Managed Care Director Jobs in Cambridge, MA

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 innovative clinical management initiatives to enhance healthcare quality, ensuring compliance with all regulations while managing utilization trends and overseeing medical necessity reviews in a...

Transform the legislative landscape by steering health care policy advocacy. Engage with state and federal leaders to shape strategic initiatives, analyze impactful legislation, and drive coalition-bu...

Join a team that's redefining healthcare network contracting through innovative strategies, hands-on leadership, and a focus on scalable deal execution, ensuring effective provider agreements across k...

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

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...

Shape operational excellence by leading complex initiatives across multiple client accounts, driving measurable improvements in efficiency, cost, and quality. Collaborate with teams to optimize proces...

Drive strategic healthcare transformation by leading teams to enhance client outcomes through innovative payer strategies and value-based reimbursement solutions. Collaborate across diverse healthcare...

Drive success by managing relationships with key healthcare providers, enhancing collaboration, and ensuring provider satisfaction while addressing complex issues within an established network for opt...

Take ownership of managed care contracting strategies for specialty practices, enhancing payer relationships and ensuring optimal reimbursement performance while navigating a complex healthcare enviro...

Empower the Health Information Management department by overseeing operations, ensuring compliance with laws, and enhancing patient care quality. Lead a dedicated team in managing records, implementin...

Support executive leadership by driving organizational effectiveness, managing high-priority initiatives, and synthesizing complex information into actionable insights. Collaborate cross-functionally...

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...

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...

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 driving software sales for healthcare solutions with a focus on claims administration. Collaborate with internal teams to optimize strategies and exceed expectations in a fast-paced...

Shape the future of emergency care by leading operations in a dynamic 24/7 facility. Collaborate with clinical teams to enhance service delivery while fostering a diverse patient environment. Bring yo...

Innovate in our digital health space by leading product strategy and execution. Drive initiatives from discovery to launch, collaborating cross-functionally to enhance healthcare workflows and improve...

Join a team that's dedicated to ensuring compliance and excellence in Medicaid managed care contracting. Leverage your analytical skills to support project coordination and deliver high-quality insigh...

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...

Drive the success of health center pharmacy operations by overseeing daily activities, managing finances, developing pharmacy policies, and leading a skilled team to enhance patient care and optimize...

Lead innovative initiatives in clinical operations, driving excellence in primary care delivery while overseeing medical directors. Optimize participant satisfaction and operational metrics to enhance...

Unlock potential by leading Managed Care Contracting & Medical Economics, leveraging quantitative analysis to evaluate risks in value-based care contracts while engaging with payor partners and collab...