Managed Care Director Jobs in Madison, WI

Lead the charge in developing innovative risk adjustment products and strategies. Collaborate cross-functionally to enhance client experiences while ensuring compliance and clinical integrity. Drive h...

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...

Manage strategic payer relationships and contract negotiations to optimize financial performance in a dynamic healthcare environment, ensuring compliance with state and federal regulations while enhan...

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...

Innovate healthcare operations by managing multiple client accounts, overseeing provider enrollment and payer contracting with a focus on accuracy and quality. Lead a small team while ensuring timely...

Lead the charge in enhancing quality and safety within healthcare operations. Oversee compliance with regulations while driving patient safety initiatives in collaboration with medical and leadership...

Join a team that's driving product strategy and innovation to enhance market presence, oversee cross-functional collaboration, and implement impactful solutions for self-funded and stop-loss products...

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...

Lead and oversee end-to-end claims processing while driving operational improvements, ensuring compliance, and managing enterprise risk across multi-functional teams for effective client servicing and...

Join a team that's committed to driving growth through strategic partnerships in healthcare. You'll lead initiatives that optimize provider relations and collaboration, ensuring delivery and improveme...

Accelerate your career by driving new revenue and building strategic relationships with key stakeholders in the pharma and biotech sectors. Own the full sales cycle in a fast-paced, autonomous role fo...

Pioneer in actuarial excellence by analyzing financial risks, developing robust models, and leading a team to ensure compliance and performance. Contribute to impactful decisions through precise data...

Join a team that's redefining finance by leading strategic planning and analysis across key business functions. As a strategic partner, you'll support leadership, drive accountability, and develop a h...

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...

Create impactful actuarial insights to guide financial performance and risk management. Collaborate with leadership on strategic goals while ensuring accurate forecasting and compliance in product pri...

Lead a dynamic team to optimize our contact center ecosystem, enhancing product management and driving strategic alignment. You'll be at the forefront of customer service excellence through innovative...

Join the team as a strategic HR Business Partner, influencing organizational dynamics across divisions, crafting people strategies, and leading change initiatives to enhance workforce effectiveness an...

Transform operations by leading a team in the strategic launch of complex client accounts, optimizing process improvements across departments, and enhancing the customer experience in a fast-paced hea...

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...

Shape the future of healthcare integration by leading efforts in network and data integration, ensuring compliance and modernization across workflows. Drive multi-year roadmaps while fostering high-pe...

Join a team that's dedicated to enhancing geriatric care through innovative house calls, combining direct patient interaction with the leadership of a skilled APRN team, while ensuring high-quality, v...

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...

Elevate the enrollment and billing platforms through innovative tech architecture and leadership. Manage a dedicated team while ensuring compliance, operational efficiency, and collaboration with exte...