Director, Managed Care (Remote)

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Director, Managed Care - REMOTE. In this role, you will be pivotal in leading a team of Regional Directors to deliver consulting services within specialty practices. Your expertise will guide the advancement of strategy, ensuring seamless execution across regions while evolving managed care advisory offerings to align with organizational priorities. You'll serve as a crucial liaison between leadership, regional teams, and specialty practices, ensuring compliance with industry standards and best practices. This position will allow you to have a significant impact on the health and well-being of various patient populations, making healthcare more accessible and equitable.

Accountabilities

• Lead and manage a team of Regional Directors, providing coaching and performance feedback.
• Oversee the delivery of consulting services to specialty provider practices.
• Develop and implement strategies to support the needs of specialty customers.
• Ensure consistent execution of managed care initiatives with cross-functional teams.
• Guide the team in negotiating and renewing managed care contracts.
• Develop and implement managed care policies and procedures.
• Monitor managed care trends and recommend strategic responses as needed.
• Support contract administration and communication of managed care initiatives.
• Foster collaboration across departments to enhance overall performance.
• Contribute to educational resources and best practices for supporting specialty practices.

Requirements

• Degree or equivalent experience, typically requires 13+ years of professional experience.
• Minimum of 7 years of healthcare management experience in a managed care environment.
• Extensive experience in negotiating managed care contracts.
• Strong understanding of healthcare reimbursement models.
• Exceptional communication, analytical, and writing skills.
• Proven ability to lead and develop high-performing teams across regions.
• Proficiency with analytical tools and software (e.g., Excel, PowerPoint).
• Experience in specialty markets such as Oncology and Neurology is desirable.
• Ability to build strong partnerships with internal and external stakeholders.

Benefits

• Competitive compensation package.
• Annual bonus or long-term incentive opportunities.
• Remote work environment with flexible arrangements.
• Continuous professional development opportunities.
• Engagement with leadership and mentoring support.
• Access to educational resources and best practices.

Why Apply Through Jobgether?

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.