Managed Care Director Jobs in Orange, CA

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...

Partner with us to lead strategic planning and performance initiatives, aligning enterprise strategies across business lines while managing key governance and metrics to enhance decision-making and re...

Elevate partnerships by leading strategic growth initiatives with brokers and health plans. Engage directly with stakeholders to enhance participation and drive innovative programs, ensuring alignment...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

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...

Oversee payment integrity initiatives, ensuring alignment between clinical coding and organizational strategy. Partner with cross-functional teams to strengthen provider relations and improve audit op...

Partner with us to lead operational and strategic initiatives that enhance clinical performance and patient experience, driving measurable improvements through innovative management processes and cros...

Help us lead our Enhanced Care Management program, ensuring optimal performance and collaboration while driving quality patient care and cost efficiency through innovative management and strategic ove...

Shape the success of client implementations by leading a dynamic team of Business Consultants. Drive operational excellence in software delivery while fostering talent development and ensuring high cl...

Empower healthcare innovation by leading a team of TPMs to align product strategy with business goals and enhance operational efficiency through effective collaboration across teams...

Shape the future of health plan strategy by leading growth initiatives and promoting innovative solutions. Collaborate with cross-functional teams to execute strategic priorities while mentoring a hig...

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...

Lead the charge in transforming clinical operations, ensuring compliance and quality while driving efficiencies. Collaborate across teams to enhance patient care and achieve organizational goals throu...

Accelerate progress at the forefront of financial management, guiding strategic initiatives and leading cross-functional teams to enhance financial performance and stewardship within a dynamic organiz...

Provide strategic leadership in pharmacy contract strategy and provider engagement, driving enterprise alignment and supporting scalable growth. Lead contract frameworks, compliance, and partnerships...

Elevate patient support services by leading teams to provide exemplary care, driving operational efficiency and performance metrics while fostering a culture of continuous improvement and collaboratio...

Join a team that provides exceptional support to managed care clients, focusing on reinsurance and provider stop-loss. Drive customer satisfaction through efficient service while managing complex repo...

Champion operational excellence in a senior leadership role by enhancing client services through innovative process improvement. Collaborate with cross-functional teams to drive performance management...

Join a team that's redefining patient care by leading innovative virtual health initiatives, ensuring quality and safety across a national acute care model, and leveraging AI technologies to improve o...

Transform business operations by managing large-scale strategic initiatives, analyzing processes, and improving productivity. Collaborate with leadership to develop communication and training plans th...

Champion operational excellence in claims administration, ensuring compliance and accuracy while leading a high-performing team. Drive process improvements and strategic initiatives to align claims pr...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Pioneer operational improvements at the administrative level by managing systems across HR, IS, risk, and facilities. Collaborate with executive leaders to ensure compliance and quality while enhancin...

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...

Transform the Total Rewards landscape by leading strategic HR programs, enhancing benefits and compensation frameworks, and driving team performance to cultivate an empowering workplace culture that m...