Managed Care Director Remote Jobs

Inspire innovative provider performance improvement strategies across New York City. Drive accountability for cost, quality, and access while leading a high-performing team. Build strategic relationsh...

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...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

Advance the standards of care by ensuring compliance with medical policies and regulations in a collaborative multidisciplinary team environment. Conduct critical reviews of medical necessity for trea...

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

Oversee payment integrity initiatives, ensuring alignment between clinical coding and organizational strategy. Partner with cross-functional teams to strengthen provider relations and improve audit op...

Join a team that drives financial excellence by overseeing corporate accounting and delivering precise financial reports. Leverage your expertise in financial statements and strategic oversight to emp...

Partner with us to drive value-based care by negotiating and managing Medicare Advantage and Medicaid contracts, enhancing provider relationships, and contributing to strategic growth in a dynamic hea...

Accelerate growth in the Assisted Living segment by leading business development initiatives, driving customer acquisition and collaborating with teams for seamless implementation and strategic planni...

Help us lead our Enhanced Care Management program, ensuring optimal performance and collaboration while driving quality patient care and cost efficiency through innovative management and strategic ove...

Manage compliance initiatives while overseeing daily operations of the Compliance Plan. Collaborate with leadership to mitigate risks, ensure adherence to regulations, and cultivate a compliant organi...

Shape the success of client implementations by leading a dynamic team of Business Consultants. Drive operational excellence in software delivery while fostering talent development and ensuring high cl...

Shape the future of healthcare by orchestrating dual eligible strategies, driving innovation, and fostering partnerships to enhance product line growth and meet regulatory objectives across the Southe...

Strategize and execute comprehensive market approach for health plans, enhancing engagement and brand positioning. Collaborate across teams, leveraging deep healthcare expertise to drive growth and st...

Provide strategic leadership in pharmacy contract strategy and provider engagement, driving enterprise alignment and supporting scalable growth. Lead contract frameworks, compliance, and partnerships...

Elevate patient support services by leading teams to provide exemplary care, driving operational efficiency and performance metrics while fostering a culture of continuous improvement and collaboratio...

Lead clinical practice oversight, enhancing care quality through collaboration and strategic guidance. Direct clinical improvement initiatives across multiple regions, ensuring compliance, staffing op...

Champion operational excellence in a senior leadership role by enhancing client services through innovative process improvement. Collaborate with cross-functional teams to drive performance management...

Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Lead the charge in driving transformative financial strategies and operational excellence across organizational functions. Collaborate with executive leadership to elevate decision-making and foster a...

Lead the charge in establishing a new ambulatory sales vertical, driving revenue and partnerships. Collaborate closely with leadership to shape go-to-market strategies that enhance patient care in out...

Lead the charge in optimizing health plan operations, ensuring compliance and alignment with member satisfaction goals. Collaborate with teams to enhance provider and member services while achieving f...

Shape the future of health plan provider networks by leading complex contract negotiations, optimizing value-based agreements, and driving strategic partnerships to enhance operational and financial p...

Shape the future of healthcare delivery by leading program management efforts and overseeing strategic initiatives to ensure alignment with organizational goals. Drive innovation and best practices ac...