Care Management Manager Jobs in Los Angeles, CA

Lead and optimize performance within the Out-of-State Medicaid function, driving operational excellence across teams to enhance client outcomes and achieve strategic revenue goals through effective le...

Drive exceptional service delivery by leading a skilled team of Implementation Consultants, ensuring successful deployment and adoption of connected operations solutions for enterprise clients while p...

Join a dedicated team focused on enhancing patient care through case management, regulatory compliance, and health equity initiatives. Make a meaningful impact by improving access to services and heal...

Advance kidney health management as a Care Navigator, coordinating care and engaging with patients to achieve optimal health outcomes while managing a diverse caseload and collaborating with healthcar...

Analyze financial and health information to support decision-making on healthcare revenue, costs, and outcomes. Collaborate to identify revenue opportunities and ensure accurate reporting while drivin...

Unlock potential by leading out-of-network claims negotiations, ensuring compliance with the No Surprises Act while driving operational excellence and financial savings. Foster teamwork and strategic...

Join a team that's dedicated to delivering cost-effective care and support to injured workers. As a key part of our case management team, you'll assess and coordinate medical services to ensure timely...

Lead the charge in delivering successful global initiatives by managing cross-functional teams and projects. Ensure alignment with organizational goals while engaging stakeholders to drive business tr...

Elevate the Promotional Review Committee's effectiveness by leading the compliant review process of promotional materials. Drive cross-functional collaboration, enhance operational workflows, and ensu...

Lead transformative cross-functional projects, driving evolution from clinical-stage to operational excellence. Collaborate with teams to implement scalable processes and ensure organizational readine...

Shape the future of financial innovation by leading transformative initiatives. Collaborate with cross-functional teams to improve processes and systems, build lasting relationships, and drive perform...

Elevate client operations by leading a team focused on Regional Center relations, overseeing funding continuity and reauthorizations while establishing performance standards and strong stakeholder par...

Champion healthcare excellence by conducting clinical reviews and ensuring appropriate service authorizations while collaborating with interdisciplinary teams to enhance patient outcomes in a remote s...

Drive Payment Integrity initiatives by analyzing complex claims data, enhancing operational compliance, and developing innovative audit concepts to ensure accurate payments and reduce financial losses...

Develop and manage Payment Integrity initiatives to enhance claim accuracy, reduce overpayments, and ensure compliance, leveraging data analysis and cross-functional collaboration for impactful soluti...

Partner with us to enhance client satisfaction and drive product adoption, leveraging your Learning & Development expertise to optimize strategies and demonstrate measurable value through effective LM...

Join a team that's shaping healthcare compliance by managing investigations and hotline processes. Oversee case intake and ensure thorough investigations, driving compliance efforts while leading a gr...

Unlock your potential by leading revenue cycle initiatives and ensuring compliance in coding and billing practices. Collaborate with stakeholders to enhance revenue integrity while independently manag...

Champion innovation and strategy in utilization management, leading product vision and development. Drive transformative solutions to enhance healthcare efficiency while collaborating with cross-funct...

Accelerate patient care by leading case management practices across multiple facilities, ensuring compliance with standards and developing impactful quality programs. Collaborate with team members to...

Shape digital product strategy by advocating for customer needs and aligning stakeholders. Collaborate across teams to deliver exceptional digital experiences that drive business value and customer sa...

Oversee and innovate the performance, strategy, and governance of a multi-channel contact center, leading a dynamic team to drive operational excellence across diverse markets while enhancing customer...

Engage in leading clinical management for DME and IRF programs, advancing guidelines and improving processes. Collaborate closely with medical and operational teams to enhance service quality and ensu...

Unlock the potential of responsible AI governance by overseeing enterprise-wide frameworks ensuring regulatory compliance, standard adherence, and ongoing monitoring across business units while foster...

Advance healthcare navigation by providing telephonic triage support, guiding members to appropriate resources, while ensuring optimal patient advocacy and care coordination with a focus on innovative...