Director, Provider Contracting Jobs in Los Angeles, CA

Seeking a Medical Director to lead Utilization Management, ensuring evidence-based clinical oversight and compliance. Collaborate with teams to enhance care quality, analyze data to reduce FWA risks...

Drive growth by leading consultative sales for women's health benefits. Build relationships, tailor solutions, and close deals while managing a strong sales pipeline and collaborating with internal te...

Empower innovation by leading vendor AI integration standards, ensuring compliance and interoperability across the enterprise. Drive assessments, manage relationships, and oversee ongoing adherence to...

Optimize revenue cycle management by leading a dynamic team to enhance processes, drive automation, and ensure compliance in a fast-paced telehealth environment. Collaborate with cross-functional team...

Shape the future of healthcare real estate by leading a dynamic transaction management team. Oversee negotiations, staff development, and strategic planning to drive client success and enhance operati...

Shape the future of healthcare by leading innovative risk adjustment programs that enhance provider engagement and improve patient outcomes through proactive, data-driven strategies and seamless EHR i...

Lead the charge in evidence-based medical case reviews to ensure high-quality patient care while collaborating with a network of over 500 physician colleagues in a fully remote environment...

Empower our sales team by driving strategic growth in key accounts. Leverage your expertise in Enterprise SaaS to navigate complex sales in the Life Sciences sector, fostering partnerships and deliver...

Drive strategic provider negotiations and relationships to enhance network quality, affordability, and member experience. Lead cross-functional initiatives to support growth and maintain a competitive...

Transform provider negotiations and relationships to enhance network quality and sustainability. Lead strategic initiatives that drive growth and improve member experience while ensuring compliance an...

Drive medical leadership in quality improvement and utilization management, ensuring effective care delivery and cost containment. Collaborate with clinical teams to enhance patient outcomes and suppo...

Lead the evaluation of outpatient referrals and inpatient admissions for medical necessity, utilizing guidelines and criteria to ensure quality care. Collaborate with providers and mentor UM nurses to...

Drive growth by identifying and securing new business opportunities in risk management and medical education. Collaborate with teams to develop proposals, manage sales pipelines, and ensure alignment...

Manage clinical oversight and mentorship in a remote role, guiding enterprise-wide medical decisions, reviewing complex cases, and ensuring evidence-based coverage determinations while collaborating a...

Lead the charge in clinical oversight and mentorship, providing strategic support across various departments. Collaborate with teams to ensure evidence-based decision-making and enhance patient care t...

Drive strategic growth by managing high-impact relationships with health systems and specialty pharmacies. Lead account management, enhance client satisfaction, and identify opportunities for value ex...

Lead the strategic design and management of comprehensive benefits programs, ensuring alignment with employee needs and company objectives. Drive innovation and compliance while enhancing employee eng...

Drive your career forward by leading a dynamic PMO team, overseeing complex projects in healthcare technology. Collaborate cross-functionally to ensure strategic alignment and successful execution of...

Shape the future of managed care by leading contract negotiations, performance monitoring, and strategic initiatives to optimize reimbursement and enhance payer relationships across healthcare service...

Lead the negotiation and administration of Branded & Specialty Rx contracts, ensuring alignment with business strategies and stakeholder interests. Collaborate with internal teams to optimize processe...

Oversee operations management across multiple health centers, driving strategic initiatives and enhancing client satisfaction. Lead and mentor teams while implementing innovative performance standards...

Lead the charge in managing multiple health centers, driving strategic growth, patient satisfaction, and operational excellence while overseeing financial performance and team development in a dynamic...

Champion innovative clinical strategies in specialty pharmacy, overseeing services and solutions to enhance client value and outcomes. Collaborate with cross-functional teams to drive program performa...

Elevate community oncology practices by driving growth and retention through strategic sales initiatives. Collaborate with cross-functional teams to enhance market presence and deliver tailored soluti...

Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...