Managed Care Director Remote Jobs

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...

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...

Drive excellence in health care by leading provider education initiatives that enhance patient experience, population health, and affordability. Collaborate with multidisciplinary teams to implement p...

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...

Join our team to lead provider contracting and network development, ensuring compliance and efficiency. Drive recruitment strategies in diverse markets while optimizing financial performance and overs...

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...

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 charge in optimizing clinical operations, driving high-quality care while overseeing performance metrics. Collaborate with diverse teams to implement strategic initiatives, ensuring patient s...

Join our team to lead Broker Sales efforts and drive membership growth through strategic sales planning and effective management of a dedicated team, ensuring compliance and developing key relationshi...

Champion medical excellence by guiding quality management, utilization, and patient care initiatives. Collaborate with teams to enhance clinical outcomes while ensuring compliance with accreditation a...

Champion quality initiatives in a dynamic healthcare environment, leading MSSP Quality programs while influencing strategic decisions across teams. Drive performance improvement and build a quality fu...

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...

Shape a robust long-term care management approach, leading teams to deliver high-quality, cost-efficient healthcare outcomes. Drive strategy and compliance while fostering member and provider experien...

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...

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...

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...