Managed Care Director Jobs

Advance clinical program leadership by driving policy development, enhancing utilization management, and supporting cross-functional teams to achieve strategic goals. Your expertise will elevate our c...

Lead the charge in optimizing transitions of care, enhancing member outcomes, and driving compliance. Mentor staff, streamline workflows, and collaborate with healthcare providers to ensure seamless p...

Optimize Medicare network strategies by overseeing data analysis, driving performance, and collaborating with leaders to achieve profitability. Lead team efforts to address core issues while fostering...

Optimize operational efficiencies across Primary Care services while ensuring compliance, improving quality outcomes, and driving strategic growth initiatives. Collaborate with clinical teams to imple...

Drive the advancement of behavioral health services with strategic oversight, ensuring quality care, operational efficiency, and collaboration across teams to meet organizational goals and enhance pat...

Oversee system-wide policy administration and regulatory compliance initiatives, ensuring effective implementation, evaluation, and strategic partnership across facilities to maintain high standards i...

Champion the evolution of provider issue resolution by leading a multi-disciplinary team, enhancing operational frameworks, and driving strategic improvements to optimize provider engagements and serv...

Empower your career by leading enterprise risk adjustment programs, ensuring compliance and financial performance across provider networks while enhancing coding and documentation practices...

Lead the charge in scaling enterprise growth through effective pipeline management, process optimization, and cross-functional collaboration. Drive meeting generation and support a team focused on ach...

Champion strategic provider network contracting initiatives, driving negotiations and collaborations across business units. The role demands leadership in developing robust strategies to enhance care...

Shape strategic compliance and privacy programs while ensuring adherence to regulations. Collaborate with executives and Board to mitigate risks and promote a culture of integrity, accountability, and...

Join a team that leads the way in clinical excellence and administrative leadership. Oversee daily operations, ensure compliance, and collaborate across departments to optimize patient care and achiev...

Champion innovative health care solutions by leading complex projects, collaborating with diverse stakeholders, and driving improvements in care models to enhance health outcomes across multiple secto...

Lead the charge in innovative health care consulting projects, collaborating with clients and stakeholders to enhance outcomes through strategic planning, clinical redesign, and data analytics while m...

Unlock potential by leading a multidisciplinary team that drives strategic provider issue resolution. Build scalable operating models and partner across functions to elevate provider service and opera...

Lead the charge in establishing a refined model for escalated provider issue resolution, collaborating with multiple operational teams to drive improvements, streamline processes, and enhance provider...

Empower your career by leading a multi-disciplinary team in resolving complex provider issues. Drive operational improvements and enhance service governance. Collaborate with cross-functional leaders...

Shape the future of patient care by leading a dynamic team to develop and execute personalized care management plans. Collaborate with healthcare professionals to enhance health outcomes and quality o...

Accelerate progress at managing financial infrastructure and oversight for health plan operations. Lead vendor financial management and compliance frameworks, ensuring sound fiscal practices and stron...

Execute strategic leadership in billing operations, driving compliance and optimizing claims processes while collaborating across departments to enhance revenue performance and operational excellence...

Unlock potential by partnering with executives to enhance customer strategies, streamline operations, and lead impactful initiatives that drive engagement and value for investor/customers in the healt...

Transform operational excellence in healthcare by overseeing ambulatory initiatives, optimizing processes, managing budgets, and ensuring compliance within a collaborative environment focused on enhan...

Pioneer innovative clinical pharmacy strategies to enhance Medicare Stars performance. Leverage deep expertise in pharmacy quality, influence cross-functional teams, and drive measurable outcomes to i...

Join a team that shapes the future of primary care by providing comprehensive medical support for elderly participants in diverse settings, while leading interdisciplinary efforts and driving quality...

Join our team to drive clinical performance in pharmacy measures, transforming strategies into actionable insights that enhance member health. Collaborate cross-functionally to elevate clinical qualit...