Managed Care Director Jobs in Rockville, MD

Champion the advancement of clinical quality management strategies in Medicaid, overseeing program development, regulatory compliance, and quality improvement initiatives to enhance patient outcomes a...

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...

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...

Lead the charge in overseeing health insurance compliance and managed care within the Life and Health Division, driving policy form reviews and legislative integration in line with ACA requirements...

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...

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...

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

Transform healthcare as you lead collaborative patient care and quality initiatives in skilled nursing facilities. You will guide clinical teams, ensuring compliance and excellence in medical practice...

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...

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...

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...

Join a dedicated team as a Medical Director, driving quality improvement and overseeing patient care in skilled nursing facilities. Collaborate on clinical initiatives and enhance healthcare practices...

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...

Drive product strategy and execution for innovative healthcare solutions. Collaborate cross-functionally to transform complex workflows, delivering impactful capabilities for our digital health platfo...

Optimize Medicaid managed care contracting by coordinating project activities, ensuring accurate deliverables, and reviewing contracts against compliance standards to support client success in a dynam...

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...