and operational excellence. Lead negotiations, evaluate costs, and support market expansion initiatives while ensuring alig...
3 weeks ago
Director of Utilization Management
$88K - $105K *
Transform utilization management by overseeing case reviews, ensuring compliance, and enhancing communication between clinical teams and payers. Drive quality patient care while managing resources eff...
3 days ago
Senior Manager, Stop Loss & Health Claims
$68K - $102K *
Lead complex claims operations, manage a high-performing team, and enhance customer service effectiveness while collaborating with key stakeholders to drive business growth and operational excellence...
Reposted 4 weeks ago
Senior Manager, Stop Loss & Health Claims
$68K - $102K *
Join our team to lead claims operations and drive excellence in complex health claims. Oversee a high-performing team, collaborate with key partners, and optimize processes to enhance customer service...
Reposted 4 weeks ago
$164K - $184K *
Innovate strategic leadership and operational oversight for Virginia's Medicaid managed care system, ensuring compliance with federal and state regulations while enhancing service delivery and stakeho...
5 days ago
Senior Manager, Stop Loss & Health Claims
$68K - $102K *
Pioneer excellence in claims operations by leading a team to manage complex health claims, ensuring effective collaboration with partners while optimizing processes for superior service and operationa...
Reposted 4 weeks ago
Senior Manager, Stop Loss & Health Claims
$68K - $102K *
Lead a high-performing claims unit overseeing complex health insurance operations. Enhance processes, develop staff, and collaborate with partners to drive growth and maintain exceptional customer ser...
Reposted 4 weeks ago
Senior Manager, Stop Loss & Health Claims
$68K - $102K *
Lead complex claims operations, optimize processes, and manage a high-performing team in a collaborative environment to enhance customer service and drive business growth...
Reposted 4 weeks ago
Senior Manager, Stop Loss & Health Claims
$68K - $102K *
Lead and optimize complex claims operations, managing a dynamic team while collaborating with stakeholders to enhance service excellence and drive growth in the health claims space...
Reposted 4 weeks ago
Senior Manager, Stop Loss & Health Claims
$68K - $102K *
Lead and optimize our claims operations while developing a high-performing team, ensuring excellent customer service through collaboration with stakeholders and effective claims management practices...
Reposted 4 weeks ago
$180K - $220K *
Lead clinical excellence by overseeing multiple health centers, guiding Medical Directors, and enhancing patient care through strategic initiatives and quality metrics. Collaborate with senior leaders...
2 weeks ago
Medical Director, Utilization Management - Appeals & Grievances
$210K - $250K *
Join our team to lead clinical reviews of member appeals, ensuring compliance and timely determinations. Collaborate with cross-functional teams to enhance healthcare delivery and uphold high standard...
6 days ago
Medical Director, Utilization Management - Appeals & Grievances
$210K - $250K *
Join our Medical Management team to lead clinical reviews of member appeals, ensuring compliance and timely determinations across Medicare and Commercial lines. Collaborate with cross-functional teams...
6 days ago
Medical Director, Utilization Management - Appeals & Grievances
$210K - $250K *
Lead clinical reviews of member appeals, ensuring compliance and timely determinations. Collaborate with cross-functional teams to enhance organizational initiatives and uphold medical policies while...
6 days ago
Medical Director, Utilization Management - Appeals & Grievances
$210K - $250K *
Unlock your potential as a key player in clinical appeals, ensuring compliance and timely determinations. Collaborate across teams to enhance healthcare delivery while applying your medical expertise...
6 days ago
Medical Director, Utilization Management - Appeals & Grievances
$210K - $250K *
Join a team that's redefining healthcare by leading clinical reviews and ensuring compliance in member appeals. Leverage your medical expertise to drive value-based care and collaborate across departm...
6 days ago
Medical Director, Utilization Management - Appeals & Grievances
$210K - $250K *
Shape the future of healthcare by leading clinical reviews and ensuring compliance in member appeals. Collaborate with cross-functional teams to enhance processes and drive strategic initiatives in a...
6 days ago
Medical Director, Utilization Management - Appeals & Grievances
$210K - $250K *
Transform the landscape of healthcare by leading clinical reviews of member appeals, ensuring compliance and timely determinations while collaborating across departments to enhance organizational init...
6 days ago
Medical Director, Utilization Management - Appeals & Grievances
$210K - $250K *
Manage clinical reviews of member appeals, ensuring compliance and timely determinations across Medicare and Commercial lines. Collaborate with internal teams and external providers to uphold medical...
6 days ago
$108K - $130K *
Empower branch operations by leading compliance, staff development, and client relations. Drive growth strategies while ensuring adherence to regulations and enhancing service quality in home health c...
5 days ago
$100K - $120K *
Champion the future of hospice care by leading operations, ensuring compliance, and fostering team development. Drive growth strategies while maintaining high standards of client satisfaction and regu...
1 week ago
What does a Managed Care Director do?
A Managed Care Director leads care management or managed care functions, which may include overseeing teams and programs, improving quality and efficiency, monitoring performance, and collaborating with providers and health plan stakeholders.
What qualifications are commonly required for Managed Care Director jobs?
Requirements vary, but employers commonly value substantial healthcare leadership experience and expertise in managed care, operations, quality improvement, compliance, and financial or performance analysis. Some roles may require a relevant degree, clinical credentials, or professional licensure.
Where do Managed Care Directors work?
Managed Care Directors may work for health insurance plans, hospitals and health systems, provider groups, government or public health organizations, and healthcare services companies.
How can I find Managed Care Director jobs paying $100,000 or more?
Browse Managed Care Director listings on Ladders, where you can explore vetted professional opportunities with salaries of $100,000 or more and review each posting’s responsibilities and qualifications.