Managed Care Director Remote Jobs

Drive strategic business development initiatives in the Medicare landscape, fostering key partnerships with national payers to enhance care access. Collaborate cross-functionally to accelerate growth...

Transform healthcare sales by building strategic relationships within managed care organizations. Drive revenue growth through effective selling and relationship management while maximizing exposure t...

Unlock potential by leading enterprise-wide Cost of Care solutions. Drive scalability, optimize deployment, and enhance operational effectiveness across diverse markets, collaborating with stakeholder...

Deliver impactful value-based care programs by leading cross-functional execution, ensuring alignment and efficient operations to drive measurable outcomes across the enterprise in a dynamic healthcar...

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

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

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...

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...

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...

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...

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...

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...

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...

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...

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

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

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

Transform the future of healthcare by driving ICHRA market expansion strategies, building strong partnerships with key stakeholders, and leading initiatives that accelerate growth and enhance organiza...

Oversee the Ops Business Analyst team, ensuring best practices in business requirements, process improvements, and operational efficiency. Lead cross-functional collaboration, resource allocation, and...

Innovate your career by leading extensive Prior Authorization governance strategy across diverse populations. Drive enterprise decision-making and improve operational efficiency through strategic coll...

Drive healthcare excellence by leading clinical consultations, training staff, and reviewing cases. Engage with providers and members while ensuring adherence to quality standards and regulatory guide...

Drive impactful healthcare initiatives by providing clinical guidance, training, and oversight for care quality. Collaborate with providers and ensure adherence to regulatory standards while enhancing...

Engage in improving clinical outcomes through collaboration, education, and oversight, while ensuring regulatory compliance. Lead initiatives across care management, quality improvement, and clinical...

Join a vital leadership role in neonatology oversight, shaping clinical standards and managing care for newborns while enhancing quality initiatives and staff training for optimal patient outcomes...

Drive your career forward by leading the development and implementation of strategic networking contracts. Oversee negotiations, manage team resources, and support market launches while enhancing heal...