Managed Care Director Jobs in Saint Louis, MO

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...

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...

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...

Deliver expert oversight on Senior Care Professional and General Liability claims, managing coverage, liability investigations, and complex litigation. Collaborate with teams to drive strategic resolu...

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...

Drive product innovation and strategy for commercial markets. Lead cross-functional teams to enhance product offerings and market presence, while ensuring alignment with organizational goals and respo...

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...

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...

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...

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...

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...

Lead the charge in overseeing clinical operations for the Missouri Medicaid market, collaborating with executives to enhance healthcare delivery, monitor performance metrics, and ensure compliance wit...

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...

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...

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...

Transform operational efficiency by leading process improvement initiatives, managing audit timelines, and ensuring compliance with quality standards across various functional areas to enhance healthc...

Lead the charge in optimizing third-party risk management, enhancing operational effectiveness, and ensuring compliance with regulations. Oversee due diligence, audits, and cross-functional initiative...

Join a dedicated team to provide expert medical reviews and insights for post-acute care. Collaborate with healthcare professionals to ensure quality service delivery and optimal patient outcomes in a...

Transform healthcare delivery by leading medical services, enhancing quality outcomes, and guiding clinical operations. Drive cost-effective care solutions and innovate programs in a dynamic environme...