Managed Care Director Jobs in Baltimore, MD

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

Lead the charge in driving clinical excellence and operational efficiency within Utilization Management. Oversee teams, enhance technology solutions, and ensure compliance, fostering a culture of inte...

Advance client satisfaction and operational excellence by leading the Group Health Division, overseeing team performance, enhancing processes, and ensuring profitability while managing key metrics and...

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

Advance transformative AI initiatives in healthcare by spearheading commercial strategy and key partnerships. Collaborate with C-suite leaders to build impactful business cases and streamline innovati...

Shape the future of sales by leading strategic development and execution for key brands. Drive revenue growth and team performance while managing P&L. Collaborate cross-functionally to innovate and en...

Unlock potential by leading complex healthcare consulting projects and teams, guiding clients in payer strategy, contract negotiations, and reimbursement solutions. Drive impactful results and shape i...

Accelerate progress at a thriving practice, providing top-notch primary care while leading a dedicated team. Enjoy a balanced schedule with minimal on-call duties and ample opportunities to enhance co...

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...

Transform healthcare data environments by developing advanced cloud data platforms. Lead a technical team to innovate, assess, and build robust solutions that enhance AI deployment, effectively removi...

Lead the operational excellence of the Group Health Division, optimizing performance metrics and driving client satisfaction through tailored initiatives and a dedicated team. Collaborate with medical...

Drive client engagement and strategies to enhance health and benefits programs. Leverage expertise to foster relationships, generate new business, and lead a team in delivering superior client service...

Inspire change as you partner with sales for national accounts, leveraging your medical expertise to drive quality, outcomes, and cost-effectiveness in healthcare, while enhancing client relationships...

Drive strategic growth and enhance payer relationships by leading initiatives that maximize performance and expand membership in assigned markets, while collaborating with cross-functional teams to ac...

Unlock your potential by driving enterprise sales in healthcare AI, leading strategic initiatives, and fostering partnerships to enhance patient outcomes. Your expertise will shape market strategies w...

Develop impactful analytics strategies to enhance operational performance and participant outcomes. Collaborate with leaders to solve complex challenges through data-driven insights and foster relatio...

Transform integrated care delivery for complex populations as a strategic senior leader. Oversee national Complex Care Management and Utilization Management programs to improve health outcomes, ensure...

Elevate integrated care delivery by strategically leading Complex Care Management and Utilization Management programs, ensuring alignment with value-based care principles and driving health outcomes f...

Shape the future of healthcare strategy as a leader in consulting, driving innovation and transformation while mentoring the next generation of consulting talent across multiple client projects...

Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Lead billing operations while ensuring accuracy, compliance, and team efficiency. Optimize workflows, enhance customer service, and manage the integration of systems in a collaborative environment foc...

Drive the evolution of medical payment policies as a subject matter expert, collaborating closely with clients to analyze data, present insights, and advocate for strategic policy adoption. Shape the...

Execute the strategic direction of Health Information Management operations, ensuring compliance, overseeing staff, managing electronic medical records, and optimizing coding processes for improved he...