Managed Care Director Jobs in Burlingame, CA

Unlock potential by leading enterprise-wide Cost of Care solutions. Drive scalability, optimize deployment, and enhance operational effectiveness across diverse markets, collaborating with stakeholder...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...

Drive impactful legal guidance in health plan operations, supporting claims, network management, and regulatory compliance. Collaborate across teams to translate complex regulations into actionable st...

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...

Elevate your career by managing claims operations, leading a cohesive team, ensuring compliance, and driving performance metrics in a healthcare setting. Collaborate cross-functionally while overseein...

Lead the care management team to enhance healthcare outcomes through strategic oversight, compliance, and performance improvement, ensuring high-quality and cost-effective care for members. Foster col...

Drive strategic growth by architecting innovative healthcare payor programs, navigating regulatory landscapes, and establishing robust market entry strategies. Collaborate across teams to transform co...

Transform clinical operations by driving innovative strategies and performance improvements that enhance member health outcomes and engagement at scale. Lead cross-functional teams to optimize prevent...

Join a team that's committed to excellence in regulatory compliance. Lead NCQA accreditation efforts while collaborating across departments to ensure ongoing adherence to standards and support the org...

Grow your career with a leadership role guiding actuarial strategy, driving innovation, and ensuring compliance with healthcare regulations. Lead teams in financial forecasting and analysis while ment...

Shape the future of claims management by leading a team of adjusters, ensuring regulatory compliance, and optimizing processes for complex Master Policy TLL and Contents Claims. Drive department effic...

Join a team that's dedicated to ensuring accuracy and integrity in provider data. Lead strategic initiatives that enhance data quality, support regulatory compliance, and drive operational efficiencie...

Develop comprehensive network strategies that optimize value, engage stakeholders, and enhance provider performance, ensuring alignment with market trends and regulatory requirements while leading cro...

Lead compliance for Medicare Advantage and ACO programs, overseeing regulatory adherence and operational excellence. Collaborate with internal teams and external partners to ensure effective complianc...

Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...

Join a team that's driving the modernization of healthcare claims administration by leading the development of a new web-based interface. You'll manage product strategy, collaborate across functions...

Unlock potential by leading complex health-system implementations, guiding a specialized team, and establishing best practices. Drive performance, engage executives, and shape future strategies for la...

Transform your career by leading a comprehensive HR strategy that aligns with executive leadership. Drive workforce planning, talent acquisition, employee engagement, and compliance initiatives to sha...

Lead the charge in driving human resources strategy, shaping organizational design, and optimizing workforce effectiveness while guiding transformation and ensuring talent alignment with business goal...

Shape a robust compliance program for pharmacy operations and Medicare Part D, ensuring adherence to regulations while promoting a culture of compliance. Lead audits, oversee risk management, and coll...

Unlock potential by leading enterprise forecasting and pipeline governance. Collaborate with cross-functional teams to drive performance insights, improve planning accuracy, and optimize revenue strat...

Transform portfolio strategy by defining solutions and aligning value streams. Collaborate across functions to drive impactful product initiatives, leveraging market insights to shape long-term vision...

Unlock potential by partnering with executives to enhance customer strategies, streamline operations, and lead impactful initiatives that drive engagement and value for investor/customers in the healt...

Pioneer innovative clinical pharmacy strategies to enhance Medicare Stars performance. Leverage deep expertise in pharmacy quality, influence cross-functional teams, and drive measurable outcomes to i...

Shape the future of healthcare analytics by leading teams, driving initiatives, and translating data insights into strategic solutions for multiple stakeholders, aiming to enhance performance and achi...